Over-the-Counter Hearing Aids: Key Points to Keep in Mind

Last fall, over-the-counter (OTC) hearing aids became available at pharmacies, big box stores and some audiology practices across the country.   

An OTC hearing aid may be a great option for people who have mild-to-moderate hearing loss, who are tech savvy and who are comfortable with self-fitting and independent handling of the device. 

Dr. Joseph Montano, Chief of Audiology and Speech Language Pathology at Weill Cornell Medicine, advises candidates for the new devices to become educated consumers.  

“Know yourself,” he says. “Know what you like, and know your comfort zone. “It’s a learning process for all concerned—patients and audiologists alike.” 

Below, see answers to your most pressing questions. After all, these devices are a new option for consumers, so it’s a good time to educate yourself about their benefits and their limitations. 

What are the main attributes of the new OTC devices?  

  • The devices are more accessible and affordable than prescription hearing aids.  
  • A visit to the audiologist is not required. 
  • Consumers decide if they need the device and which product to buy. 
  • Consumers also handle setup, fitting and adjustments such as pitch and volume, with online support. 

Where can I buy an OTC hearing aid? 

Find a selection of OTC devices at your pharmacy, big box store, or audiology practice. 

Who is a candidate for an OTC device? 

“People with self-perceived, mild-to-moderate hearing loss are candidates for an OTC device—no hearing test required,” says Dr. Maria Pomponio, a clinical audiologist in the Hearing and Speech Center at Weill Cornell Medicine. “It’s up to the individual consumer to decide if the device is needed and if it’s working.” 

What is mild-to-moderate hearing loss? 

People with the following problems or behaviors fit the definition of “perceived mild-to-moderate hearing loss”: 

  • Those who have difficulty hearing or understanding conversations, especially in groups or noisy settings. 
  • People who have difficulty hearing over the phone. 
  • People who become fatigued by the effort involved in listening. 
  • Those who habitually turn up the volume on their TV or sound system. 

Who is not a candidate for an OTC hearing aid? 

An OTC hearing aid is not for you if: 

  • You are younger than 18. 
  • You have moderately severe-to-profound hearing loss. 
  • You have a history of chronic ear infections. 
  • You have experienced sudden hearing loss. 
  • Your hearing loss is perceived to be asymmetrical, with one ear functioning better or worse than the other. 
  • You have a history of chemotherapy or radiation therapy to your head or neck. 
  • You don’t have a smart phone or computer. 
  • You aren’t comfortable using technology. 

To learn more about the new devices, see a webinar titled “Making Sense of Hearing Loss and Over-the-Counter Hearing Aids,” featuring several Weill Cornell Medicine audiologists.