If your hearing aid is made from Apple, you're probably going to be locked in to Apple products for as long as you don't replace your hearing aid.
It is probably simply that it isn't so absolutely difficult for Apple to start making these. The company is already experienced in making small electronics, earbuds, and things like this.
This is what made them extremely expensive for a good part of their history. Adaptability and auto-adaptability.
Also, they're very small electronics for what they do.