Hearing loss affects millions of people worldwide, and the demand for hearing aids has never been greater. With advancements in technology, individuals with hearing loss now have more options to choose from when it comes to finding the right hearing aid for their needs. Among these options, two categories stand out: over-the-counter (OTC) hearing aids and prescription hearing aids.

In this article, we will go into the world of hearing aids, exploring the key distinctions of OTC hearing aids vs prescription hearing aids. Understanding these differences is crucial for anyone seeking a hearing aid solution, as it can greatly impact the effectiveness and suitability of the device. By gaining insights into the benefits and limitations of each type, you can make an informed decision and find the perfect fit for your unique hearing needs.

So, whether you’re considering purchasing a hearing aid for the first time or looking to upgrade your current device, join us as we navigate the landscape of OTC hearing aids vs prescription hearing aids, and uncover the factors that can guide your decision-making process.


In order to get a diagnosis for your hearing it is important to consult an audiologist. Independent of whether you would like to purchase over-the-counter (OTC) hearing aids or prescription hearing aids there are some important reasons why an audiologist’s involvement is crucial [1]:

  1. Accurate Diagnosis: Audiologists can accurately assess hearing abilities and recommend the most suitable treatment options based on factors such as lifestyle, age, and severity of hearing loss.
  2. OTC Hearing Aids for Mild Hearing Loss: OTC devices are effective for mild to moderate hearing loss but may not be suitable for more severe cases. Professional help ensures the best outcomes.
  3. Professional Support and Guidance: Audiologists provide expert advice, follow-up care, and personalized treatment plans to optimize hearing improvement. They also offer guidance on managing hearing conditions and incorporating lifestyle changes.
  4. Follow-up Care: Regular checkups and tune-ups by an audiologist are essential to ensure optimal performance and address any issues with hearing aids over time.
  5. Answering Questions: Audiologists offer comprehensive answers to questions about hearing loss, different technologies, appropriate hearing aid levels, and related costs.

Having an audiologist involved in the treatment of hearing loss ensures a better experience and improved outcomes. 

What Are OTC Hearing Aids?

Image Credit: Sony

OTC hearing aids are designed to assist adults with perceived mild-to-moderate hearing loss, providing support in specific listening situations rather than comprehensive hearing assistance. These aids are particularly beneficial for individuals who generally have good hearing but face occasional challenges in communication.

Let’s have a look at OTC hearing aids vs prescription hearing aids. In the past, devices fitting the traditional definition of hearing aids were labeled as “prescription hearing aids” and obtained through audiologists. However, the FDA now classifies them differently. OTC hearing aids have limitations in terms of loudness output and features compared to prescription hearing aids.

While both types of devices share some features, there is a significant variation in customization, functions, and computer processing capabilities. It’s worth noting that the market for OTC hearing aids is dynamic, with new models constantly emerging, offering a range of variety, quality, and features [2].

Benefits of OTC Hearing aids

Image Credit: Sony

In this paragraph, we will present the advantages of OTC hearing aids, shedding light on their potential impact on overall health and quality of life. However, it’s important to recognize that severe hearing loss and specific age groups may still require prescription hearing aids.

Let’s have a look at the benefits and considerations of OTC hearing aids and understand how they can positively influence the lives of individuals with mild to moderate hearing loss [3]:

  1. Early Intervention and Prevention: OTC hearing aids can encourage individuals to seek help earlier for their hearing loss, which can potentially prevent other health conditions and improve overall quality of life.
  2. Mental Well-being: Research indicates that hearing loss can contribute to depression, possibly due to increased social isolation and changes in brain structure. Using hearing aids, including OTC options, can alleviate these effects and support mental well-being.
  3. Cognitive Function: There is a possible connection between hearing loss and cognitive decline or dementia. Studies suggest that using hearing aids, including OTC models, may help improve cognitive function.
  4. Increased Accessibility: Currently, only a quarter of adults who could benefit from hearing aids actually use them. OTC hearing aids can increase accessibility, making it easier for more individuals, especially older adults, to obtain affordable and effective hearing assistance.
  5. Cost-Effective Solution: OTC hearing aids are generally more affordable than prescription hearing aids. The FDA aims to lower healthcare costs by promoting the availability of safe and effective OTC hearing aids.
  6. Convenient Access: OTC hearing aids eliminate the need for medical exams, prescriptions, and fittings with audiologists. This streamlined process improves accessibility for individuals with mild to moderate hearing loss.

It’s important to note that individuals with severe hearing loss or those under 18 still require prescription hearing aids.

