Apple AirPod Pro 2’s as hearing aids

FastEddieB

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Fast Eddie B
About 5 years ago I started a thread on hearing aids. Based on recommendations here, I ended up with a pair from Costco which I still use.

Recently, Apple announced that it had FDA approval to market its AirPod Pro 2’s as hearing aids. iOS 18.1 includes that functionality, including a hearing test.

I’ve been meaning to report on my mainly positive experiences with the AirPods so far, and I’ll follow up with more info shortly. But if anyone is considering trying them out, Best Buy has a really good Black Friday deal which may be ending today.

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Thanks, those will likely replace the Sony CRE E10s I got for my dad...
 
I was looking into this yesterday on my own.

Do they require a continuous connection to the phone app? Can you program them, wear them, then go out and leave the phone at home?

My dad might be able to benefit from something like this, but he has an Android and I’m the one with the iPhone.
 
Do they require a continuous connection to the phone app? Can you program them, wear them, then go out and leave the phone at home?

My dad might be able to benefit from something like this, but he has an Android and I’m the one with the iPhone.
Copilot says: "The AirPods Pro 2's hearing aid functionality requires an iPhone or iPad to set up and adjust settings. However, once configured, you can use the AirPods Pro 2 as hearing aids without the iPhone nearby"
 
We’re looking to upgrade our phones pretty soon anyway. I already use an aid, just one. But this might be something I could use instead. My wife might be interested, too. I’m going to look into this more closely.
 
As hearing aids…

Here are my test results:

54173545177_b38f38e3a7_z.jpg


They appear similar to the tests done by my audiologist.

The phone applies this profile to your AirPods as hearing aids, amplifying the frequencies you’re deficient in. You can optionally have them apply this profile to your music and podcasts and other audio from your phone - why wouldn’t you?

As I said, based solely on audio performance, they beat out my conventional hearing aids. Everything sounds “brighter” and “clearer”, more so than my hearing aids. Bear in mind my hearing aids are about five years old, and newer, more expensive models might be a lot better. As an aside, my audiologist suggested waiting a year or two before upgrading, giving the new A.I. technology time to improve.

Not to say the AirPods don’t have drawbacks. They do, which I’ll get into shortly.
 
O.K. What are the downsides?

1) Battery life. They say up to 5 or 6 hours on a full charge. Decent, but not enough to get through the day. The case can charge them a handful of times, which is handy when out and about. One solution is to buy a second pair - still a whole lot cheaper than regular hearing aids. In fact, I have a second pair in the way from Best Buy. As an aside, the case charges via USB-C, or handily with an Apple Watch charger, if you have one.

2) “Occlusion” effect. My hearing aids have open domes, letting regular sounds in. The AirPods block or heavily dampen all external sounds. This can feel “stuffy” at first. And you hear your own voice fed back to you, which seems odd at first, but I think it’s something you can get used over time.

3) The “dork” factor. Self explanatory. Though I see more and more folks walking around with these, people may see them and assume you’re “tuned out”.

Nothing else I can think of right now. Bear in mind, the hearing aid functionality is ver. 1, and knowing Apple, both software and hardware will improve over time.
 
@FastEddieB

I was looking at that audiogram and dug out a copy of mine.

My left ear high frequency hearing is not good, it's in the "moderate/severe" category at just above 60dB where yours is showing >80db. It isn't that it's so bad, but it's out of balance with my right. So getting a single aid for that ear now makes my right ear the bad one, but that's how it's going to be for a while.

Like yours, I have open domes so ambient sound is allowed to get through. I'm not sure how well I'd like a plug style of aid, especially for my personal situation.

I don't know if I'd be too comfortable with ear-buds as a "permanent" solution. I've already thought about the battery life situation, too. I typically get 6 days out of a battery in my aid and wear it about 10hrs/day.

My aid can connect to my phone so I can stream to it. It isn't optimized as a music reproducing system, so it's a little weak and tinny for that purpose. But if I were to use buds for music, podcasts, audio books, or similar, then yeah, for sure I'd also program them up as hearing aids. And for the price, if someone really does want ear buds for music, this is a pretty good deal for getting extra duty.

