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jenifer north

macrumors newbie
Original poster
Sep 6, 2016
22
0
Italy
I want to buy

AirPods Pro 2's hearing aid feature​

I live in Italy and it is not available here yet. However, I can go and buy it in Monaco, not too far away.I am wondering if this would be feasible, and if this would work in Italy. I have just been quoted €5,500 for a MID PRICED hearing aid. I have MacBook Air M2 WITH SEQUOIA.

Thanks.
 
You can get your Airpods working in Italy despite the block if you have an Apple device (an iPhone 12 onwards OR an iPad) IF they are running an IOS older than 18.1.

You set it up in Headphone Accommodations in Accessibility in Settings.

How bad is your hearing? The Airpods are only good for mild to moderate hearing loss. The block doesn’t only work if you live in a country without approval. The block also works if your hearing is worse than moderate. The FDA in the US has set the criterion that Apple has to abide by.

I've been been using the feature since September but it has been available since September 2022 and I am using IOS 17.7.1. I used the Mimi app for my hearing test.

If I upgrade to IOS 18.1 will be unable to use them in the UK. Just like you in Italy.

They work really well for me.
 
The Airpods are only good for mild to moderate hearing loss. The block doesn’t only work if you live in a country without approval. The block also works if your hearing is worse than moderate. The FDA in the US has set the criterion that Apple has to abide by.
It's not the same block, though.

As I understand it, if you live in a country where the hearing aid function isn't approved, the function isn't available at all.

If you do live in a country with hearing aid approval, but have worse than moderate hearing loss, iOS doesn't automatically set up the AirPods for you as hearing aids based on your hearing test. But you can enter a hearing chart for a moderate hearing loss manually. The AirPods will then function as hearing aids configured for moderate hearing loss. Whether that amplification benefits you will depend on your individual situation.
 
You are right but if you set them up running on an IOS that is older than 18.1 they will still work for you.

If you have severe hearing loss they simply won't have sufficient volume BUT I know a few people with severe loss who do use the AirPods as a backup to their hearing aids and use them for music, TV, phone calls etc where they are really good.

I've heard two conflicting opinions on the volume of them using 18.1. A few saying they can go louder and others say the opposite.
 
You are right but if you set them up running on an IOS that is older than 18.1 they will still work for you.

If you have severe hearing loss they simply won't have sufficient volume BUT I know a few people with severe loss who do use the AirPods as a backup to their hearing aids and use them for music, TV, phone calls etc where they are really good.

I've heard two conflicting opinions on the volume of them using 18.1. A few saying they can go louder and others say the opposite.
Well... I skipped iOS 17, but on iOS 16, there was no true hearing aid function, just the Live Listening, which required me to place my iPhone close to the sound source I wanted to listen to.

The amplification I get from iOS 18's hearing aid mode is vastly superior to what I got from Live Listening on iOS 16. More clear, more stable. Volume, I don't know. It's not the volume itself that matters, more whether the sounds are sharp and distinct, not muddled.
 
I rewrote this.

Well... I skipped iOS 17, but on iOS 16, there was no true hearing aid function, just the Live Listening, which required me to place my iPhone close to the sound source I wanted to listen to.

The amplification I get from iOS 18's hearing aid mode is vastly superior to what I got from Live Listening on iOS 16. More clear, more stable. Volume, I don't know. It's not the volume itself that matters, more whether the sounds are sharp and distinct, not muddled.


I'm sorry but you are wrong on that. Transparency Mode and the ability to add your audiogram to AirPods was introduced on the AirPods Pro in IOS 14 way back in 2020. AirPod Pro 2s were launched in September 2022 around the same time that IOS 16 was released.

An article I found but there are many out there:


My main point about volume is purely aimed at people with worse than Moderate hearing problems. It goes without saying that the sounds have be sharp and distinct but that's what the different frequency boosts from the audiogram to each ear do.

Someone with severe or profound hearing loss will need much more volume going into their ears to hear much at all.

I've heard two conflicting opinions on the volume of them using 18.1. A few saying they can go louder and others say the opposite.

Here is a better explanation of what I said. I was working at the same time and I wasn't clear.

It is whether IOS 18.1 provides more volume than the previous option or less. I've heard people are saying both which can't be possible.

As I've said before they work very well for me running IOS 17.7.1 and I think I have better control as they’ve really simplified the menus in IOS 18.1.

Anybody living in a country that has not been approved can get them working as hearing aids as long as they use an IOS older than 18.1. I've only been told that it's not possible to roll back to IOS 17 but it's not something I have tried as I never updated to 18.1 in the first place.
 
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This is in keeping with my luck regarding software updates 😂

I decided to get my stubborn mom a set of AirPods Pro to try out as makeshift hearing aids (she doesn’t want to shell out for a pair of legit ones which she technically needs.)

