I am in support of over-the-counter hearing aids because they are helping provide hearing assistance to those who need it

How to Improve the Performance of a Lexie B1 (Over-the-Counter) Hearing Aid| An Audiologist’s Advice

11/13/2022 | Hearing Aids, Industry News, Patient Resources, Technology, Troubleshooting

If you have stumbled upon this article, I think it is safe to assume that you have purchased the Lexie B1 hearing aids by Bose, and you are not as satisfied as you were hoping to be.

First things first, I want to give you my admiration.

You, like many others, have made the choice to address your hearing challenges. Perhaps at one time, a visit to an audiologist may have held you, or others purchasing over-the-counter hearing aids, back. Therefore, I am in support of over-the-counter hearing aids because they are helping provide hearing assistance to those who need it.

The Lexie B1 hearing aid is a great place to start your hearing aid journey and a good place to start exploring how technology can help you hear better. But there are some limitations with self-fitting devices.

In this article, I am going to share with you four tips that will help you improve the performance of your Lexie B1 device, and I will also provide an invitation for you to visit us to receive any further support.

bose lexie b1 hearing aid

Tip #1 – The Fit Matters

While prescription hearing aids often use “custom earmolds” which ensure that a hearing aid fits perfectly within the individual’s ear, OTC devices provide several different tips, and the user must choose for him or herself which one fits best.

If you have chosen the wrong tip and find that your hearing device is falling out or uncomfortable, then check your box to find the other tip options. Try out several of the different sizes in order to find the most comfortable fit.

You want your OTC device to fit securely in your ear, not be at risk of falling out, and certainly not be uncomfortable.

Tip #2 – Understanding the “Listening Bubble”

Your Lexie B1 device has a little microphone which picks up sound and then amplifies those sounds into your ears.

How clear or loud the sound is, is heavily determined by something we call the “listening bubble.” This is essentially the distance the microphone is designed to amplify sound within.

Here’s an example: If you are in a room without a lot of noise, then your “listening bubble” will make for a comfortable experience to hear the conversation in. But, if you are at a party or a place with a lot of background noise, then you will find that your microphone will pick up and amplify all of the noise, not just the conversation you are trying to have.

This is one of the ways in which over-the-counter devices and prescription hearing aids differ. While OTC devices work as amplifiers, prescription technology ensures that you only pick up the sounds/tones that your natural hearing would otherwise miss.

Receive a Valuation Quote on Your Existing Hearing Aids

Tip #3 – Minimize Background Sounds

While perhaps obvious, this tip is still very important.

When using your Lexie B1 devices, try and limit background noises in your environment. As an example, when you are having a conversation, turn off the TV or move to a position in a room where the background noise is lessened.

Additional noises will be picked up by your microphone and amplified, and since most of the noises are foreign to our brains and not typically processed, this will make for an odd experience.

Tip #4 – Schedule an Accurate Hearing Test

In my opinion, this is probably the most important tip, because unless you have had your hearing tested recently, it is going to be challenging for your OTC device to deliver on its promises with only the built-in standard settings.

For this reason, we use the analogy of over-the-counter devices being compared to “readers.” They deliver a one-size fits all amplification tool for many, but they are not based on a prescription.

I encourage you to visit an audiologist in order to have an accurate and thorough hearing assessment. You may discover that you can change some settings on your OTC device to hear even better, or you might find out that your hearing challenges are a result of something more, or different, than traditional hearing loss.

How Can We Help?

If you have tried the preceding tips and are still not satisfied with the performance of your Lexie B1 OTC hearing aids, then it might be time for you to come in and visit our team for a performance evaluation.

How Does a Performance Evaluation Work?

  • You’ll be able to schedule a 30-minute appointment at one of our four locations across Fall River, Hyannis, Dartmouth, and Falmouth.
  • A hearing care professional will be able to review the settings, the fit, and the quality of your OTC device to pinpoint ways to enhance performance.
  • If this doesn’t achieve the performance enhancements that you’re looking for, then a professional hearing evaluation may be beneficial as well as a comparison test to prescription technology so that you can truly understand the differences.
  • A performance evaluation is fairly priced at $75.00 (including an additional billing to your insurance if a professional hearing evaluation is required).

To schedule your Performance Evaluation, contact your local office or request a callback by clicking here.

Do you know somebody that needs to see this? Why not share it?

Nancy Duncan, Au.D.

