The Best OTC Hearing Aids in 2026: We Tested Them All—Here Are Our Favorites
Improve your hearing health with one of these top choices for affordable, high-quality OTC hearing aids.
- The Jabra Enhance Select 700 earned our Best Overall pick for its top sound quality, long battery life, lengthy trial period, Bluetooth capability, and more.
- Other favorites include the Audien ION Pro 2 (Most Affordable), Elehear Beyond Pro (Best for Tinnitus) Eargo 8 (Best Invisible), and Lexie B2 Plus (Best Value).
- OTC hearing aids are designed for adults with mild to moderate hearing loss and can be bought online or in stores without a prescription or hearing exam.
- Our top picks differ in fit, trial period, battery type, and support. Choosing the right option for your needs depends on your budget, comfort preferences, and hearing requirements.
- Our review is based on 5,000 hours of research and testing. Keep reading for detailed OTC hearing aid reviews, expert insights, and buying advice.
NCOA supports everyone’s right to age well. That’s why we test and recommend products we believe can help you live a healthier life. We’ve spent more than 5,000 hours researching hearing aids to give you the most accurate product reviews. To find the best OTC hearing aids, we:
- Consulted with audiologists, hearing instrument specialists, and aging care experts
- Put more than 50 hearing aids through a series of 21 different tests
- Mystery shopped more than 20 brands
- Surveyed hundreds of older adults who use hearing aids
- Interviewed experts on hearing loss
- Sent hearing aids to our friends and family with hearing loss to provide long-term testing notes
- Read thousands of verified customer reviews
We’re constantly testing new hearing aids to give you the most accurate and up-to-date recommendations. Read more about our hearing aid review methodology.
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Hearing aids tested
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Hearing aid users surveyed
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Testing criteria
Over-the-counter (OTC) hearing aids make it easier than ever to find a pair that fits your lifestyle and budget. As long as your hearing loss is mild to moderate, you can purchase directly online or in-store without a prescription.
Still, sifting through all your choices can be a lot of work. With so many manufacturers, devices, and places to buy them, the decision can feel overwhelming. So we did the research for you.
We compare the best OTC hearing aid brands below based on our research and testing. Keep reading for more details to help you choose the right hearing aids.
What are OTC hearing aids?
OTC hearing aids are devices designed to improve hearing for adults with mild to moderate hearing loss. They can be purchased online or in stores without a hearing exam, prescription, or professional fitting. They typically cost much less than prescription hearing aids. The FDA regulates OTC hearing aids to meet safety requirements.
Jabra Enhance Select 700
Best OverallNCOA exclusive discount
$500 off the Jabra Enhance 700 with code NCOA200 (deal applied at checkout)
NCOA exclusive discount
$500 off the Jabra Enhance 700 with code NCOA200 (deal applied at checkout)
- Highest performance in our OTC hearing aids testing
- Only OTC hearing aid option with Auracast
- 100-day risk-free trial
- Audiology support
- Six environmental settings to choose from
- Bluetooth enabled for streaming and phone calls
- 45-day trial period
Mother's Day discount
Up to $120 off
- Exceptional tinnitus masking
- AI-powered noise reduction and feedback control
- Easily customized with the app
Our picks for the best OTC hearing aids
- Jabra Enhance Select 700: Best Overall
- Audien ION Pro 2: Most Affordable
- Elehear Beyond Pro: Best for Tinnitus
- Eargo 8: Best Invisible
- Lexie B2 Plus: Best Value
- Soundbright Discovery: Best for Conversations
Comparison of the best OTC hearing aids
| Comparison Features | ||||||
|---|---|---|---|---|---|---|
| Our Rating (out of 10) | 9.8 |
9.4 |
9.3 |
8.7 |
9.5 |
9.8 |
| Trial period (days) | 100 |
45 |
45 |
45 |
45 |
45 |
| Battery type | Rechargeable |
Rechargeable |
Rechargeable |
Rechargeable |
Rechargeable |
Rechargeable |
| Bluetooth? | ✅ |
✅ |
✅ |
✅ |
✅ |
✅ |
| Device type* | RIC |
RIC |
RIC |
CIC |
RIC |
RIC |
*CIC: completely in the canal; RIC: receiver in canal
Video: Best OTC hearing aids
In the video below, you’ll learn about the best OTC hearing aid options—including brands like Jabra Enhance, Audien, Eargo, Elehear, and more—as well as the key differences between OTC and prescription devices. It’s a helpful overview if you’re deciding whether an OTC hearing aid could be right for you.
