Hearing FAQs | Precision Hearing

Comprehensive Hearing Care FAQs in San Antonio, TX

Answers to the questions we hear most often at Precision Hearing — covering hearing tests, hearing aids, earwax removal, tinnitus, and veterans care for working adults and families across San Antonio and Bexar County.

Is an audiologist a doctor?

Yes. Audiologists hold doctoral degrees in audiology (Doctor of Audiology, or Au.D.), which requires four years of graduate education beyond a bachelor’s degree. Audiologists are not medical doctors — they don’t attend medical school or complete a medical residency the way physicians (MDs) do — but they are licensed healthcare professionals who specialize in diagnosing, treating, and managing hearing loss, tinnitus, and balance-related concerns. Precision Hearing is owned and operated by two Doctors of Audiology, Dr. Joseph Pratt, Au.D. and Dr. Nathan Ortiz, Au.D., both US Navy veterans who previously ran the Navy’s two largest hearing conservation programs at Naval Station San Diego and Naval Station Norfolk. Think of audiologists as specialists in hearing and balance, the same way optometrists specialize in eye care.

What is the difference between an audiologist and an ENT?

Audiologists focus exclusively on hearing, tinnitus, and balance — including diagnostic testing, hearing aid fittings, rehabilitation, and long-term management. ENT physicians (otolaryngologists) are medical doctors who treat a much broader range of ear, nose, throat, head, and neck conditions, including infections, surgical issues, and disease processes. In San Antonio, audiologists and ENTs frequently work together. ENTs handle medical diagnoses and surgery; audiologists manage hearing care, hearing aid fittings, and conservation. If you’re unsure where to start, the team at Precision Hearing can evaluate your hearing and refer you to an ENT if a medical condition needs attention.

Do I need a referral to see an audiologist in San Antonio?

No referral is required to schedule a hearing test or consultation at Precision Hearing. You can call our clinic line directly at (210) 695-4708 or visit our office at 170 Babcock Rd in Northwest San Antonio (near Loop 410). Many patients across San Antonio, Alamo Heights, Boerne, Helotes, Schertz, Universal City, and the wider Bexar County area book directly with us. If your insurance requires a referral for coverage purposes, our team will let you know during scheduling and help you navigate the process. Veterans seeking care under the Community Care Network do follow a referral workflow through their VA primary care provider — see the veterans care section below for the steps.

Does it cost to see an audiologist?

The cost of a visit depends on whether you’re scheduled for a diagnostic hearing evaluation (often covered by Medicare or insurance when medically necessary) or a routine hearing screening. Precision Hearing is in-network with Blue Cross Blue Shield (BCBS) Texas, TriWest (which covers both TRICARE and VA Community Care), and Workers’ Compensation. We’re happy to verify your benefits before your appointment — just call (210) 695-4708. For patients without coverage, we’ll discuss options during scheduling. Our initial visits are unhurried and education-led: a thorough assessment, time to understand your results, and clear next steps — no pressure.

What happens during a comprehensive hearing test?

A comprehensive hearing evaluation at Precision Hearing has four main parts. First, your audiologist sits down with you to discuss your hearing concerns, lifestyle, and health history. Second, we physically examine your ear canal with an otoscope to check for earwax, infection, or blockage. Third, we run a series of painless tests — pure-tone audiometry (testing your response to different pitches and volumes), speech audiometry (testing your ability to understand spoken words), and tympanometry (checking middle ear health). Finally, your audiologist walks you through your results, explains what they mean for your day-to-day life, and discusses options if any are needed. The full visit typically takes 60–90 minutes and is completely non-invasive.

How much does a hearing test cost at Precision Hearing?

Pricing depends on whether the test is diagnostic (often covered by Medicare or insurance when medically necessary) or a routine screening. Many patients across San Antonio have their evaluations covered partially or fully by Blue Cross Blue Shield, TriWest (TRICARE / VA Community Care), or Workers’ Compensation. Our team will check your specific benefits before your appointment and explain any out-of-pocket cost in advance — no surprises. For patients without insurance, please call (210) 695-4708 and we’ll walk you through the options. Veterans referred through the VA Community Care Network typically see their evaluation covered with no out-of-pocket cost.

Are hearing tests painful or uncomfortable?