Thanks for the pirep.
 
I thnk I'll stick to my resounds.
 
How do they work with a noise canceling headset
 
Thanks, those will likely replace the Sony CRE E10s I got for my dad...
How do those work? I was interested, but they only work with istuff for streaming, and I'm not particularly interested in switching from android... but eventually Sony will see the light (or it is it the dark side?) and add android support.

I've been using Eargo for the past couple of years, just replaced their 5's with the newer 7's... and for a set of their Links at the same time as a black Friday deal. The Links are similar to the Sonys but support android. I still haven't decided whether they're worth the $300 I paid for them, I have 30 days to return then if I choose to.
 
Cool. Going to give this a try. I've got an iPhone 16P and I just now ordered the $154 iPods from Amazon.
 
IMG_6804.pngHere’s how the Apple hearing test shows me. I’ve been experimenting with the AirPods for a few weeks. Just putting them in for the difficult hearing situations like restaurants. They help. I wish they helped more and hope that Apple keeps developing this. I suppose I do feel a little awkward with the dork factor. Haven’t tried them with my headset (Lightspeed Zulu3) yet. Maybe today.
 
Once I set up the audio profile of my ears in the airpods, I went back and listened to some music and was blown away. I had to re-listen to all of my old favorite songs as I had been missing out on the high-quality higher frequency sounds. It was Incredible. I just have mild hearing loss.
 
I started wearing aids about a year ago because I had problems hearing the students at the back of the classroom. Really helps watching television. Those are the only 2 times I wear them. I don't like the behind-the-ear units because it plays havoc with my glasses. Fortunately, I don't need the aids for flying so the glasses aren't a problem. Looking forward to trying the airpods, will pick them up later today and see what happens. If nothing else, I have them as self-loading cargo when I travel commercially.
 
This is kind of a big deal.
It's a huge deal! Complete market disruption level deal.

Hearing aids are expen$ive, and don't work well in some situations like restaurants or anywhere else where there's a large amount of background noise. AirPods Pro already had three modes: Noise Cancellation (which is active/ANR), Off, and Transparency which amplifies ambient sounds. But Apple has been doing a bunch of engineering around audio for a while now to make their music sound REALLY good, especially when you listen to it on their hardware. Music files that have been updated to take advantage of this effectively give you perfect surround sound - You can listen to a string quartet in the AirPods Pro and you can point to where the cello is, and when you turn your head the positioning of the cello doesn't move with your head even though the "speakers" (headphones) do.

They've also done a lot to try to isolate your voice from background noises when you're talking on the phone with your AirPods. Put all of that together, and a smart hearing aid was kind of the next logical step. It has the potential to be a FAR better experience than a regular hearing aid. I'm not sure if it does this yet, but the goal is that you'll be able to use them in a restaurant and it'll be able to amplify the voice(s) of the people you're talking to while muting the rest of the background chatter.

So, we're looking at a product that doesn't require a visit with an audiologist, that costs an order of magnitude less, works far better than existing products, and has more functions than just being a hearing aid. It's likely to be a big-time game changer for anyone with hearing loss, even those of us without enough to justify traditional hearing aids.

I don't have the new ones yet, but I do have the original AirPod Pros and at least a bit of hearing loss on the left side thanks to breaking a bone in my left ear years ago (along with my skull and collarbone, so my ear didn't get much attention) as well as likely some age-related (and airplane-related?) loss on both sides - I often have to get my older son to repeat himself and speak up. So, I've been following the development of this for a while.
As I said, based solely on audio performance, they beat out my conventional hearing aids. Everything sounds “brighter” and “clearer”, more so than my hearing aids. Bear in mind my hearing aids are about five years old, and newer, more expensive models might be a lot better. As an aside, my audiologist suggested waiting a year or two before upgrading, giving the new A.I. technology time to improve.
Meh... That's mostly software. I'm sure there will be some improved processing in later versions that may allow for even better software, but I wouldn't wait for technological reasons at this point.
O.K. What are the downsides?

