Embodiments of packet loss concealment in a hearing assistance device are generally described herein. A method for packet loss concealment can include receiving, at a first hearing assistance device, a first encoded packet stream from a second hearing assistance device and a signal frame. The method can include encoding, at the first hearing assistance device, the signal frame and determining, at the first hearing assistance device, that a second encoded packet stream was not received from the second hearing assistance device within a predetermined time. In response to determining that the second encoded packet stream was not received, the method can include decoding, at the first hearing assistance device, the encoded signal frame, and outputting the signal frame and the decoded signal frame.