Saving on Hearing Aids: Over-the-Counter Options Explained
Over-the-counter hearing aids have made hearing help more accessible for many adults. Learn who they are designed for, how they differ from prescription aids and how to shop wisely.
The short version
- OTC hearing aids are designed for adults 18 and older with perceived mild to moderate hearing loss.
- They are sold without a prescription and often cost less than prescription hearing aids.
- A hearing evaluation can help you decide which option fits your needs.
In this guide
Hearing aids can make a meaningful difference in how easily you follow conversations and stay connected with others. Cost has long been a barrier, since Original Medicare does not cover hearing aids. In 2022, the U.S. Food and Drug Administration established a category of over-the-counter (OTC) hearing aids, creating a more affordable option for many adults.
What are OTC hearing aids?
OTC hearing aids are FDA-regulated devices that can be purchased without a medical exam, prescription or fitting by an audiologist. They are sold in pharmacies, retail stores and online.
They are designed for:
- Adults 18 and older
- People with perceived mild to moderate hearing loss
Signs of mild to moderate hearing loss may include trouble hearing in noisy places, asking people to repeat themselves, or turning up the TV louder than others prefer.
OTC hearing aids are not designed for:
- Severe or profound hearing loss
- Children
- People with certain symptoms that need medical attention
When to see a professional first
The FDA advises seeing a doctor or hearing professional if you have:
- Sudden hearing loss
- Hearing loss in only one ear, or much worse in one ear
- Ear pain, drainage or a feeling of fullness
- Dizziness
- Ringing in only one ear
Even if you plan to buy OTC hearing aids, a hearing test can help you understand your hearing and choose an appropriate device.
OTC vs. prescription hearing aids
OTC hearing aids
- Typically lower cost
- Self-fitting, often using a smartphone app
- No professional fitting or follow-up included in many cases
- Suitable for mild to moderate hearing loss
Prescription hearing aids
- Fitted and programmed by an audiologist or hearing instrument specialist
- Suitable for all degrees of hearing loss
- Often include follow-up adjustments and service
- Generally higher cost
Shopping tips
- Check the return policy and trial period. It can take time to adjust to hearing aids.
- Look at the warranty and what it covers.
- Consider battery type. Rechargeable options are convenient; replaceable batteries may be easier for some people.
- Check app requirements. Some OTC aids require a smartphone for setup and adjustments.
- Look for comfort and controls that are easy for you to use if you have limited dexterity.
- Read the label. FDA-authorized OTC hearing aids must include specific labeling. Be cautious of "personal sound amplification products" (PSAPs), which are not hearing aids.
Other ways to save on hearing care
- Medicare Advantage plans sometimes include hearing exams and allowances for hearing aids.
- Some state programs and nonprofits help eligible people with hearing aid costs.
- University audiology clinics may offer lower-cost services.
- Membership organizations sometimes offer discounts.
- Veterans may be eligible for hearing care through the VA.
- Health savings accounts (HSAs) can generally be used for hearing aids.
Give yourself time to adjust
New hearing aids can make sounds seem loud or unfamiliar at first. Wear them regularly, start in quieter settings and gradually increase use. If you are not satisfied, use the trial period to adjust or return them.
Terrameritavi is an independent publication. This article is general information, not medical advice.
