Over-the-counter (OTC) hearing aids represent a new category of medical devices established by the U.S. Food and Drug Administration (FDA) in 2022. These devices are designed for adults aged 18 and older who perceive their hearing loss to be mild to moderate. Unlike traditional hearing aids, which require a medical exam and a prescription, OTC devices can be purchased directly by the consumer without supervision. This regulatory change aims to increase accessibility and reduce the cost of hearing assistance for millions of Americans. This article will guide you through where you can purchase OTC hearing aids and how to determine if they are the appropriate choice for you.
Physical Retailers and In-Store Options
The most direct way to purchase an OTC hearing aid is through brick-and-mortar stores, which have rapidly stocked these devices since the FDA ruling. These locations offer the convenience of immediate purchase and the ability to physically examine the product packaging. Major pharmacy chains, such as CVS and Walgreens, are common retailers for OTC hearing aids, often stocking several brands.
Big box stores and mass merchants like Walmart and Costco also provide a range of OTC options, frequently at competitive price points. Consumer electronics stores, such as Best Buy, have dedicated sections for these products and carry a wide selection of devices from technology and audio companies. The benefit of in-store shopping is the ability to see the physical size and style of the device before purchase.
Buying an OTC device in a retail store means the purchase does not include professional fitting services or personalized adjustments from an audiologist. Traditional prescription hearing aids involve a hearing health professional who tailors the device to a specific hearing loss profile and provides ongoing support. OTC devices are self-fitting or self-programming, meaning the user is responsible for the physical fit and tuning of the sound, often through a smartphone app or built-in controls.
Digital Marketplaces and Direct-to-Consumer Sales
The online landscape offers extensive opportunities to purchase OTC hearing aids, providing a wider selection of brands and models. Major digital marketplaces, such as Amazon, host numerous third-party sellers and manufacturers offering various OTC devices. Consumers should focus on products clearly labeled as “OTC Hearing Aids” to ensure they are FDA-regulated medical devices, differentiating them from Personal Sound Amplification Products (PSAPs).
Many manufacturers utilize a direct-to-consumer (DTC) sales model, where you purchase the device directly from the brand’s own website. This channel often provides comprehensive product information and may offer proprietary online tools, such as self-assessment hearing tests, to help guide selection. DTC sites commonly feature transparent return policies and provide remote customer support via phone, email, or chat with hearing experts.
Online purchasing logistics require consideration regarding the support provided after the sale. While an in-person fitting is not included, many online brands offer remote support to assist with the initial setup, troubleshooting, and programming adjustments. Manufacturers selling online often detail connectivity features, such as Bluetooth streaming and app-controlled customization, which are integral to the user experience of modern OTC hearing aids.
Determining If OTC is Right for You
Before purchasing an OTC hearing aid, the most important step is a self-assessment to determine if your hearing loss is mild to moderate. Indicators include frequently asking people to repeat themselves, having trouble following conversations in noisy environments, or needing to turn up the television volume higher than others prefer. If sounds seem muffled or you struggle in group settings, an OTC device may be a viable option.
OTC hearing aids are not intended for individuals with severe hearing loss, as the devices have limits on their maximum sound output and may not provide adequate amplification. If you have significant difficulty hearing in quiet settings, OTC devices are unlikely to be effective. Prescription hearing aids are tailored to address a greater degree of hearing loss and are appropriate for those whose needs exceed the capabilities of OTC models.
Certain “red flag” symptoms necessitate a medical consultation before using any hearing device. These signs include sudden onset of hearing loss, pain or discomfort in the ear, or any fluid, pus, or blood draining from the ear within the last six months. Children and individuals under the age of 18 should not use OTC hearing aids and require specialized care.
When evaluating a device, consumers should look for features that align with their lifestyle, such as rechargeable batteries, which eliminate the need for frequent changes. Other selection criteria involve the fit and style—like completely-in-canal (CIC) for discreet wear or behind-the-ear (BTE) for easier handling—and the presence of noise reduction technology. A robust warranty and a clear return policy are important factors, providing a safety net for a device that may require adjustment.