Our reviews of the top OTC hearing aids
Jabra Enhance Select 700: Best Overall
We chose the Jabra Enhance Select 700 as our Best Overall OTC Hearing Aid for its top-rated sound quality and other perks. This hearing aid had our highest scores across the board for sound quality, connectivity, features, and more.
Jabra Enhance Select 700
Best OverallNCOA exclusive discount
$500 off the Jabra Enhance 700 with code NCOA200 (deal applied at checkout)
NCOA exclusive discount
$500 off the Jabra Enhance 700 with code NCOA200 (deal applied at checkout)
- Jabra Enhance Review
- Tap control for streaming
- AutoFocus technology to improve speech in sound
- Five different colors available
- Remote adjustments from Jabra’s audiology team
- Device types: Receiver-in-Canal (RIC)
- Battery type: Rechargeable
- Trial period: 100 days
- Bluetooth: Yes
- Warranty: 3 years
Pros
- Post-purchase care from hearing experts for three years
- Exceptional sound quality
- Strong battery life (24 hours plus 3 extra charges in case)
- Long trial period (100 days)
- Clear LE Bluetooth audio streaming (100-foot range)
- Works with Auracast public broadcast systems
Cons
- More expensive than most OTC brands
- Testers said noise cancellation on the app wasn’t intuitive
Why our testers chose the Jabra Enhance Select 700 as the Best Overall Hearing Aid
The Jabra Enhance Select 700 stood out in our testing for its overall excellent performance. In all 13 of our quality measures, testers rated this hearing aid either great (4/5) or excellent (5/5). They liked its clear, natural sound in all settings. “When we tested with lots of background noise, the outdoor setting with noise filter on was perfect,” said Sheila, 70, one of our testers. “I was genuinely so impressed with how everything sounded. It felt like I didn’t have hearing aids in.”
Testers also liked the small size, discreet design, and secure fit. Comfort stood out, especially for those with smaller ears. “These were not easy to see while wearing,” Sheila said. “They had the smallest ear dome I have seen, and for me, that was great.”
Our testers had no problems switching between settings using either the app or manual buttons. The Jabra Enhance Select 700 hearing aids also offer high-end features such as hands-free calls and streaming. They use Bluetooth LE to conserve battery power and are compatible with Auracast public broadcast protocols. Users can add even more features by purchasing the brand’s Multi Mic+ ($275). It lets users pick up a voice in a crowd, works for streaming, and has a built-in telecoil.
Overall, our testers found that the Jabra Enhance 700 offered features similar to those of prescription hearing aids at a lower cost.
Comparing Jabra Enhance Select models
Jabra’s Enhance Select line includes three hearing aid models. The Select 700 is the newest and has the smallest profile. It also works best in noisy places and has advanced features, like newer Bluetooth LE Audio, Auracast, and tap controls. All three models in the Enhance line offer Bluetooth streaming and batteries that can last through the day on a single charge. The Select 300 is a bit larger and is a good fit for group settings, where you may want to hear more than one person at a time. The 50R is the largest and lowest-cost option. It is a simpler choice that works well in quiet spaces and close conversations.
| Enhance Select 50R | Enhance Select 300 | Enhance Select 700 | |
| Cost | $1,195 | $1,695 | $1,995 |
| Type | RIC | Mini RIC | Micro RIC |
| Model notes | Lower price with high-end features like Bluetooth | Advanced acoustics and hands-free calling | Only model with Bluetooth LE Audio and Auracast |
*Jabra hearing aids include an unlimited warranty and professional audiologist support for three years after purchase.
