If you’re exploring hearing aid options, you’ve likely come across two common choices: Costco Hearing Aid Centers and independent hearing care providers like American Hearing + Audiology. While both offer hearing solutions, the care models, technology, services, and support are vastly different.
This in-depth comparison will help you understand what separates these two options—and which one may be a better fit for your long-term hearing health.
Cost vs. Value: What Are You Really Paying For?
Costco hearing aids are often advertised as budget-friendly, with pricing that includes basic services. You get a bundled experience: a hearing test, hearing aids, fittings, and a return policy—all under one price tag. For many, that seems convenient and cost-effective.
But it’s important to look beyond the price tag. American Hearing + Audiology focuses on personalized, evidence-based care. While the initial cost may be higher, that price reflects a more comprehensive and ongoing approach to your hearing health. Services such as advanced testing, real ear measurements, education, counseling, and follow-up adjustments are all tailored to your needs—not generalized across all patients.
Long-term value matters. Over time, hearing aids may require adjustments, repairs, or technology updates. With American Hearing + Audiology, you’re investing in continuous care and a provider who’s committed to optimizing your hearing—not just selling a device.
Hearing Tests and Diagnostics: Precision Makes a Difference
Costco offers hearing screenings, which provide a general idea of your hearing loss. These screenings are helpful for identifying mild-to-moderate hearing loss but may not include the deeper diagnostic tools necessary to understand complex cases. Additionally, Costco’s testing process can vary from location to location.
American Hearing + Audiology offers full audiological evaluations. These tests go beyond simple screening and may include speech-in-noise testing, tympanometry, otoacoustic emissions (OAEs), and real ear measurements. These tools provide a clearer understanding of how you hear in real-world settings and ensure your hearing aids are programmed precisely.
Accurate diagnostics are essential to proper treatment. When your hearing care provider understands exactly how and where you struggle to hear, they can program your devices to maximize speech clarity, reduce listening fatigue, and improve your everyday experience.
Hearing Aid Fitting and Follow-Up: Getting It Right the First Time (and Every Time)
A proper fit is not just about comfort—it’s about performance. If your hearing aids aren’t calibrated correctly, even the most advanced technology won’t help you hear better.
At Costco, fittings and adjustments are included, but may not always involve real ear measurements. Some locations do, some don’t. Additionally, you may not always work with the same provider over time, which can make continuity of care more difficult.
American Hearing + Audiology uses real ear measurements to fine-tune devices during the fitting process. This gold-standard practice measures how sound behaves in your actual ear canal, allowing for highly accurate customization. Follow-up care is consistent, scheduled, and performed by the same hearing care provider whenever possible—ensuring that your progress is monitored and your hearing aids evolve with your needs.
Hearing Aid Brands and Technology: Variety Equals Personalization
Costco offers a curated selection of hearing aid brands, including their Kirkland Signature label and models from Rexton, Jabra (GN Hearing), and Philips. These are mid-to-high level devices that serve many people well. However, the selection is limited to what’s available through their retail partnerships.
American Hearing + Audiology offers a much broader range of options. You’ll find industry leaders like Phonak, Starkey, ReSound, Oticon, Unitron, Signia, Widex, and Lyric. With so many choices, your hearing care provider can select the best device for your unique hearing loss, lifestyle, and preferences.
This access to a full spectrum of devices ensures that every patient receives a truly personalized solution—not just one from a shelf of limited inventory.
Explore the features of the Phonak Sphere Infinio.
Are the Hearing Aids Locked?
This is a critical but often overlooked question.
A locked hearing aid can only be adjusted by the place where it was purchased. Historically, some Costco models were locked, but most current models are technically unlocked. That said, many independent clinics won’t adjust or repair Costco-purchased devices. Why? Because the proprietary software may not be accessible, and warranty coverage is usually tied to Costco.