No. Hearing tests are completely painless and non-invasive. At Precision Hearing, you’ll sit in a comfortable, sound-treated booth and listen to tones at different volumes and frequencies through headphones — you simply raise your hand or press a button when you hear a sound. For speech testing, you’ll repeat words you hear. Tympanometry uses a soft probe that measures middle ear function; you may feel mild pressure but no pain. Many patients leave feeling relieved to finally understand exactly what’s going on with their hearing. If you have any anxiety about the visit, let us know — we take our time and explain everything as we go.

How often should I get a hearing test?

The American Speech-Language-Hearing Association recommends a baseline hearing test for adults at age 50, then annual testing thereafter. Earlier and more frequent testing is wise if you work in a noisy environment (construction, manufacturing, military, aviation), have a family history of hearing loss, or have noticed changes in how well you follow conversations. Early detection lets us track changes over time and act before hearing loss starts affecting communication, work, and overall well-being. Research links untreated hearing loss to higher risk of cognitive decline, social isolation, and depression — establishing a baseline early is one of the simplest preventive health steps a working adult can take. If you’ve never had a hearing test, scheduling one is an easy first move.

What is age-related hearing loss?

Age-related hearing loss — known clinically as presbycusis — is a gradual decline in hearing that develops over years and usually affects both ears equally. Most age-related hearing loss is sensorineural, meaning the inner ear or nerve pathways have changed in a way that makes high-pitched sounds harder to hear first. By age 75, more than half of adults experience some degree of hearing loss. San Antonio’s veteran community and large working-adult population make early detection especially valuable here, because catching changes early gives us more options. Our audiologists at Precision Hearing specialize in fitting hearing aids and assistive devices that help patients stay sharp, stay social, and stay active in the work and family life they already love.

What types of hearing aids do you offer?

Precision Hearing is an independent, manufacturer-agnostic practice, which means we recommend devices based on what fits your hearing, your lifestyle, and your budget — not a sales contract. We work with the leading hearing aid manufacturers and offer a full range of styles: in-the-ear (ITE), completely-in-the-canal (CIC), open-fit, receiver-in-canal (RIC), receiver-in-the-ear (RITE), and behind-the-ear (BTE). Modern hearing aids connect via Bluetooth to smartphones, tablets, and televisions, often come with rechargeable batteries, and include features like tinnitus management and adaptive noise reduction. Whether you’re commuting across San Antonio, working in a noisy environment, or trying to follow conversations at a busy restaurant, our audiologists can walk you through the options and help you choose the right fit.

What is the average cost of hearing aids?

Hearing aid pricing varies widely based on technology level, style, features, and your individual hearing needs. Premium devices with advanced processing and Bluetooth connectivity sit at the higher end of the range, while more basic models cost considerably less. Most standard Medicare and private insurance plans do not cover hearing aids, though some Medicaid plans and select employer plans offer benefits. Veterans with service-connected hearing loss often qualify for hearing aids through VA / Community Care benefits. Precision Hearing also offers flexible in-house monthly payment options — no credit checks, no third-party finance companies — to make care manageable without the financial barrier most patients expect. We’ll walk you through what’s realistic for your hearing and your budget during your visit.

Are there affordable hearing aid options?

Yes. Precision Hearing carries a range of price points and works with you to find a solution that fits your budget. While premium hearing aids with advanced AI processing and connectivity sit at the higher end of the range, more straightforward in-the-canal or behind-the-ear models cost significantly less and still deliver excellent everyday hearing support. We also offer real-world trial periods so you can try devices before committing financially. Veterans with service-connected hearing loss may have their devices covered through VA Community Care, and our in-house monthly payment plans require no credit checks and no third-party financing. Call (210) 695-4708 to talk through your situation — we’ll be straightforward with you about what’s a good fit.

Can I try hearing aids before committing to a purchase?

Yes. Every set of hearing aids fitted at Precision Hearing comes with a 30-day trial period. You wear your devices where life actually happens — at work, around the dinner table, on a job site, and out across San Antonio — because real-world listening is the only test that counts. If they aren’t the right fit within 30 days, bring them back and we’ll adjust them, exchange them for a different model, or look at other options together. Our patients across San Antonio appreciate this approach because it removes the pressure of a major decision and lets your everyday experience guide the choice.

How are hearing aids programmed and fitted?

