Well I defer to you regarding what is required by a commercial light plane pilot. But as a radio engineer myself, I do know a bit about Bluetooth.
The thing is that the hearing aid manufacturers do anything they can to reduce battery consumption. The batteries in a hearing aid are incredibly low powered. Receivers use relatively little power, but transmitters use a lot. So hearing aid transmitters only actually transmit when it’s essential. There are two separate use cases.
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If there is an app on a cellphone, then it will transmit to the hearing aid and there isn’t the same power restriction on a phone so the Bluetooth may well reach 50 or 60 feet to a hearing aid, but nothing will be coming back from that distance. In any case the FAA and other regulators aren’t worried about leaving Bluetooth switched on in flight mode, as evidenced by what Apple does with iPhones in flight mode - leaves Bluetooth on.
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Modern hearing aids worn binaurally (ie in both ears) use Bluetooth to talk to each other, for example to cancel noise or to focus on a person speaking in front of the hearing aid user. This is extremely low power because it can be on all the time. When this was first introduced by Resound, the word in the industry was that the rf link budget (that’s power out minus path loss) from one ear to the other was “marginable”. So nothing in that normal use of hearing aids is going to go more than about one foot.
In any case this question was posed by someone who is flying as a passenger on a commercial airline. I have flown on many commercial flights in the US, Europe and Africa in the last 15 years and no-one has ever asked me to put my hearing aids into a flight safe mode. And right now, the FAA advice is that Bluetooth on phones, tablets and laptops is fine all the time. Hearing aids aren’t even in question.