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I Tried Apple's AirPods Pro 2 As a Hearing Aid. Here's What I Found

Over-the-counter earbuds are for people with mild to moderate hearing loss


spinner image man wearing ear buds talking to a woman
Ed Baig speaks with his wife in their backyard to try out the Apple AirPods Pro 2 as hearing aids.
Bryan Anselm

Never mind listening to music or podcasts: I’ve been popping in a pair of AirPods Pro 2s in my ears the past several days for an entirely different purpose — to test them as hearing aids.

In September, the Food and Drug Administration (FDA) approved Apple’s first-of-its-kind software to convert the company’s $249 earbuds into clinical grade over-the-counter (OTC) hearing aids. The FDA greenlighted OTC regulations two years ago to make the devices easier to buy for people with mild to moderate loss and to lower prices overall.

OTC hearing aids don’t require a prescription from an audiologist or hearing professional and can be just as effective as the more expensive models. You can purchase them online or in stores. You’ll still need to seek medical attention for severe hearing loss.

spinner image screenshot of a grid showing the different levels of hearing loss

"Over-the-counter" hearing aids can assist people with mild to moderate hearing loss.
AARP

Aging is a common cause for hearing loss, which afflicts 1.5 billion people globally, the World Health Organization (WHO) reports. That includes a quarter of people 60 and older, and studies have shown that hearing aids can significantly reduce the risk of dementia. In the United States, about 28.8 million adults — around 1.2 percent of all adults — could benefit from using some type of hearing aids, according to the National Institute on Deafness and Other Communication Disorders.

Numerous brands including Eargo, Jabra Advanced, Lexie, Sennheiser and Sony produce OTC hearing aids at prices that may crack four digits but fall far short of the $6,000 you might pay for a pair of prescription hearing solutions.

Tech support for OTC hearing aids may be scant

The drawback: You’re generally on your own to get the correct fit and product support. You’ll also take a hearing test on your own though myriad tests are available online or through an app.

Before buying any OTC hearing aid, consider a seller’s or manufacturer’s support offered and the return policy. You will need to wear them a while to adjust to them.

Other questions to consider:

  • Are the batteries rechargeable or must you periodically replace them?
  • Do you want a hearing aid that is mostly inside the ear?
  • Do you want a model that can stream music or phone calls via Bluetooth?

That’s why people have purchased AirPods before now. To be sure, even if you use the AirPods Pro 2 to hear better, you can continue to stream music as before.

Preparing for Apple’s hearing test. When the AirPods are paired with an iPhone running iOS software 18.1 or later, you can take a 5-minute hearing test to determine the extent of your hearing loss if any.

If mild or moderate hearing loss is not detected, you won’t be able to turn on the hearing aid function, which will require the software update that becomes available the week of Halloween. To take the test, go to Settings on iPhone and tap Name of AirPods Pro | Take a Hearing Test | Get Started.

You must answer a few questions: Are you older than 18? Are you currently experiencing allergies, a cold or infection in your ears or sinuses? Have you been exposed to a concert, construction site or other loud environments during the previous 24 hours?

Hearing test is sensitive to noise around you

Next, find a quiet location and snugly place the AirPods in each ear.

This proved frustrating when I attempted to take the test in an otherwise empty Manhattan office. Though I moved as far away from windows as possible, I repeatedly got the message that “too much noise” was in my environment, which I suspect was caused by the barely audible building air conditioning.

Even after I finally found a quiet enough spot, I had to fiddle with the AirPods’ fit. It didn’t seem to matter that they felt comfortable in both ears and sounded fine when I played music.

I swapped ear tips — four sizes come in the box — but still didn’t seem to satisfy the fit requirements.

After trial and error, I finally met the conditions to start the test. The phone automatically turns on its Do Not Disturb function to curtail distractions.

During the test, tones play at different volumes and frequencies, each pulsed three times. Starting with the left ear, you’re asked to tap the screen whenever you hear the tones. Apple says it’s OK if you miss a tone since you’ll have a chance to hear it again.

The test paused a few times because background noise was detected, but I was always able to resume. After the left ear was done, I repeated this exercise with the right.

Can you trust the results of the hearing test?

This first test result indicated that I had “little to no hearing loss.” Apple provides a personalized hearing profile or audiogram, which the company says is validated against “the clinical gold standard or pure tone audiometry” and based on hearing loss classifications from WHO.

If you already have a hearing test from an audiologist, you can scan it into the Health app on the phone, which is where the audiogram Apple generates is also stored.

I wasn’t convinced the results were spot on because of my experience in noisy restaurants or crowded rooms where I sometimes have trouble making out certain voices, typically female. Plus, those pauses during my test gave me pause.

spinner image screenshot of a apple generated audiogram

Apple generates a personalized audiogram based off hearing test results with AirPods Pro 2s and the iPhone.
AARP

Indeed, I took the test two more times in the office and the results came back as “Unable to Classify.” It seems the background noise raised questions around accuracy. I took the test again at home where I had a much easier time finding a quiet room and getting started.

I was more confident in results that indicated at 26 decibels (dB) I had mild hearing loss in my right ear and at 23 dB, little to no loss, in my left. Apple uses the abbreviation dBHL, which stands for decibel hearing loss or the number of decibels below which you have trouble hearing.

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From there, I tapped Set Up Hearing Aid and after receiving a Hearing Aid is Ready message on the screen, tapped Turn On Hearing Aid.

That’s the setup. Apple says the AirPods are fine-tuned to your hearing profile and the clarity of your voice and sounds in your environment.

If need be, you can make some adjustments in Control Center by swiping down from the upper right corner of the screen. Or you can go into Settings | AirPods Pro | Hearing Assistance | Adjustments.

For example, you can tweak the amplification or turn on a Conversation Boost feature to make it easier to hear a person speaking in front of you. Another feature, Media Assist, promises to bolster the clarity of calls, music and videos.

However, unlike some hearing aids I’ve tried in the past, you can’t manually or via an app fine-tune the specific environment you’re in, indicating whether you’re in a restaurant or theater.

How well did I hear using Apple AirPods Pro 2?

Apple says you may need a few weeks to get used to the “new sound” of the AirPods Pro. So understand that I wore them only a few days before writing this article.

I generally kept the AirPods in my ears for several hours at a time — aware that the battery life with active noise cancellation turned on is up to about 6 hours. Conventional hearing aids with replaceable batteries can last days or a few weeks.

The volume on a TV and radio as well as in-person voices sounded louder than when I wasn’t wearing the AirPods.

I was especially cognizant of other sounds I never heard much or paid attention to previously: the hum of my home’s air conditioning, the keyboard’s sounds as I typed, even my hands on the railing as I went down the stairs. Over time, I suspect that these and other sounds in the environment blend into a new normal, at least once the brain is retrained.

The most distracting thing I heard was occasional feedback in my right ear, which may have had more to do with the fit than the hearing aid functionality.

Apart from the hearing aids, you can tap a Loud Sound Reduction feature in Settings to actively minimize your exposure to environmental noises when the AirPods are in Transparency or Adaptive modes. Apple also serves up a lot of information around hearing loss in the Health app on iPhone.

The hearing aid inside the AirPods does introduce a bit of uncertainty in the world: Can you be sure a person wearing them is listening to you and not music?

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