To be eligible for the current study, participants must:  have been eligible for and participated in the hearing intervention arm of the ACHIEVE trial (see original eligibility criteria below) agree to be randomized to receive continued hearing care via either a telehealth or conventional delivery model, and agree to participate in the follow-up study.  Original ACHIEVE Inclusion Criteria:  Age 70-84 years Community-dwelling, fluent English speaker Availability of participant in area for study duration Adult-onset hearing impairment, defined as four-frequency pure tone average (PTA, 0.5-4 kilohertz (kHz), better ear) ≥30 dB HL (decibels hearing level) & <70 dB HL Speech recognition scores in quiet ≥60% in better ear Mini-Mental State Exam (MMSE) score ≥23 for participants with high school degree or less, or ≥25 for participants with some college education or more  Original ACHIEVE Exclusion Criteria:  Reported disability in ≥2 activities of daily living (ADLs) Vision impairment (worse than 20/63 on the Minnesota Near Vision Card) Self-reported use of a hearing aid in the past 1 year Medical contraindication to use of hearing aids (e.g., draining ear) Unwilling to wear hearing aids on a daily basis Conductive hearing impairment with air-bone gap >15 dB in two or more contiguous frequencies in both ears