2) “Occlusion” effect. My hearing aids have open domes, letting regular sounds in. The AirPods block or heavily dampen all external sounds. This can feel “stuffy” at first. And you hear your own voice fed back to you, which seems odd at first, but I think it’s something you can get used over time.
Can you change over to "Transparency" mode or something in between to change this?
3) The “dork” factor. Self explanatory. Though I see more and more folks walking around with these, people may see them and assume you’re “tuned out”.
All the better for eavesdropping. ;)

But seriously, LOTS of people are wearing AirPods all the time at this point. I wouldn't be too concerned with the look.

I would add that when I wear my gen-1 AirPods Pro which appear to be physically the same, the inside of my ears get itchy. It's not where the rubber is touching them, but inside of that. I don't know if I'm just sweating inside my ears or what but if I've got them in for a long time I do need to take them out for a sec here and there.
Nothing else I can think of right now. Bear in mind, the hearing aid functionality is ver. 1, and knowing Apple, both software and hardware will improve over time.
Yes. I don't know how close they are to their end goal yet, but I'm looking forward to trying them out when I finally buy them, and I'm sure they'll be steadily improving for the next year or two.
 
Very thoughtful post.
I would add that when I wear my gen-1 AirPods Pro which appear to be physically the same, the inside of my ears get itchy. It's not where the rubber is touching them, but inside of that. I don't know if I'm just sweating inside my ears or what but if I've got them in for a long time I do need to take them out for a sec here and there.

I was about to post about two helpful accessories.

1) I’ve found I prefer readily available foam tips. I got these from Amazon:

54180756631_ee4eca1a8f_z.jpg


I find them both more comfortable and more secure.

2) Even though they’re more secure, when active I still worry about one getting dislodged. When working outside, I find having a tether provides welcome insurance against loss or damage. Lots available on Amazon and pretty cheap.

54180761391_f5ff309419_z.jpg
 
It's a huge deal! Complete market disruption level deal.

Hearing aids are expen$ive, and don't work well in some situations like restaurants or anywhere else where there's a large amount of background noise. AirPods Pro already had three modes: Noise Cancellation (which is active/ANR), Off, and Transparency which amplifies ambient sounds. But Apple has been doing a bunch of engineering around audio for a while now to make their music sound REALLY good, especially when you listen to it on their hardware. Music files that have been updated to take advantage of this effectively give you perfect surround sound - You can listen to a string quartet in the AirPods Pro and you can point to where the cello is, and when you turn your head the positioning of the cello doesn't move with your head even though the "speakers" (headphones) do.

They've also done a lot to try to isolate your voice from background noises when you're talking on the phone with your AirPods. Put all of that together, and a smart hearing aid was kind of the next logical step. It has the potential to be a FAR better experience than a regular hearing aid. I'm not sure if it does this yet, but the goal is that you'll be able to use them in a restaurant and it'll be able to amplify the voice(s) of the people you're talking to while muting the rest of the background chatter.

So, we're looking at a product that doesn't require a visit with an audiologist, that costs an order of magnitude less, works far better than existing products, and has more functions than just being a hearing aid. It's likely to be a big-time game changer for anyone with hearing loss, even those of us without enough to justify traditional hearing aids.

I don't have the new ones yet, but I do have the original AirPod Pros and at least a bit of hearing loss on the left side thanks to breaking a bone in my left ear years ago (along with my skull and collarbone, so my ear didn't get much attention) as well as likely some age-related (and airplane-related?) loss on both sides - I often have to get my older son to repeat himself and speak up. So, I've been following the development of this for a while.

Meh... That's mostly software. I'm sure there will be some improved processing in later versions that may allow for even better software, but I wouldn't wait for technological reasons at this point.

Can you change over to "Transparency" mode or something in between to change this?

