Cost of Over-the-Counter Hearing Aids
OTC hearing aid prices vary significantly, but you can expect to pay anywhere between $100–$3,000 for a single hearing aid. In contrast, prescription hearing aids pricing can be anywhere between $1,500–$6,000. While prescription hearing aids often contain more advanced technology or fitting features, functionality isn’t much different than current OTC hearing aids. OTC models are able to be sold at a much lower price point because they aren’t also helping cover overhead costs like office expenses and salaries of audiology office staff.
OTC hearing aids sold directly to consumers are often eligible for financing through the manufacturer or through third-party financing companies partnered with the manufacturer (audiologists or dispensers also often offer third-party financing). Financing may be offered in terms of up to 36 months or more, often with no interest for eligible buyers. Companies like Lexie and Audicus offer unique subscription plans that are similar to financing, where the cost of your hearing aids is broken down into monthly payments and combined with other perks and features to result in a monthly membership fee with a set commitment term.
How Can I Save Money on Over-the-Counter Hearing Aids?
In addition to the already lower cost of OTC hearing aids, there are other ways you may be able to save money on your purchase. Most insurance policies don’t cover hearing aids, but it can’t hurt to contact your insurance company directly as some policies may offer limited or situational coverage. Hearing aids can be eligible purchases under health savings accounts or flexible spending accounts, which allow you to use untaxed money for qualifying purchases. If you know you need two hearing aids, some models offer discounts for buying two instead of one. Lastly, many OTC hearing aid companies run deals and promotions, often resulting in significant savings.
Pros and Cons of Over-the-Counter Hearing Aids
Purchasing OTC hearing aids may seem like an excellent alternative to the traditional method of going through an audiologist, but OTC hearing aids aren’t the best option for everyone. Depending on your needs, complexity of hearing loss, and overall health history, OTC hearing aids have advantages and disadvantages.
They’re less expensive. For the most part, OTC hearing aids are less costly than prescription ones.
They’re convenient. When you buy OTC hearing aids, you’re able to skip the visit to the audiologist, which is great if you’re busy and pressed for time.
They’re effective. Many OTC hearing aids work just as well as prescription models.
OTC hearing aids offer fewer options for customization. Because an audiologist won’t fine-tune the settings for your OTC hearing aid, it may not be able to meet all your needs.
You don’t get the benefit of real ear measurement (REM). This is when an audiologist or dispenser measures the output of the hearing aid at different frequencies to ensure the prescription is being met. “Research shows that conducting REMs is the number one best practice one can do for positive patient outcomes,” said Dr. Faivre.
They’re not suitable for severe hearing loss. Most OTC devices won’t help people with severe forms of hearing loss.
Skipping an in-person exam isn’t always a good idea. Some forms of hearing loss have underlying causes that may require medical treatment that an OTC hearing device can’t provide.
The OTC hearing aid market is saturated. There are a lot of subpar devices out there misrepresenting themselves as medical-grade hearing aids, and consumers may not know how to tell the difference.
Many OTC hearing aids sacrifice high-tech Bluetooth streaming capabilities for affordability, but not all. If you want to stream music or take phone calls hands-free, you’ll need to budget for a hearing aid like the Jabra Enhance Select 200 model at $1,995 per pair.
Who Should Use Over-the-Counter Hearing Aids?
Research shows that the effects of impaired hearing impacts more people than we may have thought. In a study connecting hearing loss with healthy aging, researchers found: “Six of 10 people with moderate-to-severe hearing loss do not have hearing aids, and 70% of people between ages 65 and 84 do not use hearing aids.” This suggests that the implications of hearing loss extends far beyond communication. Hearing loss affects personal relationships, increases the chance of falls and other accidents, and has a negative impact on overall well-being.
