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Documents and information for patients

What is an audiologist? How do I get a prescription for the Hearing Aid Box?

What is an audiologist?

 

An audiologist is a healthcare professional who specializes in the diagnosis, evaluation, and treatment of hearing and communication problems. Audiologists work with people of all ages, from infants to older adults, and can help people with hearing problems hear better and communicate more effectively.

Audiologists perform hearing tests and use advanced techniques and technologies to evaluate hearing and balance. They can also recommend and fit hearing aids and other assistive listening devices, and provide sound and communication therapy to improve people's ability to hear and communicate.

Audiologists work in hospitals, clinics, hearing health centers, and other healthcare settings. They may also work in schools and nursing homes and can collaborate with other healthcare professionals, such as doctors and speech therapists, to provide comprehensive care to their patients.

 

How much does a hearing aid cost in Costa Rica?

 

In Costa Rica, you can get a hearing aid in two ways: either the patient buys it directly from a hearing clinic or they apply for financial assistance from the Costa Rican Social Security Fund (Caja Costarricense de Seguro Social - CCSS). The latter requires a specific process to receive economic aid.

 

Legal Framework

 

Regarding current legislation for the protection of people with hearing disabilities, there are several documents available for consultation and download, such as:

  1. Law 7600. Law for the Equality of People with Disabilities.

  2. Law 7935. Comprehensive Law for Older Adults and its regulations.

  3. The CCSS’s Prosthetics and Accessories Instruction Manual and the Financial Benefits for Treatment Abroad Instruction Manual.

  4. The Health Regulation.

 

List of Financial Aid Provided by the Costa Rican Social Security Fund

 

(This list has not been modified since the first half of 2021)

  • Behind-the-ear: 237,210.40 colones

  • Intra-aural: 272,885.02 colones

  • In-the-canal: 294,036.75 colones

Unfortunately, in Costa Rica, the CCSS bases its classification of hearing aids on their aesthetic appearance rather than technical characteristics or technological advantages that would be of greater benefit to the users. The ideal approach would be to maintain a single amount of aid per hearing aid, allowing the insured person to decide on the aesthetic aspect.

 

The Procedure to Obtain Financial Aid and a Prescription for Hearing Aids from the CCSS

 

  1. The patient first goes to an appointment at the corresponding EBAIS or social security clinic, where a general practitioner evaluates them and refers them to an otolaryngology specialist at the corresponding medical center.

  2. The otolaryngology specialist evaluates the case and refers the patient to the Audiology Service, where all pertinent hearing tests are performed. Once this is done, the patient is referred back to the Otolaryngology Service.

  3. The otolaryngology specialist prescribes the hearing aid, the service head recommends the prescription, and the medical director authorizes the financial disbursement up to the maximum amount according to the current price list and the available budget at the care center.

  4. The patient is neutrally instructed by the health center staff and given a list of provider companies they can call to find out where it is most advantageous to get their hearing aids. It is completely illegal for a social security official to receive aid or gifts from provider companies to partially guide patients towards one hearing aid company or another.

  5. The patient presents the prescription to the provider company. If there is a difference between the price and the authorized amount, the patient covers the excess.

  6. The company freely chosen by the patient manufactures and delivers the device to the care center, where it will be received by the competent staff who will authorize the payment of the invoice.

  7. The company will present the authorized prescription, the commercial invoice, and the CCSS invoice to the treasury to process the payment.

  8. The patient must appear in person on the assigned appointment day at the ENT service to pick up their hearing aids. They will sign the record confirming receipt and go to the chosen provider company for fitting and follow-up adjustments. For no reason is it recommended that the patient or CCSS staff manipulate, adjust, or program a hearing aid, as if unauthorized personnel provide service to the device, it will automatically lose its warranty.

One thing to note is that some CCSS hospitals and clinics have promoted the purchase of hearing aids through a bidding process. In this case, the patient does not have the freedom to choose the commercial provider and must go to the company that won the public bid promoted by the institution.

 

What should I do if I suffer from ringing in my ears (tinnitus)?

 

Tinnitus refers to the perception of sounds in the ears or head in the absence of an external sound source. If you experience ringing in your ears, it is important to seek care from an audiologist with experience in tinnitus management to evaluate the underlying cause and determine the best course of treatment.

First, the audiologist will perform a complete hearing evaluation to determine if hearing loss or exposure to loud sounds may be contributing to the tinnitus. If hearing loss is identified, the use of hearing aids can be beneficial in reducing tinnitus symptoms.