American Hearing + Audiology hearing aids are always unlocked. This means any licensed provider with the appropriate manufacturer software can adjust them. That gives you freedom and flexibility—especially if you move, travel, or seek a second opinion. It also reflects a commitment to open, patient-first care.
Remote Care and Telehealth Support: Help Without Leaving Home
Both providers offer remote care options, but how those services are delivered can vary significantly.
Costco offers remote adjustments via manufacturer apps like Easy Line Remote or Jabra Enhance. You can request minor programming changes or troubleshooting help. Still, many follow-ups may require you to return in person, especially for more complex issues.
American Hearing + Audiology offers robust telehearing services. Our providers use video calls and specialized software to connect directly to your hearing aids, offering real-time adjustments and education. Services include environment-specific fine-tuning, troubleshooting, Bluetooth support, and performance checks—all from the comfort of your home.
This convenience is ideal for busy schedules, bad weather, mobility concerns, or anyone who values responsive and accessible care.
Insurance, Payment, and Accessibility
Costco does not directly bill insurance. If you have coverage, you must pay upfront and handle reimbursement yourself. They do accept HSA and FSA cards, which can help offset costs. However, financing options are limited, and Costco membership is required.
American Hearing + Audiology works directly with all major insurance providers. Our team verifies your benefits, explains coverage, and handles the billing process. We are in-network with carriers like Blue Cross Blue Shield, Aetna, UnitedHealthcare, and others. Payment plans are also available, making premium care more accessible.
This difference can be substantial—especially if you’re managing other healthcare expenses or prefer not to deal with paperwork and claim submissions on your own.
Learn more about using your hearing aid insurance benefits.
Warranties and Return Policies: Know Your Options
Costco offers a generous return policy and warranty, typically including one replacement for loss or damage. Their approach is customer-friendly and designed for mass convenience.
American Hearing + Audiology also provides return flexibility, typically with a trial period and refund policy. Warranties are manufacturer-backed with options to extend or enhance coverage.
Both providers protect your purchase, but American Hearing + Audiology also protects your relationship—with services that continue long after the return window closes.
Custom Solutions Beyond Hearing Aids
Both providers offer a range of custom hearing aids, including behind-the-ear (BTE), receiver-in-canal (RIC), and in-the-ear (ITE) styles. However, American Hearing + Audiology goes further by offering:
- Custom earmolds for musicians, hunters, and industrial workers
- Swim and sleep plugs
- Extended-wear invisible hearing aids like Lyric (at select locations)
- Tinnitus relief solutions built into devices or delivered through advanced sound therapy apps
Our approach isn’t one-size-fits-all. It’s patient-specific, built on years of expertise and the full toolbox of modern hearing care.
Find out more about custom hearing aids.
Availability and Location Access: Kansas City Example
For hearing aids in Kansas City, for example, you’ll find more American Hearing + Audiology clinics than Costco Hearing Aid Centers. This means faster appointment availability, easier access to emergency repairs, and less time driving for follow-ups or adjustments.
Geography matters. So does convenience.
Which Option Is Right for You?
Costco may be right if you:
- Don’t need hearing aids with the most features
- Have mild to moderate hearing loss
- Are a current member and value a bundled service model
- Are comfortable dealing with your insurance claims yourself
- Don’t require specialized care or advanced testing
American Hearing + Audiology may be right if you:
- Have complex or severe hearing loss
- Want comprehensive diagnostics and customized fitting
- Prefer working with a licensed hearing care provider who knows your case
- Need support filing insurance claims
- Want help using your insurance and exploring financing
- Value advanced technology and more personalized options
Take the First Step Toward Better Hearing
Choosing the right hearing provider isn’t just about price—it’s about long-term results. When you choose American Hearing + Audiology, you’re getting more than a device. You’re gaining a partner in your hearing health journey.
Schedule your free hearing evaluation today. Our licensed team is ready to help you find a solution that fits your hearing loss, lifestyle, and goals. Let us show you the difference expert, personalized care can make.