I was on iOS 17, but read everywhere that the hearing aid feature was an iOS 18 thing. So I updaded my phone, then got her to do the hearing test and, no surprise, her test showed ‘profound loss’ and didn’t give us the choice of using the test results as a configuration option. I wasn’t expecting amazing performance, but thought maybe we could reach a better-than-nothing volume boost to help her hear conversations.

Then I find this post which tells me I could have done this on iOS 17! 🤦‍♂️

If anyone finds a workaround for this restriction, I’m all ears (no pun intended.)
 
This is in keeping with my luck regarding software updates 😂

I decided to get my stubborn mom a set of AirPods Pro to try out as makeshift hearing aids (she doesn’t want to shell out for a pair of legit ones which she technically needs.)

I was on iOS 17, but read everywhere that the hearing aid feature was an iOS 18 thing. So I updaded my phone, then got her to do the hearing test and, no surprise, her test showed ‘profound loss’ and didn’t give us the choice of using the test results as a configuration option. I wasn’t expecting amazing performance, but thought maybe we could reach a better-than-nothing volume boost to help her hear conversations.

Then I find this post which tells me I could have done this on iOS 17! 🤦‍♂️

If anyone finds a workaround for this restriction, I’m all ears (no pun intended.)
You can manually add values for mild to moderate hearing loss.

When your mom took the hearing test, the results should have been saved in the Health App. If you can upload a screenshot of the audiogram, I can suggest what values to put in. Mind, this isn't for extended use, only to give your mom an idea of what hearing aids could do for her.
 
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This is in keeping with my luck regarding software updates 😂

I decided to get my stubborn mom a set of AirPods Pro to try out as makeshift hearing aids (she doesn’t want to shell out for a pair of legit ones which she technically needs.)

I was on iOS 17, but read everywhere that the hearing aid feature was an iOS 18 thing. So I updaded my phone, then got her to do the hearing test and, no surprise, her test showed ‘profound loss’ and didn’t give us the choice of using the test results as a configuration option. I wasn’t expecting amazing performance, but thought maybe we could reach a better-than-nothing volume boost to help her hear conversations.

Then I find this post which tells me I could have done this on iOS 17! 🤦‍♂️

If anyone finds a workaround for this restriction, I’m all ears (no pun intended.)
Read my post above for the workaround but it would be better to take your mum to an audiologist if she has severe or even profound hearing loss. Costco are about the cheapest around and I believe you can have a trial period. Which country are you in? If you are in the UK she can be be referred by her doctor and the NHS will give her free hearing aids. There can be a wait depending where you live.
 
Back to the OP's ( who lives in Italy) original question. Could the OP not go to Monaco with the AirPods, set them up as a hearing aid and travel back home? Does Apple disable existing AP2 hearing aid functionality if you travel from one region to another? That would be sort of unnecessarily mean.
 
Read my post above for the workaround
Isn't your workaround for people still on iOS 17? Did you post a workaround for iOS 18 that I missed?

but it would be better to take your mum to an audiologist if she has severe or even profound hearing loss.
I totally agree, but it sounded like the Mom was being too stubborn to go.
 
You can manually add values for mild to moderate hearing loss.

When your mom took the hearing test, the results should have been saved in the Health App. If you can upload a screenshot of the audiogram, I can suggest what values to put in. Mind, this isn't for extended use, only to give your mom an idea of what hearing aids could do for her.
Hey thanks! The test date shows up in the Health app but strangely there is no data associated with it… I’m gonna dig a bit and report back.

My mom has seen an audiologist and tried out a hearing aid for a month but found it too jarring and too expensive (even when I offered to pay.) I’m just trying to find an occasional-use solution for her to lessen the amount of yelling I have to do when we’re together. ;)
 
Hey thanks! The test date shows up in the Health app but strangely there is no data associated with it… I’m gonna dig a bit and report back.

My mom has seen an audiologist and tried out a hearing aid for a month but found it too jarring and too expensive (even when I offered to pay.) I’m just trying to find an occasional-use solution for her to lessen the amount of yelling I have to do when we’re together. ;)
Ah, yes, it can be very difficult to get used to hearing aids, and they do feel too expensive, especially if all you need them is for talking to your kids. ;)

So basically, once you locate the hearing test results, or get your Mom to retake it, there's going to be a number for each frequency tested. If any of the numbers are smaller than 45, you just use that number as it is. For any frequency where the number is bigger than 45, enter 45. Got that?

Also, make sure hearing protection is turned on. That should help with discomfort from sounds being too loud.

And finally, what I found most helpful is to fine tune the hearing aid sound. It's in Settings->AirPods (shows up when AirPods are connected to phone)->Hearing Assistance->Adjustments.

