OTC vs. Prescription Hearing Aids: What’s the Difference?
Comparing Prescription and Non-prescription Hearing Aids
Prescription vs Non-prescription (OTC) Hearing Aids: Side-By-Side Comparison
There are two types of hearing aids regulated and approved by the FDA to assist with hearing loss:
- Premium, medical-grade hearing aids available with a doctor's prescription.
- Pre-programmed medical-grade hearing aids sold over the counter without a prescription, also known as over-the-counter (OTC) hearing aids.
OTC and prescription hearing aids differ mainly in who they're designed for, how they're fitted, and the level of professional support involved.
OTC hearing aids are intended for adults 18 and older with perceived mild to moderate hearing loss and can be purchased without seeing a hearing care professional. Prescription hearing aids can address a wider range of hearing loss and are professionally selected, fitted, and programmed based on your individual hearing needs.
This comparison table explains the similarities and differences between premium, doctor-prescribed hearing aids and pre-programmed OTC hearing aids.
Support
Support
Best for
Best for
Typical user
Typical user
Are Over the Counter Hearing Aids as Good as Prescription Hearing Aids?
For mild to moderate hearing loss:
OTC devices may provide adequate benefit for some adults who are comfortable choosing, fitting, and adjusting their own devices. However, they are not the same as prescription hearing aids. OTC devices are designed for general use and do not require a hearing test or professional fitting.
For more significant or complex hearing loss:
Prescription hearing aids offer individualized programming and professional fitting and can accommodate a broader range of hearing needs.
For ongoing care:
Prescription hearing aids also provide access to professional adjustments and follow-up support as hearing needs change.
Not Sure Which Hearing Aids to Choose?
How to Decide What’s Right for You
No matter which type of device you choose, always get a professional hearing test first so you’re investing in the right hearing aid for your specific needs.
The right hearing aid for you depends on your level and type of hearing loss, how confident you are with managing technology, and how much care and support you prefer.
If you want peace of mind, in-person support, and a hearing aid that can change with your needs, a prescription device is often the better long-term option.
As a long-term investment, it can last you years and improve your hearing experience with advanced features, even if your hearing loss is severe.
If you’re experiencing mild hearing issues, an OTC hearing aid could be a smart first step.
If your hearing loss remains stable and this type of hearing aid is more affordable for your budget, an OTC device can help you stay connected without breaking the bank.
Am I comfortable setting up and adjusting devices myself?
OTC hearing aids may be right for you if you have a milder form of hearing loss.Do I want access to hearing care professionals for screenings, device setup, and ongoing hearing care and support?
Prescription devices may be the right choice for you.Is my hearing loss stable or likely to advance?
If it’s progressed over time, prescription devices that can be readjusted as your hearing changes are ideal.
Do You Need a Prescription for Hearing Aids?
Adults 18 and older can purchase FDA-regulated OTC hearing aids without a prescription, medical exam, or professional fitting. However, OTC hearing aids are intended for adults who perceive their hearing loss as mild to moderate.
Prescription hearing aids are available through hearing care professionals and may be appropriate when hearing loss is more significant, complex, or requires individualized care.
Still unsure? We can help.
Make the Choice That Supports Your Life
Prescription and OTC hearing aids each have benefits. Consider your level of hearing loss and your day-to-day environments and needs to determine which hearing aids are best for you.
Remember, any device is better than no device, as untreated hearing loss can have a serious impact on your physical and mental well-being.
With the options available today, it's easier than ever to start hearing your best life.
FAQs
Frequently Asked Questions
Are OTC hearing aids as good as prescription hearing aids?
OTC hearing aids can be a helpful option for adults with perceived mild to moderate hearing loss, but they aren’t right for everyone. Prescription hearing aids can address a wider range of hearing needs and are professionally selected, fitted, and programmed based on your hearing.
They also come with professional support and adjustments, which can be especially valuable if your hearing needs are more complex or change over time.
What is the difference between OTC and prescription hearing aids?
The main difference between OTC and prescription hearing aids is how they are selected, fitted, and supported.
OTC hearing aids are designed for adults with perceived mild to moderate hearing loss and can be purchased without visiting a hearing care professional. Prescription hearing aids are professionally fitted and programmed based on your hearing test results and can address a broader range of hearing loss. They also typically include access to professional support and follow-up adjustments.
Are prescription hearing aids better than OTC hearing aids?
How do I know if I need prescription hearing aids instead of OTC hearing aids?
A professional hearing screening can help determine which type of hearing aid is appropriate for you.
Prescription hearing aids may be a better fit if you have more significant or complex hearing loss, are unsure about the severity of your hearing loss, need personalized adjustments, or want ongoing support from a hearing care professional.
If you experience sudden hearing changes, hearing loss in one ear, ear pain, drainage, or dizziness, seek medical care rather than trying to treat the problem with an OTC hearing aid.
Are prescription hearing aids worth the extra cost?
The value of prescription hearing aids depends on your hearing needs and the level of care you want. Their cost may include more than the hearing devices themselves, such as professional hearing evaluations, personalized fitting and programming, follow-up care, and ongoing adjustments.
For people who need individualized support or have more complex hearing needs, these services can be an important part of achieving the best possible hearing experience.
Sources
FDA: Over-the-counter hearing aids https://www.fda.gov/medical-devices/hearing-aids/over-counter-hearing-aids
Mayo Clinic: Hearing aids https://www.mayoclinic.org/healthy-lifestyle/healthy-aging/in-depth/hearing-aids/art-20044116
NIDCD: Hearing aids https://www.nidcd.nih.gov/health/hearing-aids
