My doctor said to try with cheaper options on the market to make sure I really need it from a medical center. My husband has been telling me that I turned on the TV too loud, he can hear it from the backyard and my hearing is not as well. So I made an appointment with my kaiser hearing specialist and after a brief test, they said it is not as bad and I can get hearing aid or I can wait. A third option before I commit to the expensive hundred dollar pair is to to try cheaper models from amazon. This does make me hear better but I have decided to wait a few more years before getting a professional set.