Step 1: Hearing Test-Obtain a full audiometric evaluation by a certified audiologist Step 2: Determine Insurance Eligibility– Unlike hearing aids, cochlear implants may be covered by medicare.  They are also covered by many insurance plans and typically Medicaid. Step 3: Meet with an otolaryngologist: To confirm medical and audiological qualifications-Cochlear implant surgery is a fairly routine outpatient procedure under general anesthesia. Step 4: Activation: 4 weeks after surgery you will meet with your audiologist to activate your cochlear implant. You will begin to hear sounds at this appointment. Step 5: Aural rehabilitation and Care: Your brain will need to be retrained to hear and identify sounds.  You will be given tools to practice rehabilitation techniques at home as well.