Hearing Loops: A Top Choice for
Hearing Accommodation
Loops provide the greatest benefits to people who rely on assistive listening systems, and to venues that are looking to provide the very best hearing accommodation.

Loops installed to the IEC 60118-4 standard (International Electrotechnical Commission) reliably deliver the cleanest sound to people with hearing loss—even to those with severe to profound hearing loss. Because of this and the many benefits listed below, hearing loops have been the foundation for hearing-friendly, inclusive communities throughout the United States, Europe and now Canada.
User Benefits
Some of the many reasons hearing loops are the preferred assistive listening system by the majority of people with telecoil-enabled hearing aids and cochlear implants, and streamers:
The Impact of T-Coils
A 2014 study reported by Hearing Review asked 866 adult users of T-coil equipped hearing aids and cochlear implants to rate their ability to understand speech in places such as places of worship, theaters and auditoriums and conference rooms.
Less than 14 percent rated their ability to hear without a hearing loop above a seven. However, while listening in a looped area, 86 percent rated their experience between eight and ten.

Venue Benefits
Hearing loops also provide significant advantages to venues, including:
Hearing loops deliver intelligible, distortion-free speech and sound in places of public accommodation where distance, ambient noise and challenging acoustics otherwise make listening and understanding with hearing aids and cochlear implants virtually impossible.
Graphic Courtesy of Contacta Inc. and the Hearing Assistive Technology Group
Technically known as Audio Frequency Induction Loop Systems (AFILS), hearing loops consist of a special amplifier and a hidden copper wire that transmits sound via a magnetic field. The wire creates a “looped zone” in any size venue from a large auditorium to a taxi. The wire sends the magnetic signal to any hearing device with a telecoil within the zone. A telecoil, or t-coil, is a small, inexpensive coil of wire inside a hearing aid that allows it to become a wireless receiver.
Telecoils provide people with hearing loss, what wheelchair ramps provide people with mobility challenges – access. Telecoils are the essential gateway to hearing aid compatible assistive listening for people with hearing aids and cochlear implants. Telecoils receive the magnetic sound signal inside looped venues and also enable listening via infrared and FM system signals with the use of neckloops.
Consumer research indicates that, with the exception of the very smallest hearing aids that are invisible and fit completely in the canal, 81 percent of hearing aid models either come with t-coils or offer t-coils as an option. All cochlear implant processors have t-coils.
When buying a hearing aid, consumers should always ask that a telecoil be included and that the audiologist or dispenser activate the telecoil program at the time of fitting and explain its use. Note, although one can access a telecoil via a streamer, it is much easier to use if it is installed as a program in the hearing aid.
Hearing loop systems serve all people with hearing loss who wish to improve their ability to understand speech and sounds. As with FM and Infrared (IR) systems, hearing loops also offer accessibility via portable receivers and headphones or ear buds. You can also use a telecoil equipped streamer, personal amplifier or special telecoil-equipped ear buds and a smartphone.
When comparing loop system costs to alternative listening systems, consider this: a system that costs slightly more, but has many more users, will be most cost-effective. Hearing loops provide the greatest user satisfaction, are always used, and are preferred by staff because they are the easiest to administer and maintain. Also, loop systems require fewer portable receivers and headphones for those without telecoil-enabled hearing aids.
The cost of a looped system varies greatly depending on the location, size and construction of the venue. The following ranges are to provide loose estimates only:
- Ticket windows, pharmacy counters, information desks can cost $750 to $1,500
- Conference rooms or small places of worship may cost between $4,500 and $8,500
- A larger venue, such as a senior center, large place of worship or school auditorium can range from $7,500 to $47,500
- The largest venues, such as performing arts centers or stadiums may cost anywhere from $95,000 to $210,000.
Hearing loops generally cost less when installations are done as part of new construction or renovation projects. This is because it may be easier to identify and overcome potential obstacles and because floors and ceilings may already be exposed, reducing labor costs for installers who do not need to lift existing carpets or flooring.
A hearing loop should be considered an investment in the venue’s or community’s hearing access infrastructure.
Facility managers and decision-makers should choose only trained and experienced loop installers willing to provide references. Installers should confirm that the installation meets the international standard IEC 60118-4 as developed under the auspices of the IEC (International Electrotechnical Commission). This standard defines the strength of the magnetic field, the frequency response and methods of measuring these requirements. It also specifies the maximum levels of electromagnetic background noise.
For more detailed information about hearing loops and proper loop installation and maintenance, download the Hearing Loop Systems: A Guide to Best Practice for Service Providers. This guide, provided by the International Hearing Loop Manufacturers Association (IHLMA), has been designed to help to ensure that whatever investment is made produces the best possible results for both the venue service provider and the end user.
Loop technology was pioneered in Europe where it is widely embraced and highly successful. When hearing accessibility in the United States was made a requirement of law in 1990 under the Americans with Disabilities Act, no distinction was made between loop systems and less expensive FM or IR systems. Although the ADA did require that systems provide access to “effective communication,” people with severe to profound hearing loss – for whom FM and IR systems often fall short – were slow to mobilize advocacy for hearing loops.
In the United States, the ADA Standard for Accessible Design was updated in 2010 requiring that for renovation and new construction that at least 25% of receivers provided are hearing aid compatible—meaning that users do not have to remove their hearing aids to use the system. This dramatically raised the interest in and availability of hearing loops because loops are the only assistive listening systems that connect directly to telecoil-enabled hearing devices. The HLAA “Get in the Hearing Loop” communication access campaign has been an important catalyst in growing the number of hearing loops installed.
Over the past few years, Canada has made great strides in furthering accessibility legislation. We are hoping that with the help of the Get in the Hearing Loop communication we can help make Canada the global accessibility for the hard-of-hearing community – one loop at a time!
In North America, consumer-driven, nationwide advocacy for hearing loops began almost 20 years ago when David Myers, Ph.D., a professor of psychology at Hope College in Michigan, attended a religious service in an 800-year-old Scottish abbey with a hearing loop. Dr. Myers discovered that by pressing a button and activating the t-coils in his hearing aids, the words of the minister came into his ears – directly and crystal clear.
Dr. Myers’s subsequent enthusiasm—along with pioneering advocates in several states—sparked a growing loop advocacy movement in the U.S. In 2010, HLAA, in partnership with the American Academy of Audiology, joined the movement by launching Get in the Hearing Loop (GITHL), a campaign that has now become an ongoing program for HLAA. Over the years, the Get in the Hearing Loop campaign has heightened awareness around accessibility for the hard of hearing community and education on the benefits of hearing loops as the preferred hearing assistive technology.
In July 2019, Canada introduced the Accessible Canada Act for a barrier-free Canada. With the recent historic appointments of Stéphanie Cadieux as Canada’s first Chief Accessibility Officer and Michael Gottheil as Canada’s first Accessibility Commissioner, there is a strong emphasis on the Accessible Canada Act for a barrier-free Canada.
With all of the great tools and resources available with the Get in the Hearing Loop communication access campaign – all stakeholders will now be able to continue to push and advocate for more and more loops as a way of creating hearing-friendly Canadian communities.