According to the National Institute on Deafness and Other Communication Disorders, OTC hearing aids are suitable for adults with mild-to-moderate hearing loss. Many cases of hearing loss are complicated or exacerbated by other conditions, so it’s important to ensure your hearing loss doesn’t have an underlying cause before choosing an OTC hearing aid. Hearing loss is associated with comorbidities such as diabetes, heart disease, hypertension, high cholesterol, dementia, kidney disease, thyroid disease, and depression, noted Dr. Faivre.
Hearing loss combined with other symptoms like confusion, vertigo, or headaches may mean that you could have other conditions in need of treatment, or at least a more complex form of hearing loss that requires audiologist care.
You are likely a good candidate for OTC hearing aids if you:
- Are able to hear most of the time with some difficulty on occasion
- Your hearing loss is limited to low volumes or chaotic sounds where selective hearing is needed (like noisy public places)
- You have to ask people to repeat themselves during conversations, but can usually hear when things are repeated
- Your friends and family have expressed that they feel like you can’t hear as well as you used to
- You have no other physical symptoms or ailments
Online and In-Office Hearing Tests
If you’re unsure if you’re a good candidate for OTC hearing aids, you can take an online hearing test to screen yourself. However, it might be wise to get tested by a hearing professional for the most thorough results. Online hearing tests can help indicate whether you’re experiencing impairment, but they aren’t comprehensive and won’t be able to diagnose the cause of your hearing loss. Issues like wax buildup can reduce your hearing, but you could also have a more complex issue that warrants an audiologist consultation.
According to the Journal of the American Academy of Audiology, home hearing tests are accurate at establishing pure-tone air-conduction thresholds (presenting a pure tone to the ear through an earphone to measure sensitivity) and can be used to measure accurate air-conduction hearing thresholds (transmitting sound vibrations to the eardrum to identify obstruction or hearing loss in the outer, middle, and inner ear). They can help you determine whether you should pursue further testing, and taking them periodically can also let you know if your hearing loss is worsening.
These tests are easy to take and give you the means to evaluate your hearing from the comfort of your home, providing greater accessibility and a cost-effective option to test your hearing. If after taking an online test you find that you do in fact have hearing loss, you can schedule a visit with an audiologist for a full diagnostic test.
How to Find the Best-Fitting Over-the-Counter Hearing Aid
Fit is an important factor in selecting a hearing aid, and most OTC hearing aids will fit slightly differently. Besides fit, Shauna Hatcher, a member of the medical review board for the National Wellness and Public Health Network, said the warranty, trial period, and modification capability are the most important considerations when purchasing a hearing aid. Things to look for to find the best-fitting and most suitable OTC hearing aid include:
- Warranty: Look for products that come with at least a one-year warranty. Ideally, brands will also include loss, damage, and repair coverage with your purchase.
- Trial period: “Most manufacturers provide at least a 30-day trial period,” said Hatcher. However, she warns that some brands have nonrefundable fees that you may still have to pay even if you decide to return the device. Make the most of your trial period by using your hearing aid in as many situations as possible, like going to a movie, eating at a restaurant, or seeing live music if that’s something you do often.
- Modifications: Ask whether repairs and modifications are included in the price. “You may wind up paying more for a hearing aid that includes continuing care, but the peace of mind is frequently worth it,” said Hatcher.
- Fit: Unlike a custom-fitted prescription hearing aid, there’s likely to be some trial and error with an over-the-counter device. A hearing aid should fit snugly so it doesn’t move around, but it should ultimately be barely noticeable. To ensure you get the best fitting device, choose hearing aids that come with a free trial period. And if the fit isn’t right, you can return the devices for a full refund.
Bottom Line
With so many OTC hearing aid devices on the market today, shopping for one can be a confusing experience. But several brands offer high-quality non-prescription hearing aids that you can easily buy online. If you experience mild-to-moderate hearing loss and are comfortable purchasing a hearing aid without an audiologist consultation, there are plenty of affordable and low-risk options available to suit your needs.
Steph Coelho contributed to this report.