What Are Prescription Hearing Aids 

Prescription hearing aids are advanced hearing devices that are recommended and prescribed by an audiologist or hearing healthcare professional. These devices are specifically tailored to meet the individual needs of people with varying degrees of hearing loss, including mild, moderate, severe, and profound. Unlike over-the-counter (OTC) hearing aids, prescription hearing aids require a thorough evaluation, diagnosis, and fitting process conducted by a professional.

Prescription hearing aids offer a higher level of customization and sophistication compared to OTC devices. They are designed to address specific hearing needs and can be adjusted and programmed based on the individual’s unique hearing profile. These devices provide a wide range of features and advanced technologies that help improve sound quality, speech understanding, and overall listening experience.

The prescription hearing aid fitting process involves selecting the most suitable device based on the individual’s hearing loss characteristics, lifestyle requirements, and personal preferences. The audiologist conducts comprehensive assessments, including detailed audiometric testing, to determine the appropriate amplification settings and programming adjustments for optimal hearing correction.

Prescription hearing aids also provide ongoing professional support and follow-up care. Audiologists can fine-tune the settings of the devices, make necessary adjustments, and provide maintenance services to ensure optimal performance. They offer guidance on proper usage, troubleshooting assistance, and counseling on hearing conservation and communication strategies.

Overall, prescription hearing aids are recommended for individuals with various degrees of hearing loss who require a higher level of customization, performance, and professional support to address their specific hearing needs effectively.

Benefits Of Prescription Hearing Aids

Prescription hearing aids offer a range of benefits that make them a preferred choice for individuals with hearing loss. Here are some of the key benefits of prescription hearing aids:

  1. Customized and Personalized Solution: Prescription hearing aids are tailored to meet the unique needs of each individual. Audiologists conduct thorough assessments to determine the precise degree and type of hearing loss, allowing them to program the devices to provide optimal amplification for specific frequencies and sound environments. This customization ensures a more accurate and personalized hearing experience.
  2. Advanced Technology and Features: Prescription hearing aids incorporate the latest advancements in hearing aid technology. They offer a wide array of features such as noise reduction, feedback cancellation, directional microphones, and Bluetooth connectivity, among others. These features enhance speech understanding, reduce background noise, and improve overall listening comfort and convenience.
  3. Improved Sound Quality: Prescription hearing aids are designed to deliver high-quality sound that closely resembles natural hearing. They offer superior clarity, allowing individuals to better distinguish speech sounds and subtle nuances in various listening situations. This can significantly improve communication and overall quality of life.
  4. Better Speech Understanding: Prescription hearing aids are specifically designed to enhance speech intelligibility, making it easier for individuals to understand conversations, even in challenging listening environments. They amplify speech sounds while suppressing background noise, ensuring that important speech signals are clear and prominent.
  5. Professional Support and Follow-up Care: When obtaining prescription hearing aids, individuals have the advantage of ongoing professional support and follow-up care from audiologists. These professionals can fine-tune the devices based on the individual’s feedback and perform regular check-ups to monitor hearing health and address any concerns or issues that may arise.
  6. Long-Term Value: Although prescription hearing aids may have a higher upfront cost compared to OTC devices, they offer long-term value. These devices are typically built to last and are more durable. Additionally, the professional support, customization, and advanced features provided by prescription hearing aids contribute to a better overall hearing experience and a higher level of satisfaction.

In summary, prescription hearing aids provide customized solutions, advanced technology, improved sound quality, better speech understanding, professional support, and long-term value.

How Are Prescription Hearing Aids Different Than OTC?

Cost range$200–$4000 per pair$2400–$6150 per pair
Battery Lifeup to 20 daysup to 20 days
Warranty 1–3 years1-year minimum

Prescription hearing aids require a medical evaluation and prescription from a licensed audiologist, while OTC hearing aids can be purchased without a prescription. Prescription hearing aids are highly customizable and tailored to the individual’s specific hearing needs, while OTC devices have limited customization options.

Prescription hearing aids incorporate advanced technology and features, providing superior sound quality and performance compared to OTC aids. Individuals receiving prescription hearing aids benefit from professional support and follow-up care, which may not be available with OTC devices. Prescription hearing aids are typically more expensive but may be covered by insurance, while OTC aids are generally more affordable but lack insurance coverage. The choice between OTC hearing aids vs prescription hearing aids depends on individual needs, preferences, and the level of support required.

Are Hearing Aids Covered By Insurance?

In the United States, insurance coverage for hearing aids varies depending on the insurance provider and the specific plan. While some insurance plans may cover a portion of the cost of hearing aids, many plans have limitations, such as age restrictions or coverage only for specific types or levels of hearing loss.