After you select your hearing aids, your audiologist programs them to match your specific hearing loss using manufacturer-grade software and the results from your hearing evaluation. We place the devices in your ears and make adjustments live in the office, often using Real Ear Measurement (REM) to verify the devices are delivering exactly the right amplification inside your ear canal — not just hitting an average target. Follow-up visits over the next several weeks let us fine-tune based on how the hearing aids perform in your daily life. As your hearing or lifestyle changes, our team at Precision Hearing can reprogram your devices and adjust your settings any time — that long-term relationship is part of how we work.

How long do hearing aids typically last?

Hearing aids typically last three to five years, depending on the device style, build quality, daily maintenance, and how heavily they’re used. Behind-the-ear (BTE) models often last longer than in-the-ear (ITE) styles because ITE electronics sit inside the ear canal and are exposed to more moisture, earwax, and skin oils. Daily care — wiping with a dry cloth, using a dehumidifier overnight, and professional cleanings every three to four months — significantly extends their lifespan. Disposable hearing aid batteries last three to twenty days depending on size and use; rechargeable models give you a full day per charge. San Antonio’s heat and humidity make moisture management especially important — our team at Precision Hearing can clean, dry, and service your devices during routine visits.

What should I do if my hearing aid needs repair?

Call Precision Hearing at (210) 695-4708 to describe the issue and schedule a service visit. We repair all major hearing aid brands and models — including devices not originally fitted by us — and can often complete simple repairs in-office while you wait. For more complex issues, we coordinate directly with the manufacturer and provide loaner devices during the repair window when available. Common issues we resolve include distorted or muffled sound, volume control problems, devices that won’t turn on, physical damage, and complete sound loss. A surprising number of “broken” hearing aids are actually clogged with earwax or debris — professional cleaning resolves the issue immediately. Wherever you are in San Antonio or Bexar County, our team can help get your hearing aids working again.

How often should hearing aids be cleaned?

Professional cleanings are recommended every three to four months, though that depends on how much earwax you produce and how often you wear your devices. At home, wipe your hearing aids with a dry cloth each day and gently brush away debris with a soft brush. Never use water or unapproved cleaning solutions — they damage the electronics. Store your hearing aids overnight in a protective case with a dehumidifier or desiccant cup to absorb moisture. San Antonio’s heat and humidity make regular cleaning especially important. During every appointment at Precision Hearing, our team gives your devices a thorough professional clean as part of your ongoing care.

How long do hearing aid batteries last?

Disposable hearing aid batteries typically last three to twenty days, depending on battery size, your device style, and how often you use streaming features like Bluetooth. A practical rule of thumb is to expect about one week of life from a typical battery. Size 312 batteries (common in smaller devices) last roughly one to two weeks. Rechargeable hearing aids generally provide 18–24 hours per charge — a full day of use. One important tip for zinc-air batteries: after peeling off the protective tab, wait about a minute before placing the battery in your hearing aid. This lets the battery fully activate and gives you maximum life. Precision Hearing carries batteries for all major hearing aid sizes and is happy to swap them for you during a visit.

Where can I get replacement hearing aid batteries?

Precision Hearing stocks replacement batteries for all major hearing aid sizes and brands at our office at 170 Babcock Rd in San Antonio. You can stop by during business hours (Monday–Friday, 8:30 AM–4:00 PM) or call (210) 695-4708 to order ahead. We carry sizes 10, 312, 13, and 675 — the most common sizes you’ll encounter. Many San Antonio patients also pick up batteries at pharmacies like Walgreens, CVS, or HEB, though availability varies. We’re also glad to accept used batteries for proper recycling, which keeps heavy metals out of the local environment.

What is professional earwax removal and how much does it cost?

Professional earwax removal at Precision Hearing is a safe, gentle procedure performed by trained audiologists using specialized tools and magnification. We use three main techniques: microsuction (a tiny vacuum that gently lifts wax away), ear irrigation (warm water flushed carefully through the ear canal), or manual removal using fine instruments under direct visualization. You might need professional removal if you’re experiencing fullness in the ear, muffled hearing, tinnitus (ringing), earache, dizziness, or if at-home methods aren’t working. Insurance coverage for earwax removal varies — it’s typically covered when performed under specific medical conditions — so we’ll verify your benefits before your visit. Call (210) 695-4708 for current pricing and to schedule. We see patients from San Antonio, Alamo Heights, Boerne, Helotes, Schertz, Universal City, Leon Valley, and the wider Bexar County area.