All the better for eavesdropping. ;)

But seriously, LOTS of people are wearing AirPods all the time at this point. I wouldn't be too concerned with the look.

I would add that when I wear my gen-1 AirPods Pro which appear to be physically the same, the inside of my ears get itchy. It's not where the rubber is touching them, but inside of that. I don't know if I'm just sweating inside my ears or what but if I've got them in for a long time I do need to take them out for a sec here and there.

Yes. I don't know how close they are to their end goal yet, but I'm looking forward to trying them out when I finally buy them, and I'm sure they'll be steadily improving for the next year or two.
My iPhone doesn’t support iOS 18, but the plan is to upgrade, maybe even this afternoon.

I’m not an ear bud person, if I want to listen to music I stream to a soundsytem and let it run in the background. Or I sit in my recliner and plug in some over the ear studio headphones I’ve had forever. Because I normally wear a hearing aid, earbuds means I have to either remove my aid and deal with poor hearing on one side or plug the bud in over the aid and put up with a poor fit on one side and poor music quality because it bypasses the hearing aid.

But…

Price $150-ish for a pair, if the sale is still active, vs maybe $1800+ each is a very big deal for a lot of people. One potential advantage here is with young people not aware of hearing damage they may be causing. Young people (at my age that’s pretty much everyone, but I’m thinking of the 20-somethings) are starting to get hearing loss, even a little. And they are the ones most likely to be wearing buds already. As they start moving into the hearing aid capable buds and notice the difference, maybe they’ll be more careful with taking care if their hearing.

I was talking about these things last week with my 30-ish engineer daughter when she mentioned the new AirPods and their capabilities. I said the great thing about living in the world right now is that technology has advanced so much that the biggest limit is imagination. These pods are a pretty good example. The hardware is already there, it just took the vision of how to use it. I’m retired now, but my background is software engineering. There were lots of times my coworkers and I sat around and said, “you know, we already have the hardware inside the product…if we were able to get it to do <whatever>, that would be awesome!” Sometimes it would be easy and sometimes it would be impossible. I imagine Apple has those kinds of meetings, too.

The ability to listen to music or podcasts that actually correct for hearing issues at the same time might really be eye opening.

There’s a chance a set of these might be on my Christmas list. Since my wife is the audio book and podcast listener, she’d probably be the one to really take advantage.
 
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Well shucks....I'm having problems updating the firmware on the Airpods. Following Apple directions but nothing seems to happen. I'll leave the iPhone and Airpods next to each other over night. If the update doesn't happen, I'll try the update using the Mac, altho I'm running Sonoma, not the latest, and Apple support seems to indicate the update requires Sequoia. Not gonna do that update at home because I've got a slow DSL line. Big updates like this are done at the office with the high speed network. If that doesn't work, then it's a trip to the apple store.

Why all this? Because the hearing aid software is installed with version 7B19, and the airpods I just got from BestBuy are at 6B34.
Update:
After leaving the iphone and airpods alone all night, the software update happened, and now I see the Hearing options on the phone.

Next problem - I can't figure out how to change the volume on the airpods. The "swipe" doesn't seem to work or else I don't understand how to "swipe" on the stem.
 
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Hey, Eddie...just a quick thank you! I've had Costco hearing aids sitting 99% of the time in the box for at least five years. Picked the airpods up a couple months ago for listening to music. A week ago, after your post, I loaded the iOS update and started playing with the hearing aid function. Works as least as well, if not better, than the dedicated hearing aids. I'm impressed for version 1.0 of any software that does this well. Thanks for the heads-up!

Jim
 
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Hey, Eddie...just a quick thank you! I've had Costco hearing aids sitting 99% of the time in the box for at least five years. Picked the airpods up a couple months ago for listening to music. A week ago, after your post, I loaded the iOS update and started playing with the hearing aid function. Works as least as well, if not better, than the dedicated hearing aids. I'm impressed for version 1.0 of any software that does this well. Thanks for the heads-up!
That's great to hear! (So to speak. :rofl:) Hopefully this not only makes better hearing accessible to a lot more people, but also makes everyone's life better who suffers from hearing loss even if they can afford "normal" hearing aids.
 