Sit your Mom in front of a TV, turn on a news show, or other program where people are talking in a steady, even tone. Then slide the Tone and Ambient Noise Reduction sliders left and right until she finds a level she's comfortable with.

It won't get your Mom's hearing back to the level where you never have to repeat yourself, but it might cut back on the number.

Oh, another tip is that talking louder doesn't necessarily help with comprehension. In most cases of hearing loss, the main problem is you lose the ability to distinguish between consonants. So talking at normal volume, but taking care to clearly enunciate consonants helps. Rewording what you said, so that you switch to words that are easier to hear can help, too. You and your Mom should try to identify exactly which words she couldn't figure out instead of repeating the entire sentence over.

Good luck, let me know if it works out.
 
Ah, yes, it can be very difficult to get used to hearing aids, and they do feel too expensive, especially if all you need them is for talking to your kids. ;)

So basically, once you locate the hearing test results, or get your Mom to retake it, there's going to be a number for each frequency tested. If any of the numbers are smaller than 45, you just use that number as it is. For any frequency where the number is bigger than 45, enter 45. Got that?

Also, make sure hearing protection is turned on. That should help with discomfort from sounds being too loud.

And finally, what I found most helpful is to fine tune the hearing aid sound. It's in Settings->AirPods (shows up when AirPods are connected to phone)->Hearing Assistance->Adjustments.

Sit your Mom in front of a TV, turn on a news show, or other program where people are talking in a steady, even tone. Then slide the Tone and Ambient Noise Reduction sliders left and right until she finds a level she's comfortable with.

It won't get your Mom's hearing back to the level where you never have to repeat yourself, but it might cut back on the number.

Oh, another tip is that talking louder doesn't necessarily help with comprehension. In most cases of hearing loss, the main problem is you lose the ability to distinguish between consonants. So talking at normal volume, but taking care to clearly enunciate consonants helps. Rewording what you said, so that you switch to words that are easier to hear can help, too. You and your Mom should try to identify exactly which words she couldn't figure out instead of repeating the entire sentence over.

Good luck, let me know if it works out.
You deserve a medal for this post. Thanks so much!! I’ll let you know how it goes. 🤞
 
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You deserve a medal for this post. Thanks so much!! I’ll let you know how it goes. 🤞
Glad to help other people dealing with hearing loss. And I just remembered, have you tried the live caption feature on your iPhone? It's a bit awkward because I have to look at the phone screen instead of the face of the person speaking, but it's pretty good at transcribing what's being said in real time. You can turn it on from Settings->Accessibility, and you can put an icon for it in Control Center to turn it quickly on and off.
 
Back to the OP's ( who lives in Italy) original question. Could the OP not go to Monaco with the AirPods, set them up as a hearing aid and travel back home? Does Apple disable existing AP2 hearing aid functionality if you travel from one region to another? That would be sort of unnecessarily mean.
Only if you have an update to do. Go to Monaco. Do the update and they should work. When you go back to Italy don't update them again if you want them to continue working.

If you have an iPad or old iPhone running an older IOS than 18.1 you can set them up anywhere without any faffing around.

Go to settings/accessibility/audio & visual/Headphone accommodations. I set my sister's AirPods up last week with her iPad Mini running 17.7.1.
 
If you have an iPad or old iPhone running an older IOS than 18.1 you can set them up anywhere without any faffing around.

Go to settings/accessibility/audio & visual/Headphone accommodations. I set my sister's AirPods up last week with her iPad Mini running 17.7.1.
And this changes the sound you hear in your environment? Like, someone talks to you, they sound louder? Or you turn on the water faucet, and you hear the water running?
 
Transparency Mode allows you to add an audiogram to the AirPods or you can take a hearing test with the Mimi app. The AirPods boost the frequencies that your ears no longer have. Just like a pair of hearing aids...
 
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Transparency Mode allows you to add an audiogram to the AirPods to you can take a hearing test with the Mimi app. The AirPods boost the frequencies that your ears no longer have. Just like a pair of hearing aids...
So you are saying once you set up the hearing accommodations in accessibility, then switch your AirPods to transparency mode, the hearing amplification carry over to the environmental sounds?

I'm asking because this isn't documented in Apple's user guide. The guide says it only amplifies media playback and phone calls.
 
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So you are saying once you set up the hearing accommodations in accessibility, then switch your AirPods to transparency mode, the hearing amplification carry over to the environmental sounds?

I'm asking because this isn't documented in Apple's user guide. The guide says it only amplifies media playback and phone calls.
Yes. They function as hearing aids and have done since 2022. The original AirPods too going back to 2019.

If you use Transparency Mode you have a slider for voices and another for noise cancelling.
 
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