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Finding the Right Cell Phone for You

This panel was moderated by Suzan Mazrui from AT&T. The panel members were Shelly Blakeney from T-Mobile, Paula Hall from Sprint, and Scott Kelley from Motorola.

Susan began the discussion by pointing out the things you should do before deciding on a particular phone. One important task is ensuring that the service you are considering has good coverage in the places you need it, including your home, where you work, and other locations that you frequent.

Another decision to consider is the kind of plan you want. If you want the phone primarily for emergency use, you would want a different plan than if you intended to use it as your primary (or only) phone. It's worthwhile to talk to friends with similar lifestyles to learn about their plans and how they like them.

You also want to consider if the service and a particular phone support text messaging, which is especially useful for people with hearing loss. Also, are the service and the phone TTY-compatible?

Also, some companies, including AT&T, have a 411 (information) service that can do things like text you the address of a restaurant you're interested in.

Another feature you might be interested in is conference calling or three way calling. This is another feature that might be especially valuable for people with hearing loss. For example, my dad, who is 88 and has hearing loss, went to the doctor and thought the doctor told him that his gall bladder was gone! My brother and I were sure that Dad misunderstood, so my brother called the doctor. But the doctor couldn't give him any information, due to privacy regulations. So we set up a three-way call between Dad and the doctor, with my brother also on the call. It turns out that Dad did hear the doctor right. Apparently it's not uncommon for the gall bladder to gradually shrink as a person ages.

Additional features that you might want to consider include caller ID, a calendar function with reminders, and web browsing.

Of course, one of your primary concerns will be that the phone doesn't interfere with your hearing aid or CI, either in microphone or telecoil mode.

The next speaker was Scott Kelley from Motorola. He discussed the rating system that indicates how likely a phone is to cause interference with a hearing aid or CI. Phones that have been tested will have an M-rating and a T-rating. The M-rating indicates how secure the phone is from causing interference when the hearing aid is using the microphone, and the T-rating indicates how secure the phone is from causing interference when the hearing aid is using the telecoil. Each rating system is from one to four, with four being the best. (The T-rating also considers the strength of the magnetic coupling, which is important for stimulating the hearing aid's telecoil.)

Note that hearing aids and CIs are also rated from one to four for susceptibility to interference on both microphone and telecoil mode. To determine the likelihood that a particular phone will interfere with a particular number, the ratings for the phone and the hearing aid (or CI) are added together. Totals of four are considered usable, five is considered ok for normal use, and six or greater considered excellent.

The bottom line is that just relying on the phone rating is a mistake. Even a phone with a rating of four may cause interference if your hearing aid is rated one.

Each of the rating numbers represents a range of about 5db; some devices perform at the top of the range and others perform at the bottom of the range. For example, a device at the bottom of the four rating is only marginally better than a device at the top of the three rating.

Audiologists and hearing aid dispensers often ask me which phone they should recommend to their hearing aid clients. That's an impossible question to answer without knowing a lot more about the client and how they want to use the phone. But it's also not their job! They're trained to fit hearing aids, not recommend phones!

The panel then opened the floor to questions, with each member having an opportunity to respond to each question.

Q. How do customers find out about what hearing aid compatible (HAC) phones you have?

Shelley suggested that people visit their website or go to a T-Mobile store. They offer HAC phones with various features and in different price ranges. They encourage people to test the handset before they purchase it, and have a 30-day return policy.

Paula suggested that folks interested in Sprint could also either visit their website or one of their company stores. They include the spec sheets for all their phones on their website, and the spec sheets include the M and T ratings. They also encourage people to try a phone at a Sprint store before purchasing, and offer a 30-day return.

Susan reported that AT&T policies are similar to those at T-Mobile and Sprint. She also pointed out that many of these policies only apply if you deal with a company store. None of the service providers can do anything about a contract you have with an independent organization.

Scott mentioned that people can visit the Motorola website for information on their phones. He also pointed out that Motorola is a handset manufacturer, not a cell phone service provider. Motorola makes the handsets and sells them to T-Mobile, Sprint, and AT&T. So you won't find a Motorola store.

Q. Are there ratings on Bluetooth?

A Scott replied that Bluetooth is a very low-power interface intended for short distances and does not have M and T ratings.

Q. Weren't the ratings really developed for hearing aids? If so, are they applicable to CIs?

A. Scott replied that the ratings were originally developed for hearing aids, but that they also apply pretty well to CIs. There are some differences, but they're much like the differences between individual hearing aids.

Q. I've heard that CDMA has less interference than GSM. Is that true?

A. Scott replied that it's true that different services use different technologies, and that different technologies cause different levels of interference with particular hearing aids. Sprint and Verizon use CDMA, while T-Mobile and AT&T use GSM. It's sometimes harder to get a GSM phone to have a rating of four. But the best way to determine if a particular phone will interfere with your hearing is to try it!

Q. Some consumers like to use amplified neckloops with standard 2.5 or 3.5 mm plugs, but they are incompatible with the proprietary plugs used by the manufacturers. Do you see that changing?

A. Scott replied that he echoed the frustration expressed by the user, and acknowledged that the policy is generally the handset manufacturer's, rather than the service provider's. He noted that a user can generally buy an adapter that allows him to used his standard neckloop.

Q. Suppose a consumer has a two-year service agreement and their phone interferes with their new hearing aids?

A. Susan replied that AT&T tries to accommodate those kinds of situations on an individual basis. Shelly and Paula reported that their companies had similar policies.

C. Arizona recently passes a law requiring audiologists and hearing aid dispensers to inform clients about telecoils. The fact that a law is required speaks to the state of hearing aid dispensing, and I think we as consumers need to educate the dispensers about the importance of telecoils.