The Jabra customer experience
Testers gave the Jabra Enhance Select 700 a 10/10 for customer service (tied with Eargo—the only other brand on this list to earn 10/10 for customer service).
- Warranty and trial period: 100-day risk-free trial period for all Jabra Enhance Select devices; one- to three-year manufacturer’s warranty; loss-and-damage protection (depending on whether you upgrade to the premium package)
- Financing: Yes
- Customer service: Email, online chat, phone
For more customer service information, see our Jabra review.
Audien ION Pro 2: Best Affordable
The Audien ION Pro 2 is our pick for Best Affordable Hearing Aid because it’s an impressive device at a budget-friendly price. The ION Pro 2 has features usually only available in more expensive hearing aids. These include rechargeable batteries, Bluetooth compatibility, and hands-free calling.
- Audien Review
- Six hearing modes
- Sound chip technology for improved clarity
- Bluetooth for streaming calls and music
- 48-hour battery on a single charge
- Device type: Receiver-in-Canal (RIC)
- Battery type: Rechargeable
- Trial period: 45 days
- Bluetooth: Yes
- Warranty: 1 year
Pros
- Lower price
- Long battery life (48 hours)
- Bluetooth streaming
- Straightforward fit
- Easier setup
Cons
- Limited customer support
- Lack of advanced sound processing
Why our testers chose the Audien ION Pro 2 as the Best Affordable OTC Hearing Aid
The Audien ION Pro 2 earned our pick for Best Affordable OTC Hearing Aid because it has the performance and features of a pricier device. It was also our pick for Best Value in our roundup of Most Affordable OTC Hearing Aids. In our testing, the ION Pro 2 scored a 5/5 for features and a 4/5 for sound quality, which is solid at any cost.
Testers said the ION Pro 2 was straightforward to set up and use, even for beginners. “I think these would be great for someone who has never used hearing aids before and might be nervous about them being too complicated,” one tester said. “I was able to unbox the device, download the app, and connect the hearing aids in as little as five minutes. Overall, this is a very intuitive product.”
The ION Pro 2 also includes helpful extras, such as Bluetooth streaming for calls and music. It lasts up to 48 hours on a single charge. Testers liked being able to control settings both in the app and on the device. Sound quality worked well once adjusted, though some testers said it took time to get used to. “People sound much closer than they are,” noted one tester. “Overall, though, their voice sounds very natural. There is no robotic echo or weird tones.”
Comparing Audien Models
Audien has several inexpensive OTC hearing aids. The Audien Atom is the most basic model, while the Atom 2 adds better sound and longer battery life. The Atom Pro 2 is a step up, with more features like noise control and a smaller design for clearer hearing in busy places. The Atom X is also small and easy to use, but it focuses more on simple listening than advanced features. The Audien ION and ION Pro 2 are newer and more advanced, with the ION Pro 2 offering the best sound and most features of all.
| Audien Atom | Audien Atom 2 | Audien Atom Pro 2 | Audien Atom X | Audien ION Pro 2 | |
| Cost | $98 | $189 | $289 | $389 | $689 |
| Type | ITE | ITE | ITE | ITE | RIC |
| Model notes | Lowest price | 24-hour battery life | UV cleaning light in charging case | Touchscreen case for adjustments | RIC with Bluetooth; most powerful model |
The Audien customer experience
Testers gave Audien a 9.3/10 for customer service.
- Warranty and trial period: 45-day money-back guarantee for all Audien devices; limited one-year warranty unless you upgrade to a protection plan
- Financing: No
- Customer service: Phone or email support
For more customer service information, see our Audien review.
Elehear Beyond Pro: Best for Tinnitus
The Elehear Beyond Pro offers users several ways to manage ringing in your ears, earning it our Best Hearing Aid for Tinnitus title. It offers more than 20 masking sounds and lets you mix them together to create a custom background noise. That level of control is rare in over-the-counter devices, especially at this price.
