Vivtone
Behind-the-Ear
Hearing Aids

Behind the ear hearing aids are a popular type of hearing aid worn behind the ear. They consist of a small plastic case and a custom-molded earmold or earpiece. BTE hearing aids work by picking up sound waves with a microphone, converting them to digital signals, and amplifying them based on the user's specific hearing needs.

The amplified sound is transmitted through a tube or wire to the earmold or earpiece, which delivers the sound into the ear canal. From there, the sound travels to the eardrum and cochlea, stimulating the hair cells responsible for converting sound vibrations into electrical signals for the brain to interpret.

Behind-the-ear hearing aids are capable of accommodating various types of hearing loss and provide advantages such as enhanced battery capacity, advanced sound processing capabilities, and compatibility with assistive listening systems. Furthermore, hearing aids BTE offer convenient handling and maintenance in comparison to smaller in-the-ear styles.

Behind ear hearing aids are well-suited for a diverse spectrum of hearing loss types, particularly those characterized by moderate to severe levels. BTE hearing aid devices provide substantial power and amplification capabilities, rendering them highly effective in addressing a wide range of hearing impairments across different degrees of severity.

BTE hearing aids can be customized by audiologists to amplify specific frequencies based on the individual's unique hearing profile. This customization ensures a tailored hearing experience. Hearing aids behind the ear also have the advantage of accommodating additional features and accessories, such as telecoils, which enhance compatibility with assistive listening devices.

Nevertheless, it is of utmost importance to seek guidance from a hearing care professional to ascertain the most fitting hearing aid style based on individual requirements, taking into consideration factors such as ear anatomy and personal preferences. While a behind the ear hearing aid offers versatility, there may be instances where alternative styles such as in-the-ear or receiver-in-canal are more suitable.

The expertise of an audiologist is essential in assessing the type and degree of hearing loss to provide the best solution.

Hearing aids behind ear are generally comfortable to wear due to various factors. BTE hearing aids offer customization with custom-molded earmolds or earpieces that fit the unique shape of the wearer's ear canal, ensuring a comfortable and secure fit. They are lightweight and compact, minimizing any feelings of weight or bulkiness.


The design of a BTE hearing aid allows for ventilation and airflow around the ear, reducing discomfort and preventing moisture build-up. Unlike some other hearing aid styles, BTE hearing aids do not occupy space within the ear canal, avoiding any sensations of blockage or pressure. Manufacturers prioritize ergonomics, creating smooth edges and contours that fit well against the ear.

However, individual comfort can vary, and it is important to consult with an audiologist or hearing care professional if any discomfort arises. They can make necessary adjustments to enhance comfort and ensure a proper fit for optimal wearing experience.

BTE hearing aids are generally more conspicuous in appearance when contrasted with smaller hearing aid styles, such as when comparing RIC vs BTE hearing aids. However, the degree of visibility is subject to variation based on factors such as hair length, color, and the specific design of the device. The main behind the ear hearing aid parts discreetly reside behind the ear and are linked to a customized earmold or earpiece that fits inside the ear canal.

These behind-the ear hearing aid parts may be noticeable, especially with shorter hair or if not camouflaged with hair or accessories. However, behind the ear hearing aids come in various colors and styles, allowing wearers to choose options that blend with their hair or skin tone for a less conspicuous appearance. Some people opt for an open-fit hearing aid BTE, which has a smaller case and a thin tube, making it less visible.

Additionally, accessories like covers or charms can be used to personalize and make your hearing aid behind the ear more visually appealing. It's important to remember that wearing hearing aids is increasingly accepted, and the focus should be on improving hearing rather than hiding the devices themselves.

Certainly, hearing aids behind the ear can undergo customization procedures to ensure a personalized fit for the wearer. The following are several approaches by which BTE hearing aids can be customized:

- Earmold or Earpiece: The earmold or earpiece of a behind ear hearing aid is custom-molded to fit the shape and size of the wearer's ear canal. This ensures a comfortable and secure fit while maximizing the effectiveness of the hearing aid.

- Sound processing: Sound processing in BTE hearing aids can be finely tuned and calibrated by a qualified audiologist to cater to the distinct hearing requirements of the individual. Through personalized programming, the settings can be meticulously customized to amplify specific frequencies or tailor the sound processing algorithms to align with the wearer's unique pattern of hearing loss.

- Volume Control: Volume control capabilities are present in numerous BTE hearing aids, affording wearers the ability to modulate the amplification level to their liking and adapt it to diverse listening environments. This level of customization empowers individuals to finely calibrate the BTE hearing aid according to their personal comfort and precise hearing needs.

