Hi bmcaninch
welcome to the Apple (user=to-user) Community!
Re: Can I purchase a single left ear AirPod Pro 2 with the hearing aid functionality?
We are all Apple users, like yourself, in the community, so we can not speak for Apple, or advise on individual hearing matters. A hearing professional would likely have the best advice for your hearing.
You can see a list of Apple phone numbers around the world (link below):
Contact Apple for support and service - Apple Support
You may be able to purchase one "replacement" for a "lost" AirPod 2, although you likely need a pair in order to set AirPods 2 up to work correctly on an iPhone, and for updating AirPods firmware from time to time: (NB: A charging case is needed to keep AirPod(s) charged.).
Info. about: AirPods Replacement, Repair, and Service - Apple Support
Also: The hearing aid functionality may or may not be available in your country or region.
There are three features, listed separately, in Apple Support's article below:
List of countries or regions where the Hearing Aid feature is available
AirPods Pro 2 - Hearing Health Feature Availability - Apple
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More details on using the three features:
✽ Take a Hearing Test with AirPods Pro 2 - Apple Support
✽ Use the Hearing Aid feature on your AirPods Pro 2 - Apple Support
✽ Use Hearing Protection with your AirPods Pro 2 - Apple Support ( U.S. and Canada only ).
All the best :-)