How to Choose an OTC Hearing Aid

Since the FDA authorized over-the-counter hearing aids in 2022, an increasing number of devices have become available in stores and online. Prices range from very affordable to several hundred dollars, but not every product labeled “hearing aid” works the same way. For people with mild to moderate hearing loss, these devices can be a useful option—but only if you know what you’re buying.

The first step is to understand the difference between FDA-regulated medical devices and cheaper gadgets that merely amplify existing sounds. True hearing aids are designed to amplify certain sound frequencies—like voices—while reducing background noise.

If you’re comfortable using a smartphone, self-fitting hearing aids may be your best bet. These devices come with apps that guide you through hearing tests and allow you to customize sound settings for your unique hearing profile. Popular options include:

• Jabra Enhance Select 500
• Lexie B2 Plus (by Bose)
• Apple AirPods Pro 2 with hearing mode

Advanced features in these models may include:

• Directional microphones focus on sounds in front of you.
• Noise reduction for crowded or busy environments.
• Bluetooth streaming allows you to take calls, listen to music, or watch TV directly through the hearing aid.

If you prefer something simpler, preset hearing aids may be enough. These offer pre-programmed settings for common hearing loss patterns but with fewer adjustments. Options include:

• Audien Atom Pro
• Lucid Engage
• Sony CRE-C20

Preset models are usually more affordable, though they may not match your hearing needs as precisely.

Before you buy any hearing aid, confirm your level of hearing loss. You can take an online hearing test, but a visit to an audiologist gives the most accurate results and may reveal whether an OTC device is suitable.

Comfort and fit also matter. Look for devices that come with different ear tip sizes or customizable fittings. You’ll want a model that goes in easily, stays in place, and comes out without trouble.

The bottom line: OTC hearing aids can help many people hear better, but they’re not one-size-fits-all. Take time to match the device to your needs—and don’t be afraid to test a few before finding the one that’s right for you.