- Accessories: BTE hearing aids encompass a range of supplementary features and accessories that can be tailored to the specific requirements of the wearer. These enhancements may comprise telecoil technology, wireless connectivity options, noise reduction functionalities, or directional microphones, among other possibilities. The customization of these additional features enables the wearer to optimize their hearing aid experience in accordance with their individual needs and preferences.

A behind the ear hearing aid is suitable for both children and adults due to the versatility and features these devices are known for. For children, BTE hearing aids offer safety, durability, and growth accommodation, allowing for replacement of earmolds as the child's ears grow. The larger controls and battery compartments make them easier for children to handle.

Behind the ear BTE hearing aids are also appropriate for adults with moderate to severe hearing loss, as they provide high amplification capabilities. Custom-molded earmolds ensure a comfortable and secure fit, and additional features like telecoils and wireless connectivity enhance the listening experience. BTE hearing aids are known for their flexibility, durability, and customization options, catering to the needs of individuals across different age groups.

It is of utmost importance for individuals with hearing loss, regardless of age, to actively engage in consultations with audiologists or hearing care professionals. This collaborative process serves as a crucial step in determining the most fitting hearing aid style and features that precisely cater to the specific requirements of each individual.

Yes, behind-the-ear hearing aids can offer advanced features like noise cancellation. Over the years, hearing aid technology has significantly advanced, and many behind the ear hearing aid models now incorporate sophisticated features to enhance the listening experience. Here are some advanced features that BTE hearing aids can include:

- Noise Cancellation: BTE hearing aids can use digital signal processing to identify and reduce background noise, allowing the wearer to focus on speech or desired sounds in noisy environments.

- Directional Microphones: Hearing aids BTE may have directional microphones that help pick up sounds coming from specific directions, such as the front, while reducing sounds from other directions. This can improve speech clarity in challenging listening situations.

- Feedback Suppression: BTE hearing aids can employ feedback cancellation algorithms to reduce or eliminate whistling or feedback sounds that may occur when the microphone picks up its own amplified sound.

- Connectivity: In the realm of BTE hearing aids, connectivity assumes a significant role, with a multitude of modern models featuring advanced wireless connectivity options. This empowers users to engage in uninterrupted direct streaming of audio content from an array of compatible devices, encompassing smartphones, televisions, and audio systems.

- Telecoil Technology: BTE hearing aids may have a built-in telecoil, which enables better compatibility with loop systems or assistive listening devices in public spaces like theaters or auditoriums.

Keep in mind that the inclusion of advanced features in hearing aids BTE may be subject to variability contingent upon the precise model and manufacturer chosen.

Through the utilization of wireless connectivity options, most modern BTE hearing aids are capable of establishing connections with a diverse array of devices such as smartphones and televisions. The integration of built-in Bluetooth technology in BTE hearing aids enables seamless direct wireless streaming of audio from smartphones, tablets, and other compatible Bluetooth-enabled devices. As a result, users can effortlessly stream phone calls, music, and various other audio content directly to their hearing aids, thereby enhancing their listening experience.

If your chosen hearing aid behind ear model supports it, these devices can also be connected to TV streamers, which transmit audio signals from the television to the hearing aids for a personalized TV-watching experience. Remote controls or companion smartphone apps are often available with BTE hearing aids, allowing users to adjust volume, change programs, and personalize settings.

Additionally, BTE hearing aids can be compatible with assistive listening devices (ALDs) like FM systems, loop systems, or infrared systems. It's essential to verify the specific connectivity features and compatibility of a BTE hearing aid model with desired devices. Consulting with an audiologist or hearing care professional can help in selecting the appropriate BTE hearing aid and provide guidance on setup and use.

BTE hearing aids can be compatible with telecoils and assistive listening systems. Telecoils often belong to crucial BTE hearing aid parts, and these are also known as T-coils that come as a standard feature or as an optional add-on. Telecoils allow the hearing aid BTE to receive and amplify sound signals from compatible assistive listening systems.

BTE hearing aids with telecoils can work with various assistive listening systems such as loop systems or FM systems. Loop systems use a loop of wire to transmit audio signals, while FM systems use wireless transmitters. Activating the telecoil mode on a BTE hearing aid allows users to receive enhanced sound directly through the telecoil from assistive listening systems. Public venues like theaters, places of worship, and ticket counters often have loop systems installed for improved accessibility.

Some BTE hearing aids come with accessories like neck loops or streamers that facilitate the connection between the telecoil and assistive listening systems. Checking the compatibility and consulting with an audiologist or hearing care professional can help ensure proper usage of telecoils and assistive listening systems with BTE hearing aids.

