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Maintaining a medical facility is expensive, reimbursing audiologists, clinic staff, rent of the facility, to purchasing test equipment, the list is endless. Since customer turnover in most clinics is relatively low, the prices have to increase for the clinic to cover their operational costs.
The market is dominated by only a handful of manufacturers, who do not sell directly to consumers. This means there these hearing aids go through many channels, middlemen, fees and overhead before they reach consumers' hands.
Since insurance doesn’t cover most hearing aids, users are forced to dig into their pockets. Before purchasing hearing aids, you have to undergo hearing tests. Professional audiologists with specific equipment perform the tests.