Dr. Nancy Duncan graduated from Somerset High, Somerset, MA in 1991 and received her B.S. in communication disorders and psychology from Worcester State College. Her master of science in audiology was awarded at the University of Arkansas in 1997, after which she worked for several private audiology practices in Arkansas, Rhode Island, and Massachusetts. Returning to the area in 2003, Dr. Duncan founded Duncan Hearing Healthcare, allowing her to apply her passion to her community through rehabilitative audiology and individual patient care. She earned her clinical doctorate in audiology degree from the Pennsylvania College of Optometry (now Salus University) in 2005. Her passion for her family and community is an integral part of what drives her to provide trustworthy, professional hearing healthcare to her patients.

    Request a Callback

    Would you like to speak to one of our hearing care professionals to discuss your hearing health challenges? Then simply complete this form and we’ll call you back.

    • This field is for validation purposes and should be left unchanged.



    This field is for validation purposes and should be left unchanged.

    Fall River








    Patient Care Coordinator at a Fast-Growing and Locally Respected Hearing Care Practice

    This isn’t just a “job”. It’s an opportunity to be part of a locally respected and passionate group of people that have built a stellar reputation as the most caring, trustworthy, and experienced audiological groups in Fall River, Dartmouth, and Hyannis.

    We’re now seeking somebody that wants to join our “family” and shows the same commitment that we show our staff and be part of shaping our future, as a Patient Care Coordinator.

    We have 3 positions to fill, 1 full time, 1 part time with the opportunity to grow into a full time role, and 1 part time.


    If you want to know more about who we are and whether our company culture is right for you, before further investing your time in this job advert, then please click here.


    As you’re still reading, you must like what you’ve seen.

    The truth is, we’ve developed a very special culture, and we’re absolutely committed to maintaining it. The person that we hire must be a great fit, and we’re prepared to wait until the perfect match comes along.

    Although your experience plays a key role in this process, your personality traits and attitude are the number one priority. If this is how your co-workers and friends would describe you, then we may be the ideal match:

    • Always happy, smiles a lot, positive attitude, always a pleasure to be around.
    • Friendly, warm, an extrovert, a people person – this comes across the very first time you meet someone, even on the telephone.
    • Patient, compassionate, helpful especially with older people. Even temperament, calm, always pleasant, unflappable. Has a knack for being able to turn a frown into a smile.
    • Committed, dedicated, a great teammate, pitches in without being asked, puts team accomplishments ahead of individual accomplishments.
    • Accurate, detailed, gets things right, double checks their own work, makes very few mistakes
    • Owns it, credits others for successes, and accepts responsibility for failures. Always finds a constructive way to solve a problem.
    • Coachable, doesn’t get defensive, accepts feedback with a positive attitude. Always looking for ways to grow and improve.
    • Reliable, dependable, doesn’t just arrive on time, but often comes in a little early to make sure they’re prepared for the day; willing to stay late when there’s work that needs to be done.

    These statements also describe the people you’ll be working alongside, meaning that you’ll quickly discover that this is much more than a group of co-workers, it feels like a family.

    We have spoken about whether you’re the right fit for this role and you’re still reading which indicates that you have the personality traits/attitude that we’re looking for. So, let’s now look at the specific duties of the role.

    As a Patient Care Coordinator the right candidate will play a critical role in helping deliver patient success.

    You will be playing a critical role in helping patients and being the problem solver that ensures patients remain happy, the audiologists can deliver hearing healthcare, and the business runs seamlessly.

    Duties include:

    • Scheduling & confirming patient appointments, check-ups and physician referrals.
    • Ultilize electronic database system
    • Managing phone calls, checking messages, returning missed calls, changing greeting when necessary
    • Checking patients in & out of appointments
    • Working directly with insurance companies to determine patient specific coverage and understanding current HIPAA laws
    • Insurance billing
    • Data entry & record keeping
    • Troubleshooting minor hearing aid issues
    • Collecting and recording payments

    If the above sounds like the kind of role that you have been waiting for, at the type of practice that you want to be part of, then here’s what we’re looking for from you.

    • Strong interest in patient care and hearing health
    • Knowledge of Microsoft Office
    • Experience with electronic database systems

    You’re still here, so you must like the sound of our company culture, believe you’re the right personality fit for the role, and have the experience/qualifications that we’re looking for.

    Finally, let’s discuss the wage and benefits of being part of this journey.

    The salary is negotiable based on experience and includes a structured career-journey for growth that can see our experienced members of the team working their way through different wage brackets, as well as benefiting from a high-rewarding commission structure.

    Additional benefits include:

    • Life insurance
    • Paid time off
    • Retirement plan

    The working schedule is:

    • 8 hour shift for full time employees
    • Day shift
    • Monday to Friday

    If you believe that this is the right fit for both you and us, then we would love to talk.

    Please send your resume over as well as any additional information that you believe will make you stand out and capture our attention.

    We very much look forward to hearing from you.