Over-the-counter (OTC) hearing aids are transforming access to hearing care for millions of Americans. Approved by the FDA in 2022, these hearing aids can now be sold directly to consumers without a prescription or visit to a hearing specialist. This shift was designed to improve affordability, accessibility, and independence for adults experiencing mild to moderate hearing loss.
With so many brands and options emerging, though, understanding what OTC hearing aids can (and can't) do is key to finding the right fit for your hearing needs and lifestyle.
Key Takeaways
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OTC hearing aids are for adults with perceived mild to moderate hearing loss and can be purchased without a hearing test or audiologist visit.
They offer a more affordable, accessible alternative but often lack the custom fitting and ongoing support of prescription hearing aids.
Choosing the right OTC hearing aid depends on your comfort with technology, degree of hearing loss, and expectations for support and performance.
What Are Over-the-Counter Hearing Aids?
Over-the-counter hearing aids are FDA-regulated devices designed for adults (18+) who believe they have mild to moderate hearing loss. They’re available online and in stores without needing a medical exam, hearing test, or professional fitting. Unlike traditional hearing aids, OTC models are self-fitted, meaning you’re in charge of setup and customization—often through a smartphone app or physical controls.
These devices became legal in the U.S. as of October 2022, following years of public health research and recommendations from organizations like the National Academies of Sciences and the National Institute on Deafness and Other Communication Disorders (NIDCD). The goal? Lower barriers to hearing care and help more people address untreated hearing loss sooner.
How Do OTC Hearing Aids Compare to Prescription Hearing Aids?
Cost Differences
One of the biggest selling points of OTC hearing aids is cost. Prices range widely—from about $200 on the low end to $2,500 or more for feature-rich models. That’s significantly lower than prescription hearing aids, which can cost $4,000–$8,000 per pair when bundled with professional services, fittings, and ongoing care.
Fit and Customization
Prescription hearing aids are professionally programmed based on your audiogram (hearing test results) and precisely adjusted to your ears. OTC devices, on the other hand, are usually one-size-fits-most. Some models offer self-fitting through an app, where you manually adjust settings like volume, pitch, or background noise filtering.
While this works well for many, others may find OTC options uncomfortable or less effective, especially if their ear canals are unusually shaped or their hearing loss is more complex.
Sound Quality & Features
High-end OTC models now offer impressive technology—Bluetooth streaming, directional microphones, feedback cancellation, and rechargeable batteries are becoming more common. Still, features like telecoil support (for public hearing loops), frequency-specific amplification, or tinnitus masking are more typical of prescription devices.
Sound quality also tends to be more refined in professionally programmed aids, especially for complex listening environments like restaurants or busy streets.
Support & Ongoing Care
Prescription hearing aids come with in-person support: fittings, follow-ups, cleanings, and repairs. OTC aids rely on you. While some brands offer robust phone or video support, others may only provide a manual and basic FAQ page. This can leave some users feeling frustrated—especially if setup is tricky or results are underwhelming.
Are OTC Hearing Aids Right for Me?
OTC hearing aids can be a good fit if you:
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Notice trouble hearing in group settings or noisy environments
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Frequently turn up the TV or ask others to repeat themselves
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Have experienced a slow, gradual loss in both ears over time
They are not recommended if you:
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Are under 18
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Have sudden hearing loss or hearing loss in just one ear
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Experience pain, dizziness, tinnitus, or discharge from the ear
These symptoms could signal an underlying medical condition that requires a professional diagnosis. According to the FDA, it’s always safest to consult a licensed hearing care provider if you’re unsure.
Where Can I Buy OTC Hearing Aids?
Today, you’ll find OTC hearing aids in many places:
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Retail stores like Walgreens, CVS, Walmart, Target, and Best Buy
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Online platforms like Amazon or directly through brand websites
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Specialty hearing companies like Audicus, which offer hybrid models with optional support
When shopping, pay close attention to trial periods, return policies, and whether support is included. A generous return window (30–60 days) gives you time to test the device in real-world conditions. When you purchase from Audicus online, you have a 100 day, risk-free trial.
How to Choose the Best OTC Hearing Aid for You
The best OTC hearing aid is the one that fits your lifestyle and comfort level with technology. Here are key things to consider:
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Ease of Setup: Does it walk you through the process clearly or require advanced tech skills?
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App & Controls: Can you adjust volume, modes, and tones easily through your phone?
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Comfort & Fit: Are multiple ear tips included? Is the device discreet or bulky?
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Sound Personalization: Can the aid be tuned to your specific hearing profile?
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Battery Life: Some models last a full day, while others require mid-day charging.
Also, check what kind of support is available—especially if this is your first hearing aid. Some companies offer video calls with specialists, while others may offer minimal help.
Common Challenges and Limitations with OTC Devices
Although OTC hearing aids are making hearing support more affordable, they come with challenges:
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Self-fitting can be confusing. Without in-person help, users may struggle to optimize settings.
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Comfort and retention issues. One-size-fits-all tips don’t work for everyone.
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Limited customization. OTC models often lack frequency-specific tuning that audiologists provide.
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Lower satisfaction among some users. Studies (like those from ASHA) show that while many users are satisfied, a portion find the experience difficult or the benefits limited.
That said, even a modest boost in hearing can significantly improve daily life. For people ready to try amplification on their own, OTC devices offer a convenient way to start.
Alternatives to OTC Hearing Aids
If OTC hearing aids feel too limited, consider these middle-ground options:
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Direct-to-consumer (DTC) hearing aids: These are sold online but include remote support and programming by licensed audiologists. Brands like Audicus, Lexie, and Eargo fall into this category.
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Personal Sound Amplification Products (PSAPs): Not meant for hearing loss, but can help in certain situations (like birdwatching or lectures). They are not FDA-regulated for hearing treatment.
What to Do Before Buying OTC Hearing Aids
Before making a purchase:
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Take a hearing test. Free online tests can help you gauge your needs.
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Set your expectations. OTC devices aren’t designed for severe or sudden hearing loss.
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Read customer reviews. Look for feedback on comfort, clarity, and ease of use.
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Ask about returns. A strong return policy lets you test with peace of mind.
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Consider starting with support. If this is your first time, choose a brand that offers some form of guidance.
Frequently Asked Questions
How do I know if OTC hearing aids will work for my hearing loss?
If your hearing loss is mild to moderate, affects both ears equally, and developed gradually, OTC hearing aids may be helpful. But getting a hearing test (even online) is the best way to assess suitability.
Can I return OTC hearing aids if they don’t work for me?
Yes, most reputable brands offer a return policy—typically between 30 and 60 days. Be sure to check the fine print before purchasing.
Are OTC hearing aids as good as prescription hearing aids?
It depends on your hearing needs. OTC aids work well for many, but prescription models offer more precise tuning and professional support.
Do OTC hearing aids help with tinnitus?
Some OTC aids amplify external sound, which may mask tinnitus. However, they typically lack the dedicated tinnitus features found in professional hearing aids.
Can audiologists help with OTC hearing aids?
Some will provide advice or adjustment support, but not all clinics service OTC devices. Call ahead to confirm.
