Since October 2022, the FDA has allowed over-the-counter (OTC) hearing aids for adults 18 and older with perceived mild to moderate hearing loss, sold without an exam, prescription or fitting. They are self-fitted through an app or built-in settings. Children, people with severe hearing loss, sudden hearing loss, ear pain or drainage, or loss in one ear only should see a doctor or audiologist. Compare fit, controls, rechargeable batteries, phone connectivity and the return period.
OTC hearing aids opened up a cheaper route to better hearing for many adults. They are not right for everyone.
When to see a professional first
- Children and teenagers under 18.
- Severe or profound hearing loss.
- Sudden hearing loss or loss in one ear.
- Ear pain, drainage, dizziness or ringing that is new.
- Hearing aids that are not helping after a fair trial.
OTC versus prescription
| OTC | Prescription | |
|---|---|---|
| Who | Adults with perceived mild to moderate loss | Any level of loss, any age |
| Fitting | Self-fitted | Fitted by an audiologist or dispenser |
| Price | Lower | Higher, often bundled with services |
| Adjustments | App or settings | Professional programming |
What to compare
- Style: behind-the-ear, receiver-in-canal or in-the-ear.
- Fit: dome sizes and comfort over a full day.
- Controls: app, buttons, automatic programs.
- Batteries: rechargeable versus disposable.
- Connectivity: phone calls and streaming.
- Return period and warranty: give yourself time to adjust.
Other hearing technology
Captioned and amplified phones, TV listening systems and visual alerting devices help with specific situations; see phones and TV and alerting devices.
For vision, see magnifiers, and for coverage questions, Medicare and equipment.
Browse hearing.
Common questions
Who can use OTC hearing aids?
Adults 18 and older who believe they have mild to moderate hearing loss.
Do I need a hearing test for OTC hearing aids?
No, but a hearing test helps you understand your loss and rules out medical causes. Many OTC aids include an app-based hearing check.
Does Medicare cover hearing aids?
Original Medicare does not cover hearing aids. Some Medicare Advantage plans offer hearing benefits.
What is the difference between an OTC hearing aid and a PSAP?
OTC hearing aids are FDA-regulated medical devices for hearing loss. Personal sound amplification products are for people with normal hearing who want to amplify sounds.