Type of Hearing loss

The 3 main categories of hearing loss are Sensorineural, conductive and mixed. Sensorineural hearing loss is when there is damage to the inner ear cells or hearing nerve. Conductive hearing loss is when sounds cannot get through the outer and middle ear. Mixed hearing loss is loss that has both sensorineural and conductive components. If you suspect you have a hearing loss, the first step is to get a hearing test.
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Do I have sensorineural hearing loss (SNHL)?
The only way to determine if you have a SNHL is through a hearing test. Some common causes of sensorineural hearing loss are:
  • Age related hearing loss:  a common condition due to the aging process. Also known as presbycusis.
  • Noise induced hearing loss:  loss that is due to excessive noise exposure, such as working with heavy machinery without hearing protection for extensive periods of time.
  • Sudden hearing loss: a sudden change in hearing threshold, may be due to a viral infection, this is a medical emergency. With early medical intervention hearing may be restored.
Do I have a conductive hearing loss (CHL)?
Conductive loss could be due to trauma, illness or injury. Sometime medical intervention may restore hearing. The only way to determine this is a hearing test. Here are some common causes of conductive hearing loss.
  • Ear infection in the outer or middle ear. Also known as otitis external, or otitis media.
  • Fluid in the middle ear from colds or allergies.
  • Poor Eustachian tube function. The Eustachian tube connects your middle ear and your nose. Fluid in the middle ear can drain out through this tube. If the tube doesn’t work well the fluid cannot drain properly.
  • A hole in your eardrum.
  • Benign tumors. These tumors are not cancer but can block the outer or middle ear.
  • Earwax , or cerumen, stuck in your ear canal.
  • An object stuck in your outer ear. An example might be if your child put a pebble in his ear when playing outside.
  • A problem with how the outer or middle ear is formed. Some people are born without an outer ear. Some may have a deformed ear canal or have a problem with the bones in their middle ear.
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An audiologist's formative education is a Master’s or Doctoral degree. They are regulated by the College of Audiologists and Speech-Language Pathologists of Ontario (CASLPO). Audiologist’s scope of practice includes diagnosing and treating of hearing loss for adults and children, prescribing and dispensing hearing aids, cerumen management (ear wax removal), and diagnosing and treatment of vestibular balance issues. They work in various settings such as hospital, private practices or University research programs.

Hearing instrument specialists complete a program offered by a college and offer adult hearing tests and hearing aid dispensing. They are represented by an association, but not regulated by a college. The difference between the two is an association represent members’ interests while a regulatory college represents the public’s interests.

OHIP no longer cover ear wax removal. Fee for ear wax removal is $95. If after otoscopy we discover there is no wax the fee is $45 for the office visit.  Wax removal, also known as cerumen management is often performed by a health care professional that is trained in the procedure. For instance an otolaryngologist, ear nose and throat (ENT) doctors, audiologists, or hearing instrument specialists.

Hearing Test (Over 60)Free
Hearing Test (Under 60)$80
Pediatric Hearing Test (Under 18)$110
Industrial Hearing Test (i.e. Toronto Police)$125
Ear Wax removal$95
Office Visit$45
Tinnitus consultation$90
Custom Ear plugs (sleep, noise, musician)$300

Hearing aid prices depend on the type of hearing aids a patient chooses after a complete hearing test and assessment. They range from $2500-$4500* per pair. The price of the hearing aid also includes 3 years manufacture warranty, 2 years loss and damage warranty, and lifetime in clinic services. Chat with us to learn about our offerings.   

*After ADP government funding


Although some audiologists completed a clinical doctoral degree, audiologist are not medical doctors. Audiologists have a master’s and/or doctoral degree and are regulated health professionals governed by the College of Audiologists and Speech-Language Pathologists of Ontario.

Audiologist’s scope of practice includes diagnosing and treating of hearing loss for adults and pediatric patients, recommend and program hearing aids, cerumen management (ear wax removal), and diagnosing and treatment of vestibular balance issues. They work in various settings such as hospital, private practices, or University research programs.

OHIP covers hearing aids to some extend. The Assistive Device Program (ADP) covers up to $1000 ($500 per ear) every 3-5 years. Bloor hearing clinic will handle all application paperwork for patients to access funding so patients do not need to pay this amount when purchasing the hearing aids. We will work with you to find the best suited hearing aids for your lifestyle and budget, and offer flexible payment plans.

OHIP does not cover hearing tests or ear wax removal in audiology clinics. The good news is most insurance with work or private insurance plans do cover audiology services and our clinic will provide patients with a detailed invoice for insurance claim. We can also help you find our what your coverage is.

Ear wax removal may be uncomfortable, but should not be painful. Properly softened and emulsified wax can be removed easily and without pain. In some cases of severe blockage such as earwax impaction, patients may feel discomfort.

To experience the least discomfort during earwax removal, we recommend patients to soften the earwax at home with oil or special drops that we carry in the clinic. This will ensure a painless procedure at the clinic. Our audiologist is very experienced and have dealt with removal of impacted wax and deeply lodged foreign objects such as bracelet bead (the things you find in a child’s ears)!

Most insurance plans have Audiology coverage. We can help you find out.

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