Last Updated on August 27, 2025 by Jonathan Javid Au.D.
Industry-Wide Averages
- Studies and industry reports suggest OTC hearing aids have return rates between 15% and 30% (Wall Street Journal).
- In comparison, prescription hearing aids typically see return rates of only 6%–10% (Wall Street Journal).
- Some retailers and manufacturers have reported even higher OTC return rates, highlighting the variability across brands.
Brand and Retailer Examples
- Eargo: As a direct-to-consumer hearing aid company, Eargo has reported return rates around 34%–36%, with customers citing poor fit or insufficient amplification as key reasons (AudioXpress).
- Abt Electronics: The retailer discontinued OTC hearing aid sales after experiencing a 40% return rate (Pacific Hearing Inc).
- Other companies have worked to reduce returns by offering enhanced customer service and remote support, showing that assistance plays a major role in satisfaction (WSJ).
Why Are OTC Hearing Aids Returned So Often?
Several common themes explain the higher return rates:
- Fit and Comfort Issues
Without professional fitting, many users struggle with comfort or experience feedback (whistling). See our guide on when to change domes, tubing, and wax traps to understand how much proper fit matters. - Sound Quality Concerns
Some OTC devices don’t provide the same clarity or customization as prescription hearing aids, leaving users disappointed. If background noise is a concern, our article on the best hearing aids for background noise may be helpful. - Lack of Professional Support
Audiologists fine-tune prescription devices and provide counseling—support that’s often missing when buying OTC. Learn more about the adjustment period in our guide on how long it takes to get used to hearing aids. - Unrealistic Expectations
Many people expect OTC devices to perform like advanced prescription hearing aids, but the technology and features are often more limited.
What Happens After a Return?
Interestingly, research suggests that about 60% of people who return an OTC hearing aid eventually purchase a prescription model (Pacific Hearing Inc).
This trend reinforces the value of professional support and highlights that, while OTC hearing aids work well for some, they may not be the right solution for everyone. For more on prescription options, check out our comparison of ITE vs. BTE hearing aids.
OTC vs. Prescription: Return Rate Comparison
| Hearing Aid Type | Typical Return Rate |
|---|---|
| OTC Hearing Aids | 15% – 40% (commonly around 34%) |
| Prescription Hearing Aids | 6% – 10% |
What Consumers Should Do
If you’re considering OTC hearing aids, here are some practical steps:
- Check the Return Policy: Always verify how long you have to try the device risk-free.
- Start With Realistic Expectations: OTC hearing aids are best suited for mild to moderate hearing loss.
- Look for Support Options: Some companies offer remote adjustments, apps, or virtual consultations.
- Don’t Rule Out Prescription Aids: If OTC doesn’t work, prescription hearing aids may offer better long-term value.
You can also read our article on when to wear hearing aids to understand how daily use impacts satisfaction.
Conclusion
Return rates for OTC hearing aids are significantly higher than prescription devices, reflecting the challenges of self-fit technology and limited support. While OTC hearing aids can provide affordable, accessible solutions, they aren’t the right fit for everyone.
For many users, especially those with more than mild hearing loss, working with an audiologist remains the best path to lasting success with hearing technology.