It is important to review your insurance policy or contact your insurance provider directly to understand the extent of coverage for hearing aids. Additionally, some insurance plans may require a referral from a healthcare professional or documentation of medical necessity.


The OTC hearing aid market is very new, and it is unclear at this time if insurance companies that currently offer coverage for prescription hearing aids will cover over-the-counter hearing aids. 

Where Can You Buy OTC Hearing Aids?

In the past, hearing aids were exclusively obtained through hearing care professionals. However, the availability of over-the-counter (OTC) hearing aids has expanded, and they can now be purchased from various retailers such as CVS, Walgreens, Walmart, Amazon and online through manufacturers’ websites [4].

When considering the purchase of an OTC hearing aid, there are important factors to keep in mind:

  1. Trial period: Check the length of the trial period offered by the retailer or manufacturer. Most return policies range from 45 to 60 days. It’s recommended to set a reminder halfway through the trial period to assess the overall performance of the product.
  2. Support availability: Determine if the specific OTC brand provides customer service and remote support. Note that retailers like CVS or Walgreens typically do not offer support, so you must contact the manufacturing brand directly.
We earn a commission if you make a purchase, at no additional cost to you.
02/18/2024 08:40 pm GMT

When To See An Audiologist?

If you experience any degree of hearing loss, notice changes in your hearing, struggle to understand speech, have ear-related issues such as pain or infections, suffer from persistent tinnitus, or require assistance with hearing aid fittings and adjustments, it is advisable to see an audiologist.

An audiologist is a specialized professional who can provide accurate diagnosis and personalized treatment for various hearing-related concerns. Seeking their expertise ensures that you receive the necessary care and support to address your specific needs and improve your overall hearing health. Visiting an audiology could also support you in discussing further about OTC hearing aids vs prescription hearing aids.

OTC Hearing Aids Vs Prescription Takeaway 

In conclusion, the choice between OTC hearing aids vs prescription hearing aids ultimately depends on individual needs, preferences, and the level of support required. OTC hearing aids offer a more accessible and cost-effective solution for individuals with mild to moderate hearing loss, promoting early intervention, mental well-being, cognitive function, and increased accessibility. On the other hand, prescription hearing aids provide a higher level of customization, advanced technology, improved sound quality, better speech understanding, professional support, and long-term value.

They are recommended for individuals with varying degrees of hearing loss who require tailored solutions and ongoing care from audiologists. While OTC devices can be purchased without a prescription, prescription hearing aids require a medical evaluation and prescription from a licensed audiologist. Insurance coverage for hearing aids varies, and it is important to review insurance policies or contact providers directly for specific details. OTC hearing aids can be purchased from retailers such as CVS, Walgreens, Walmart, or online, while prescription hearing aids are obtained through hearing care professionals.

It is recommended to see an audiologist for accurate diagnosis, personalized treatment, and assistance with hearing aid fittings and adjustments. By understanding the distinctions between OTC hearing aids and prescription hearing aids, individuals can make an informed decision that best meets their unique hearing needs.


[1] Francis Audiology. OTC Hearing Aids vs. Prescription: Why You Still Need an Audiologist. Retrieved from https://www.francisaudiology.com/blog/otc-hearing-aids-vs-prescription-why-you-still-need-an-audiologist

[2] Johns Hopkins Medicine. Over-the-Counter Hearing Aids – FAQ. Retrieved from https://www.hopkinsmedicine.org/health/treatment-tests-and-therapies/hearing-aids/over-the-counter-hearing-aids-faq

[3] Medical News Today. OTC Hearing Aids: Definitions, Types, and More. Retrieved from https://www.medicalnewstoday.com/articles/otc-hearing-aids#who-are-they-for

[4] Soundly. OTC vs. Prescription Hearing Aids. Retrieved from https://www.soundly.com/blog/otc-vs-prescription-hearing-aids

Eleftheria Georganti
+ posts

Eleftheria's world revolves around sound - whether it's designing high-quality audio applications, crunching numbers in audio signal processing (DSP), decoding room acoustics, listening to music or crafting the latest hearing aid technology and new features. She has a professional career spanning over 15 years and a strong research record (over 40 articles and patents) and has been the driving force behind top-notch products at leading hearing aid and audio tech companies. But what really makes her enthusiastic is sharing what she knows. As an avid writer, she loves spreading the word on the science of hearing, hearing aids and health technologies. Her ultimate goal? To give people with hearing impairments the insights they need to live their best life.

Leave A Reply