BTE (Behind-the-Ear) hearing aids allow for several advantages over other types of hearing aids such as when comparing BTE vs RIC hearing aids as well as other types. Here are some key advantages that BTE hearing aids bring to the table:

- Amplification Power: BTE hearing aids exhibit substantial amplification power, enabling them to effectively address a broad spectrum of hearing loss, including severe to profound levels. Their capacity for high-level amplification renders them well-suited for individuals encountering significant hearing impairments.

- Durability and Reliability: BTE hearing aids are known for their robust construction and durability. The main components sit behind the ear, which reduces the risk of moisture or earwax damage. They are less prone to malfunction and require fewer repairs compared to smaller, in-the-ear styles.

- Customization: Customization options are inherent in hearing aids BTE, whereby they can be personalized with custom-molded earmolds. This meticulous customization process guarantees a comfortable and secure fit tailored to the individual wearer. Furthermore, the earmolds can be reworked or adjusted as required to accommodate any changes in the shape or size of the ear canal.

- Additional Features: BTE hearing aids often incorporate a diverse range of supplementary features, showcasing their commitment to optimizing the auditory experience. These additional features encompass noise reduction technology, directional microphones, feedback cancellation capabilities, wireless connectivity options, and telecoil compatibility. By seamlessly integrating these advanced functionalities, behind ear hearing aids effectively enhance communication efficacy and facilitate superior auditory perception in various environmental settings.

- Easy Handling and Maintenance: BTE hearing aids offer enhanced ease of handling and maintenance due to their larger controls, rendering them particularly suitable for individuals with dexterity or vision challenges. The sizable controls facilitate effortless adjustment, allowing for seamless customization of the device settings. Moreover, the larger battery compartments found in BTE hearing aids provide added convenience, especially for individuals with limited fine motor skills.

- Open-Fit Options: BTE hearing aids present the option of utilizing open-fit earmolds or thin tubes, enabling a more natural auditory experience while minimizing the sensation of occlusion within the ear canal. This open-fit configuration contributes to a more comfortable and less obstructed perception of sound, enhancing overall wearer satisfaction.

- Suitable for Various Age Groups: BTE hearing aids are suitable for both children and adults due to their versatility and adaptability to different needs and preferences.

BTE hearing aids are meticulously engineered to possess durability and longevity as key attributes – perhaps even moreso when comparing BTE vs RIC hearing aids. These devices are crafted using sturdy materials and components, ensuring their ability to withstand the rigors of daily usage. Positioned behind the ear, the main body of the hearing aid is shielded from potential harm caused by moisture, debris, and physical impact, further enhancing its longevity and performance.

Many BTE hearing aids also feature water-resistant or waterproof coatings to safeguard against moisture-related issues. Proper care and maintenance, including regular cleaning and following manufacturer guidelines, contribute to their longevity. BTE hearing aids are generally easier to maintain compared to smaller styles.

They have larger controls and battery compartments, making them more accessible for handling and battery replacement. Additionally, BTE hearing aids often come with manufacturer warranties that cover repairs and replacements within a specified time frame.

Adjusting the volume and settings on BTE hearing aids can be done through various methods. Most BTE hearing aids have manual controls, such as buttons or switches, on the device itself. These controls allow users to adjust the volume, change programs, and modify settings directly.

Some mini BTE hearing aid models come with remote controls that provide wireless adjustments, ideal for individuals with limited dexterity. Another option is using smartphone apps, as many modern BTE hearing aids can be connected to smartphones via Bluetooth. These apps enable users to control and customize their hearing aids, including volume, program selection, and advanced settings.

It is prudent to refer to the user manual or seek guidance from a hearing care professional when seeking to comprehend the distinct controls and adjustments offered by your BTE hearing aids. By doing so, you can receive personalized instructions and expert guidance to facilitate the necessary adjustments for attaining an optimal hearing experience.

BTE hearing aids prove advantageous in the management of tinnitus, particularly when it coexists with hearing loss. These hearing aids provide an assortment of features and strategies aimed at alleviating the perception of tinnitus, including:

- Sound Amplification: BTE hearing aids amplify external sounds, which can help shift the focus away from tinnitus and reduce its prominence.

- Background Noise Masking: Some BTE hearing aids have built-in noise generators or masking features that produce soothing sounds to mask or partially cover up tinnitus sounds.

- Sound Therapy Programs: Many hearing aid behind the ear models offer specific tinnitus management programs or customizable sound therapy options. These programs provide relaxing sounds to promote habituation to tinnitus and reduce its impact.

- Customization: BTE hearing aids can be tailored to an individual's specific tinnitus needs. Audiologists can adjust settings like frequency response and volume to address the unique characteristics of the tinnitus sound.

