A Comprehensive Guide to Hearing Aids

Hearing loss is a widespread condition that can influence communication and everyday interactions. In recent years, developments in audio technology have introduced a wider range of hearing support devices. Among these are over-the-counter (OTC) hearing aids, which have emerged as an option that does not require a prescription or clinical fitting. Typically intended for individuals with mild to moderate hearing difficulties, these devices exist alongside traditional hearing aids as part of a broader spectrum of solutions. Exploring how such devices function, their potential applications, and relevant considerations may be useful when evaluating available choices

A Comprehensive Guide to Hearing Aids Image by John Schnobrich from Unsplash

What are over-the-counter hearing aids?

Over-the-counter hearing aids are a new category of hearing devices that can be purchased directly by consumers without the need for a prescription or professional fitting. These devices are designed for adults with perceived mild to moderate hearing loss and are regulated by the FDA to ensure safety and effectiveness. OTC hearing aids offer a more affordable and accessible alternative to traditional prescription hearing aids.

How do OTC hearing aids differ from traditional hearing aids?

The main differences between OTC and traditional hearing aids lie in the purchasing process, customization, and cost. Traditional hearing aids require a professional audiologist evaluation, prescription, and fitting. They are often more expensive and offer advanced features for various levels of hearing loss. OTC hearing aids, on the other hand, are designed for self-fitting and are generally less expensive, making them a suitable option for those with milder hearing loss who may not require extensive customization.

What are the key features to consider when choosing an OTC hearing aid?

When selecting an OTC hearing aid, several important features should be considered:

  1. Amplification range: Ensure the device can adequately amplify sounds within your hearing loss range.
  2. Noise reduction: Look for models with noise reduction technology to improve sound quality in noisy environments.
  3. Directional microphones: These help focus on sounds coming from specific directions.
  4. Bluetooth connectivity: This allows for easy connection to smartphones and other devices.
  5. Battery life and type: Consider rechargeable options or devices with long-lasting disposable batteries.
  6. Adjustability: Look for devices that offer multiple programs or smartphone app controls for personalized settings.

Who can benefit from over-the-counter hearing aids?

OTC hearing aids are primarily designed for adults with perceived mild to moderate hearing loss. They can be particularly beneficial for:

  1. Individuals who struggle to hear in noisy environments
  2. Those who have difficulty understanding phone conversations
  3. People who frequently ask others to repeat themselves
  4. Individuals who turn up the TV or radio volume higher than others prefer
  5. Those who have been putting off getting hearing aids due to cost or convenience factors

It’s important to note that OTC hearing aids are not suitable for children or individuals with severe hearing loss. If you’re unsure about the severity of your hearing loss, it’s advisable to consult with a healthcare professional before purchasing an OTC device.

How to get started with an over-the-counter hearing aid

Getting started with an OTC hearing aid is a straightforward process:

  1. Assess your hearing: Take an online hearing test or use a smartphone app to gauge your level of hearing loss.
  2. Research and compare: Look at different OTC hearing aid options, considering features, reviews, and prices.
  3. Purchase: Buy the chosen device from a retailer or online store.
  4. Set up and adjust: Follow the manufacturer’s instructions to set up and customize the device.
  5. Allow for adaptation: Give yourself time to adjust to the new sounds and settings.
  6. Seek help if needed: If you experience difficulties, consult the manufacturer’s customer support or a hearing care professional.

What are the costs and options available for OTC hearing aids?


Over-the-counter hearing aids offer a more affordable alternative to traditional prescription devices. Here’s a comparison of some popular OTC hearing aid options:

Product Provider Key Features Cost Estimation
Lexie B2 Powered by Bose Lexie Hearing Bluetooth, smartphone app, rechargeable $899 per pair
Jabra Enhance Plus Jabra 3-in-1 earbud design, water-resistant, app-controlled $799 per pair
Eargo 6 Eargo Nearly invisible, rechargeable, app-controlled $2,950 per pair
MDHearing VOLT MDHearing Rechargeable, noise reduction, feedback cancellation $599.98 per pair
Audicus Wave Audicus Bluetooth streaming, rechargeable, water-resistant $899 per pair

Prices, rates, or cost estimates mentioned in this article are based on the latest available information but may change over time. Independent research is advised before making financial decisions.


The introduction of over-the-counter hearing aids marks a significant step towards more accessible and affordable hearing health care. By offering a direct-to-consumer option, these devices empower individuals with mild to moderate hearing loss to take control of their hearing health without the need for multiple appointments or prescriptions. As the market for OTC hearing aids continues to grow, we can expect to see more innovative features and competitive pricing, further improving access to better hearing for millions of people.

This article is for informational purposes only and should not be considered medical advice. Please consult a qualified healthcare professional for personalized guidance and treatment.

The shared information of this article is up-to-date as of the publishing date. For more up-to-date information, please conduct your own research.