Last Updated on August 9, 2025 by Jonathan Javid Au.D.
Updated for 2025: Hearing loss affects millions of adults, and the cost of prescription hearing aids can be a barrier. Thanks to the FDA’s OTC hearing aid category, adults with mild to moderate hearing loss can now purchase hearing aids without a prescription or professional fitting. But are OTC devices the right solution for you?
As an audiologist, here’s a clear look at the pros, cons, and best-use cases so you can make an informed choice.
What Are OTC Hearing Aids?
OTC hearing aids are FDA-regulated devices for adults (18+) with self-perceived mild to moderate hearing loss. They’re sold online and at retail without a medical exam, prescription, or professional fitting. They’re self-fit, meaning you handle setup, app-based hearing tests, and adjustments.
Pros of OTC Hearing Aids
- Lower cost – Often around $800 per pair, compared with $4,000–$6,000 for premium prescription aids.
- Immediate access – Buy online, at pharmacies, or some clinics without waiting.
- Good for occasional needs – Helpful for TV listening and small, quiet gatherings.
- Designed for mild–moderate loss – A practical entry point for early hearing decline.
Real-World Example
If you mainly struggle with TV volume or one-on-one chats at home, OTC aids can be budget-friendly. If you want better speech clarity in noise, see why accessories and pro programming matter.
Cons of OTC Hearing Aids
- No personalized fitting – Lacks real-ear measurement and precision programming.
- Limited support – Less counseling, troubleshooting, and fine-tuning.
- Not for severe loss or children – Adults with significant loss and all children need prescription-grade solutions.
- DIY maintenance – You’ll clean domes, replace wax guards, pair to phones, and self-adjust via apps.
Who Should Consider OTC?
- Adults with mild–moderate hearing loss
- People comfortable with smartphone apps and self-setup
- Anyone seeking a lower-cost, entry-level option
OTC may not be ideal for people with cognitive decline, dexterity issues, or those wanting maximum performance in noise.
Why See an Audiologist First
Even if you plan to buy OTC devices, a comprehensive hearing test is smart. It can detect medical issues, confirm your loss level, and clarify whether OTC or prescription hearing aids fit your goals. Most insurance plans, including Medicare, cover hearing tests (CPT 92557).
FAQs
Do OTC hearing aids work as well as prescription aids?
No. Prescription devices typically deliver better speech clarity, noise management, and comfort because they’re fitted and fine-tuned by a professional.
Where can I buy OTC hearing aids?
Retail pharmacies, electronics stores, and reputable online sellers. Avoid unregulated “amplifiers” that aren’t FDA-approved.
Can I return OTC hearing aids?
Policies vary. Check the trial period and any restocking fees before you buy.
Bottom Line
OTC hearing aids are an affordable way to start hearing better if you have mild to moderate loss and are comfortable self-fitting. For best results, pair them with a professional evaluation and realistic expectations about performance in noise.
Ready to compare options? See my top hearing aid recommendations and learn more about how hearing aids work.
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