Itemization (Unbundling)

Making hearing aids affordable.

The classic model of hearing aid sales is the bundled model. This means that the hearing aid price and all services are included in one lump sum. Although this model may seem appealing, it may result in patients paying for services never rendered.

The UNC HCC provides an itemized (unbundled) model, which is recommended by the American Academy of Audiology (AAA) and the Academy of Doctors of Audiology (ADA).




Hearing Aid Cost

Cost includes hearing aid price, professional fitting fee, and service package (terms of service vary).

Cost includes itemized hearing aid price and professional fitting fee.

Mobility of service

Service package limited to dispensing clinic.  Service plan does not roll over should patient change provider.

Services can be provided by any audiologist. Conducive for traveling.

Cost of routine maintenance

Maintenance costs pre-paid at time of original purchase - dependent on terms of service plan.  Provider estimates cost of potential services.

Maintenance costs charged at time of service.  Patient only pays for services rendered.


One-time fee for hearing aids and future services. 

Unbundled plans provide transparent billing and lower patient costs over time.


The itemized model is also endorsed by the Hearing Loss Association of America. If you are interested in learning more about itemization, please check out this article : Unbundling: A Way to Make Hearing Aids More Affordable?