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Thank you for your inquiry! The Insignia™ Optical/Coaxial Digital-to-Analog Audio Converter (model NS-HZ313) is designed to convert digital audio signals to analog audio signals, which can be useful for connecting older audio equipment to newer TVs. However, it does not have Bluetooth capabilities or direct support for pairing hearing aids. To connect hearing aids to your Roku TV, you would typically need Bluetooth-enabled hearing aids and a compatible Bluetooth transmitter or use the Roku app on your smartphone to stream audio directly to your hearing aids.
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