Do they have a mode that selectively attenuates loud family members? Asking for a friend.
 
How do they work with a noise canceling headset

Very good. Drowns out more than I expected. It’s one of my favorite features. I don’t recall the dB reduction but it’s impressive at home when I want to “tune out” or take a nap.

I have a Bose over the ear noise cancelling headset which I was using with Bluetooth paired to an iPhone or iPad. That worked great, but the bulky nature of that setup is the disadvantage.

I used the AirPod Pro 2 in a restaurant recently for the first time. After selecting hearing aid on, I lowered the amplification some, then selected conversation boost. It was very helpful to pick on the table conversation and lower the ambient noise. Impressive, and one of the main reasons I bought them.

I’m using the stock ear tips and they work fine. Only one time did one AirPod fall out and that was after having them in for awhile, almost forgetting I was wearing them, and not checking the fit.

The ability to go from iPhone to iPad is easy. I was considering buying Sony earbuds earlier in the year, but while waiting on that purchase I read about Apple’s development of the hearing aid feature. AirPods weren’t on my radar until then.
 
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My new AirPod Pro 2s are scheduled to arrive tomorrow. My new Beltone (first time) hearing aids from our audiologist are due to be ready next week. It will be interesting to compare them - especially with the huge price differential. (Fortunately, our Medicare supplement insurance covers $2K for each of us.) My wife has an 80% hearing loss, so her appliances are top shelf and quite pricey. But we do not skimp when it a quality of life matter.
 
My new AirPod Pro 2s are scheduled to arrive tomorrow. My new Beltone (first time) hearing aids from our audiologist are due to be ready next week. It will be interesting to compare them - especially with the huge price differential. (Fortunately, our Medicare supplement insurance covers $2K for each of us.) My wife has an 80% hearing loss, so her appliances are top shelf and quite pricey. But we do not skimp when it a quality of life matter.
Congrats...my medicare supplement covered nothing. All I can do is take it as a tax deduction, which is irrelevant because I can't reach the $15,200 standard deduction.

I like the Airpods more than the hearing aids (Phillips from Costco). The key is the correct size of the tips to fit in your ear. Once I figured that out, I ordered a set from Comply, which fit better (more flexible) than the default Apple tips. I can better control the quality of the sound (I really hate that the hearing aids pick up EVERY trivial sound, like the rustle of my windbreaker). The airpods don't do as good a job on volume, at least not that I can figure out. With the hearing aids I can set the tv volume at 9 but must have it a 12 or 13 for the airpods. My glasses fit better with the airpods. My worst problem with the airpods is the control - I still haven't figured out how my fingers are supposed to tap/squeeze the sides to change whatever. I finally figured out the volume control but not the other settings. Don't bother with the Genius Bar at an Apple store - not only are they clueless but the stores are so noisy you can't accomplish anything. One staffer had to read the instructions in front of me, he was so ignorant of the airpods. I walked out after wasting 30 min waiting.
 
Arrived a day early - yesterday afternoon. The "hearing test" I did very with my iPhone closely matched the one from our audiologist a week ago. So, yes, they actually work - but, not having any prior experience, I cannot tell how really effective they are. I took them to a bar/restaurant/lounge with us last night to listen to a musical duo. I figured it would be somewhat of a test. I could hear our friends at the same table and could hear the duo quite well - but I can hear them without any aids. What impressed me the most (so far) was that I was able to dial out the ambient/background noise of the bar. It took a noticeable amount of ambient noise away.

Now I just need to figure out how to keep them from falling out.........

On another note: Our "real" (Beltone) aids should be ready at the end of the week. My wife has used them for many years (80% hearing loss) and we always get her the best. This will be my first - so I'll be able to compare the $2800 Beltones with the AirPods very soon. (Our Medicare "gap" insurance, fortunately, covers $2K of the cost of my "real" aids.)
 
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