Most treatment for hearing loss in older adults focuses on better communication and devices that make sound louder, such as hearing aids.
Assistive Devices for Hearing Loss
- Microphones and transmitters that send sound to a receiver and headphones or earpieces. These are often called pocket talkers.
- Small personal devices that make nearby sounds louder and reduce background noise.
- Phone ringers that make calls louder, or make the phone vibrate or flash a light. Captioned telephones are also available.
- Closed-caption TVs and flashing or vibrating devices such as alarm clocks, smoke alarms, doorbells, and motion sensors.
Hearing Aids
Hearing aids are the most common device for people with hearing loss. They can help a person understand speech better. Getting a hearing aid early can help a person adjust and reduce the effects of hearing loss.
Working with a trained audiologist helps make sure the hearing aid fits well and is adjusted correctly.
- A hearing aid is just one part of treating hearing loss. The other part is a "hearing rehabilitation program." This program includes counseling about hearing aids and tips for talking with others. These programs are usually included in the cost of the hearing aid.
Sometimes people who could benefit from a hearing aid do not use one because of:
- Trouble handling the small device
- Not thinking they need one
- Cognitive difficulty or dementia
- Concerns about cost
Medicare and most health insurance plans do not pay for hearing aids and similar devices. However, some Medicare Advantage plans, state Medicaid programs, and Veterans Affairs plans may help cover costs.
Choosing the Right Hearing Aid
There are many styles of hearing aids. Some fit behind the ear and some fit inside the ear. The best style depends on:
- How much hearing loss a person has
- What services and features are needed
- How easily the person can use the hearing aid
Cochlear Implants
A cochlear implant is a small electronic device placed inside the ear through surgery. It is an option for people with moderate to severe hearing loss that hearing aids cannot help with. The implant sends sound signals directly to the hearing nerve. Medicare and many insurance plans often pay for the surgery.
Implants can help a person:
- Hear everyday sounds
- Understand speech better
- Use the telephone
- Enjoy music again
Last Reviewed and Updated: October 2026
By: AGS/HiAF Public Education Committee, HealthinAging.org Content Reviewers