- Combined Approach: A comprehensive approach to tinnitus management entails the utilization of BTE hearing aids in conjunction with counseling, relaxation techniques, and cognitive behavioral therapy. By employing this combined approach, individuals can address tinnitus from various angles, augmenting the effectiveness of tinnitus management strategies.

The average lifespan of BTE hearing aid batteries can vary depending on several factors, including the type of battery, usage patterns, and the power requirements of the hearing aids. Here are some general guidelines for the lifespan of BTE hearing aid batteries:

- Disposable Zinc-Air Batteries: BTE hearing aids commonly employ disposable Zinc-Air batteries, renowned for their prevalent usage. The lifespan of these batteries typically varies between 3 to 14 days (sometimes even up to 21), contingent upon factors such as battery size, the power demands of the hearing aids, and the duration of daily usage.

- Rechargeable Batteries: The prevalence of rechargeable BTE hearing aid devices equipped with rechargeable batteries has experienced a notable surge in popularity. The lifespan of rechargeable batteries relies on the particular model and battery capacity employed. Typically, these batteries can endure for approximately one to three years before necessitating replacement, based on average usage patterns.

It's important to note that individual usage patterns and the features and power consumption of the hearing aids can significantly affect battery life. Streaming audio, using advanced features, or higher volume levels may consume more power and reduce battery life.

When comparing the price of BTE hearing aids with other types of hearing aids, it's essential to consider that prices can vary significantly depending on various factors, including the brand, features, technology level, and additional services provided. Generally, BTE hearing aids can have a wide price range, but they often fall within the mid to higher price range in comparison to other types of hearing aids. Here are some points to consider:

- In-the-Ear (ITE) and In-the-Canal (ITC) hearing aids: BTE hearing aids can be relatively more expensive than ITE and ITC hearing aids due to their larger size and additional features. ITE and ITC hearing aids are custom-made to fit inside the ear, which may affect their pricing.

- Completely-in-the-Canal (CIC) and Invisible-in-Canal (IIC) hearing aids: BTE hearing aids generally have a higher price range than CIC and IIC hearing aids. CIC and IIC devices are smaller and more discreet, but their smaller size can limit certain features and technologies.

- Advanced Features and Technology: BTE hearing aids frequently encompass a diverse array of advanced features, such as wireless connectivity, noise cancellation, and directional microphones. These sophisticated features contribute to the overall cost of the hearing aids, reflecting the incorporation of cutting-edge technology within the devices.

- Customization and Professional Services: BTE hearing aids may entail supplementary customization elements, such as custom-molded earmolds or earpieces, which can impact the overall pricing. Furthermore, the cost encompasses professional services, including fitting, programming, and ongoing support provided by hearing care professionals. These factors contribute to the comprehensive pricing structure associated with BTE hearing aids.

Can behind the ear hearing aids and glasses be worn together? The answer is yes – the device sits behind the ear and should not interfere with glasses. However, you may need to adjust the behind the ear hearing aid with earmold or earbud to ensure that it fits comfortably with your glasses.

Battery life of BTE hearing aids depends on battery type, device size, and usage frequency. On average, batteries last from 3 days to 2 weeks. You should recharge BTE hearing aids on a regular basis to avoid unexpected shutdowns.

It's not recommended, as these devices are not waterproof and moisture can damage them. However, there are waterproof covers and accessories available that can protect your BTE hearing aid. Always check with your hearing healthcare provider before using any accessories with your device.

Popular BTE hearing aid accessories include hearing aid domes, tubing, earmolds, dehumidifiers, cleaning tools, remote controls, and FM systems. These accessories can improve sound quality, provide comfort and a secure fit, and prolong the lifespan of the hearing aid.

If you want the smallest BTE hearing aids, mini BTE hearing aids are a great option. These tiny devices fit snugly behind the ear, with only a slim tube or wire connecting to the earpiece, making them the smallest behind the ear hearing aid. Vivtone provide the model RIC02, which is our smallest BTE hearing aids.

Usually the price of BTE hearing aids ranges from one thousand to several thousand dollars, depending on the hearing aid brand and specific features. With the development of technology, many emerging OTC hearing aids can provide lower prices with the same functions. Selling online, direct-to-consumer, can often result in lower prices.
Vivtone's BTE hearing aids start at just $249, but can provide the same features as hearing aids that cost thousands of dollars.
XPURE, Vivtone's most high-end Bluetooth hearing aid, can perform hearing fitting on the APP, and automatically adjust hearing aid parameters according to personal hearing loss data, so as to provide a customized hearing experience. You can get it for as little as $699, while other brands with similar features often cost thousands each.