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Samba !


Knickohr
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Day 25.

 

Today we talk a lot about the studies of the Samba. Looks like the Samba is good, very good.

 

We changed nearly nothing. Only the new magnet #5 at the right side and we reduce gain in the lower frequencies at the right side too. These pair of hearing aids are nearly perfect for me. I win a lot of understanding back since the old days with the BAHA. And yes Ivana, I can left the Sambas on while I'm driving a car. No howling, no clipping, can hear the radio too. I didn't change programs und volume. It's like an natural ear.

 

Thomas

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Finally Thomas - using of Samba during driving without adjusting car-speakers is part of very liked new stuff: automatic adjust control is working here without mistakes.

As I can not compare (never had normal hearing) I am glad that you can confirm my belief that Samba works as normal ear ;)

I am still on my primary settings - testing which program is better for which situation. It seems there is hope for all programmes although I use them rarely as I am unilateral implantee.

Let's go further...

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Hi Ivana.

 

We only concentrate at program 1. If this is working perfect, we modify or activate the other programs.

 

Thomas

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Hi Thomas,

Ik have my BB and Amade nove for more than a year but the sound of the Amade lacks. I am a musician and play guitar and piano. Reading your post I get the impressiont that the Samba performs better than the Amade so my question to you is ihow you excperience live music sound?

Let me know because I am already thinking about having placing back the abutment for my Oticon soundprocessor only for live performances

The sound of piano, guitar and sound of sharp "s" clips the Amade or the sound is distorted. My audi says this is al I can do with the fine-tuning

 

Let me know if you have other experiences.

 

Best, Robby

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Last day with the SAMBAs :(

 

My health insurance didn't pay for the new processors and I have not that money for buying it by myself. I have to wait for an additional 3,5 years.

 

Robby, if you have clipping and distortion, there is something wrong with your fitting, or your hearing loss is more than the processor can correct. Do you have an audiogram ?  Can you show it us ?

 

Thomas

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Robby - there is significant difference between these 2 models. Music is very important in my life - I regularly enjoy classic and other types of music. Samba provides whole dynamic range which Amade doesn't if you wish to have speech recognition. Unfortunately, these 2 variables are connected.

My advice would be to try to test Samba and than decide what to do.

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Aaargh Thomas - so sorry... Amade is now pretty old device and does not provide enough :(

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Ivana, Amadé is NOT end of life. Med-El still sells it to a few countries. Until these countries have not committed the Samba, I get an Amadé. My primary care is Amadé, not Samba, so I only always going to get Amadé's until they had been taken off the market. That's the problem with the health insurance, they also only pay for the cheaper ones, except it is medically and audiologically indicated. But this isn't.

 

I have to wait. If time will tell, Samba comes ...

 

Thomas

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Thomas - when I wrote that Amade is an old device it's simply true. I know the difference because the opportunity to try both of models of the BB - and there is clear acoustic difference. Of course, this doesn't mean that Amade is not worth - it just underlines natural evolution where Samba is better from technical but also from subjective perspectuve.

From my perspective, I think it is not justified to have both models in the shop - there should be possibility to pay some difference. This would help to the Samba to disseminate better between interested parties.

I agree that insurances conduct our lives not always in most proper directions from our perspective.

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Yes Ivana, thats true.

 

But I have no opportunity to choose. My Amadés are really new and my health insurance didn't pay until the next 3,5 years for new Sambas. Thats really crazy, I know what is possible, but I cannot make it real :(

 

And if my Amadés are broken, I only get new Amadés until they are off-market.

 

The only thing I can do, is to wait ...

 

Thomas

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Oh...:(

Understand what are you writing - in Croatia even Amade you can't get from the insurance...:(

They basically don' understand the economy.

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So a couple of days have past now and I have been in contact with the Dutch Med-El country manager. I am going to test drive the Samba. Unfortunately the hospital or the insurance do not compensate the costs for the Samba. so must pay myself for it (€3900,== ex VAT !!)

I will keep you posted. If anyone out there has  more experiences with Samba and music I'd love to hear them

 

Robby

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You must pay the whole price ?

 

Is ist possible to pay the Amadé for insurance and then upgrade to Samba by yourself ?

 

A Samba-processor costs 4641€ (incl. VAT) in Germany.

 

Thomas

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You must pay the whole price ?

Is ist possible to pay the Amadé for insurance and then upgrade to Samba by yourself ?

A Samba-processor costs 4641€ (incl. VAT) in Germany.

Thomas

Thomas - are you sure? I was told it's 10k€ and this is an official data.

I am also little bit astonished that there is no upgrade option? Or perhaps this is - an upgrade option.

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@Thomas,

 

Unfortunately yes I have to pay the full price. It's the same price as in Germany. I got the pricing from the Dutch MedEl Country manager. It's a lot of money so I probably have to organize a fund raiser :-)

 I had my Amade "for free". It was donated by the hospital because I was joining a testgroup.

 

@Ivana,

Here in Holland we get an upgrade once every five years. But my health insurance has no compensation (yet) for the BB Amade and Samba so if you want one you must order it at MedEl's 

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Ivana, go to the Med-El online shop and ask for "your" price :

 

https://care.medel.com/shop/nc/login.html

 

Price is only for the processor, not for the whole implant with surgery and processor. In this case, it costs about 13.500€

 

Yes Robby, the "lifetime" for an hearing-aid here in Germany is also 5 years.

 

Thomas

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Robby,

Same as here in Croatia - we don't have BCI in any combination on our insurance list.

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Funny how things can be very different from country to country even though you are dealing with the same company

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Well Adam (what are you doin' here? ;)

In my country it's not up to the company than a state insurance company - they decide whether they will pay or not taking into account of the recomendations of the professionals.

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That's what I was saying. At least here in the U.S. Each hospital negotiates with the CI company how much they will pay. Take my hospital and a few others in SC. Back when AB was having some challenges, my hospital told them that they were going to wait 12 to 18 months before they would offer AB as an option as they wanted to make sure all the bugs were worked out. Not everybody did that.

As far as insurance companies, they decide how much they will cover of the CI. This can also vary from state to state.

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Mary Beth,

I think it is still in the process of recognizing by the FDA.

I know that because on the BAHA FB group it is totally unknown.

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Adam,

So hospitals get money from your insurance company to buy a CI for you?

We have one public procurement for a year or two where the Ministry of Health decide how much many they can allocate for the purpose of buying CI's. Then, the money is reallocate to the state insurance company which conduct a procurement process of getting best offer by the various CI companies. After the decision, the main hospital get all devices. If other hospitals want to make implantations for their patients they make claim from the main institution. All patients are discussed between implant surgeons and ENT doctors who make a propositions for their patients according to their meducal records.

Lots of administration - I would say...

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