Additionally, there are sound therapy techniques that can be effective in reducing the perception of tinnitus. These techniques may include the use of sound generators or cognitive-behavioral therapy to help reduce the anxiety and stress associated with tinnitus.

It is important to note that, in some cases, tinnitus can be a symptom of an underlying medical condition, such as an ear infection, a head injury, or a neurological disorder. If an underlying condition is suspected, additional tests and medical treatment may be required to address the underlying cause.

In summary, if you experience ringing in your ears, it is important to seek care from an audiologist or an ear, nose, and throat (ENT) specialist for a complete evaluation and to determine the best course of treatment for your symptoms.

Tips for caring for your ears and hearing

Hearing loss can be detected at any age.
The audiologist is the most qualified professional to evaluate hearing loss.

Tips for communicating with a person with hearing loss

Preventing hearing problems is important to protect your hearing health and prevent hearing loss. Some measures you can take to prevent hearing problems include:

  1. Use hearing protection in areas with high noise levels, such as earplugs or ear protectors.

  2. Limit exposure to loud sounds and maintain a safe distance from sources of loud noise.

  3. Avoid using headphones at high levels for extended periods.

  4. Clean your ears regularly to prevent earwax buildup and blockage of the ear canal.

  5. Avoid inserting objects, such as toothpicks or fingers, into your ear, as these can damage the skin of the ear canal and increase the risk of infection.

  6. Have regular audiometry tests to detect any hearing problems early and receive timely treatment.

  7. Follow your doctor's instructions and use medications appropriately to avoid side effects that may affect your hearing.

  8. Avoid smoking and excessive alcohol consumption, as both can damage hearing.

  9. Eat a healthy diet and exercise regularly to maintain overall health and protect your hearing.

Communicating with people with hearing loss can be challenging. However, there are some tips that can help make communication easier:

  1. Capture the person's attention first before speaking. You can do this by gently touching them or making eye contact.

  2. Speak clearly and slowly, but don't shout. Hearing loss isn't related to the ability to understand speech, but rather to the ability to hear sounds.

  3. Use body language and gestures to communicate your messages. This can help complement what you're saying.

  4. Use clear and simple language. Avoid using complex words or phrases or techniques that may be difficult to understand.

  5. Use a whiteboard or paper and pencil to write your messages. This can be helpful if the person has difficulty understanding what you're saying.

  6. If you're in a noisy or crowded environment, try taking the person to a quieter location to communicate.

  7. Use alternative communication devices, such as sign language or written communication, if the person has difficulty understanding speech.

Remember that each person is different and may have different communication needs and preferences. The most important thing is to be patient and understanding, and try to adapt to the needs of the person with hearing loss so they can communicate effectively.

Noise exposure is the leading cause of hearing loss.

Laws and regulations related to hearing health and noise control in Costa Rica

Download our free guide for people who need hearing aids here, which contains important tips to improve your hearing health and quality of life. Hearing well is living better. Hearing loss is much more noticeable than hearing aids.

Hearing health news in Costa Rica

About

Stay informed about audiology news, hearing loss, hearing loss, hearing aids, cochlear implants, audiometry, and much more.

Learn how to detect hearing loss in older patients (larepublica.net)

Device improves hearing by capturing 3D sounds (larepublica.net)

Learn about the latest treatments to reduce tinnitus | Teletica

Learn how to eliminate ringing in the ears | Repretel

Recommendations for coping with tolerance to everyday sounds | Repretel

Diario Extra - Diabetics and hypertensive patients at greater risk of hearing loss

Excellent assessment of the National and International Meeting on Audiology - Maria Cano (fumc.edu.co)

Dog owners could be fined for barking noise | Costa Rica News

Costa Rican technology improves hearing in Panamanians and Nicaraguans (larepublica.net)

Audioinfos365 - A cooperative alliance between audiology associations from seven Spanish-speaking countries is born.

The Ministry of Health has published regulations for noise control and has begun training with new measuring equipment (ministeriodesalud.go.cr).

Ringing in the Ears | Medismart

Technical standards will minimize the health impact of noise and vibrations (inteco.org)

Safe Listening for Hearing Care (inteco.org)

Diario Extra - Health warns cults about noise

Tema: ¡Cuidado del oído y la audición para todos! Hagámoslo realidad (ministeriodesalud.go.cr)

Did you know you can prevent hearing loss? Here's how | Teletica

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