What is microsuction ear cleaning?

Microsuction is a gentle, dry method of removing earwax using a small suction device and magnification. Unlike ear irrigation, microsuction doesn’t introduce water into your ear — which makes it the preferred option if you have a perforated eardrum, a history of ear infections, ear surgery, or a hearing aid in that ear. Your audiologist uses magnification to see your ear canal clearly, then carefully lifts wax away with a fine suction tip. Microsuction is typically quicker than irrigation and avoids the brief dizziness some people experience with water. The audiologists at Precision Hearing will choose the safest, most effective technique for your specific situation during your visit.

Can you help with tinnitus?

Yes. Precision Hearing offers comprehensive tinnitus evaluation and management for the ringing, buzzing, hissing, or other sounds people hear when no external sound is present. Tinnitus can be caused by long-term noise exposure (a common issue for veterans, musicians, hunters, construction workers, and anyone in a noisy industry), earwax impaction, hearing loss, Meniere’s disease, head injury, certain medications, or other underlying conditions. Our audiologists begin by identifying what’s driving your tinnitus. Sometimes a simple professional earwax cleaning resolves it; other times, hearing aids with built-in tinnitus management features make a meaningful difference by reintroducing the soft background sounds your brain has been missing. For complex cases, we may recommend sound therapy, habituation techniques, or coordination with an ENT. Tinnitus tied to noise exposure or military service is something we see often at Precision Hearing — our Navy-veteran-owned practice understands those noise environments firsthand.

Why is untreated hearing loss dangerous?

Untreated hearing loss has consequences well beyond simply struggling to hear conversations. Research increasingly links untreated hearing loss to higher risk of cognitive decline and dementia — the large ACHIEVE study found that hearing interventions can slow cognitive decline by roughly 48% in at-risk older adults. Untreated hearing loss is also linked to social isolation, depression, reduced workplace performance, and a higher risk of falls. Hearing loss is the #1 service-connected disability among US military veterans, which is one reason Precision Hearing places such an emphasis on early evaluation, conservation, and prevention. Catching changes early — through a baseline hearing test and consistent follow-up — protects your brain health, your relationships, your independence, and your career.

Does my insurance cover hearing aids or hearing tests?

Hearing test coverage depends on whether the test is diagnostic (often covered when medically necessary) or routine screening. Precision Hearing is in-network with Blue Cross Blue Shield (BCBS) Texas, TriWest (which covers both TRICARE and VA Community Care in the South-Central region), and Workers’ Compensation. Diagnostic hearing evaluations are commonly covered through these plans. Hearing aids are rarely covered by standard Medicare or private insurance, though some Medicaid programs and select employer plans offer assistance, and veterans with service-connected hearing loss often qualify for devices through VA Community Care. HSA and FSA accounts can sometimes be used for hearing care expenses as well. To check your specific benefits, call (210) 695-4708 — our team will verify what’s covered before your appointment and explain any out-of-pocket cost up front.

Do you accept VA benefits?

Yes. Precision Hearing is a VA Community Care Network provider, and supporting veterans is core to who we are — both of our owning audiologists, Dr. Joseph Pratt and Dr. Nathan Ortiz, served as US Navy audiologists running the Navy’s two largest hearing conservation programs at Naval Station San Diego and Naval Station Norfolk. Hearing loss is the #1 service-connected disability among US military veterans, and we’ve spent our careers around the noise environments responsible for it. Veterans wanting to be seen here under Community Care follow these steps:

1. Contact your VA primary care provider (online VA messaging works well) to request an Audiology referral.
2. Allow 2–3 business days for the Community Care Network to receive the referral.
3. Call the Community Care Network at (210) 949-3850, option 1 to verify the referral was received.
4. Request the appointment specifically with Precision Hearing Conservation, Group NPI 1386343341, 170 Babcock Rd, San Antonio, TX 78201.
5. Once the CCN confirms the referral, call us at (210) 695-4708 to schedule.

If you have questions about VA benefits, TriWest, or TRICARE coverage, call us — we’ll walk you through what you qualify for and coordinate with your VA point of contact. San Antonio is home to one of the largest active-duty, retiree, and veteran populations in the country, and our practice is built to serve them.