Mother's Day discount
Up to $120 off
- Elehear Review
- Devices include Bluetooth streaming for music, videos, and phone calls
- Includes AI-powered VOCCLEAR® technology for speech clarity
- Remote audiologist support
- Speech clarity enhancement
- 20 hours of battery life on one charge
- Device type: Receiver-in-Canal (RIC)
- Battery type: Rechargeable
- Trial period: 45 days
- Bluetooth: Yes
- Warranty: 1 year
Pros
- Exceptional tinnitus masking
- Fast recharging
- Noise-cancelling technology
- Budget-friendly price
- Clear user manual
Cons
- Bulky appearance
- Pairing hearing aids could be easier
Why our testers chose the Elehear Beyond Pro as the Best Hearing Aid for Tinnitus
Our testers were very impressed with the tinnitus features on the Elehear Beyond Pro. Up to a quarter of U.S. adults have tinnitus, a condition commonly found in those with hearing loss. Tinnitus causes persistent ringing or other noises in the ears, according to the National Center on Deafness and Other Communication Disorders.1 Tinnitus is often treated with sound therapy, which “masks” the distracting sounds with more soothing ones.
The Elehear app includes 22 sound options, including white noise, ocean waves, and bird song. Our testers liked that they could layer sounds rather than pick just one. “I was really impressed,” said one tester. “The tinnitus settings are so cool. You can choose one background noise, or if you want to layer the sounds of rain, a cat purring, and wind, you can do that.” Overall, testers gave the Beyond Pro’s tinnitus and other features a 5/5 rating.
Beyond tinnitus relief, the Beyond Pro also performed well in daily use. Testers rated the overall experience as “great” or “excellent” across all 13 testing categories, including comfort, sound quality, and ease of use. They liked the helpful setup guide. “Honestly, this is one of the best user manuals we’ve seen,” said one tester. “It has lots of great pictures and step-by-step instructions.” They also found the app full of useful tools like noise control and speech focus. While pairing the device took an extra step, most testers felt the sound quality and customizable features made up for it.
Comparing Elehear models
Elehear has two RIC model hearing aids. The Beyond Pro is the most advanced, with more updated tech for clearer sound. Both the Beyond and Beyond Pro last up to 20 hours on a single charge and use AI to help make speech clearer and reduce noise. Elehear's newest model, the Delight, is their first ITE hearing aid. It offers a more discreet design and features much of the same technology as the Beyond and Beyond Pro. But the Delight's battery life is only up to 13.5 hours, much shorter than the Beyond models.
| Beyond | Beyond Pro | Delight | |
| Cost | $449 | $649 | $369 |
| Type | RIC | RIC | ITE/Earbud style |
| Model notes | Affordable tinnitus management; dry box for $50 extra | Enhanced AI noise reduction and 30% better speech clarity than the Beyond | New, less expensive model; the only ITE hearing aid from the brand |
The Elehear customer experience
Testers gave Elehear an 8.3/10 for customer service.
- Warranty and trial period: 45-day trial and a one-year warranty
- Financing: Available through Klarma
- Customer service: Phone or email support
For more customer service information, see our Elehear review.
Eargo 8: Best Invisible
We chose the Eargo 8 as our Best Invisible OTC Hearing Aid because of its nearly undetectable CIC (completely-in-canal) design, excellent sound quality, user comfort, and lifetime professional support. The tiny device sits deep in the ear canal, so most people will not notice it.
- Eargo Review
- Virtually invisible in the ear
- Up to 16 hours of battery life
- Case offers 2 weeks of on-the-go charging
- Sound Match technology to personalize hearing needs
- Device type: Completely-in-Canal (CIC)
- Battery type: Rechargeable
- Trial period: 45 days
- Bluetooth: Yes
- Warranty: 2 years
Pros
- Nearly invisible design
- Comfortable and secure fit
- Clear sound quality
- Can order “non-working” pair to test fit
Cons
- Price is on the higher side
- Small size can make handling more challenging
- App has limited settings and detail
Why our testers chose the Eargo 8 as the Best Invisible OTC Hearing Aid:
Our testers chose the Eargo 8 mainly for its size, comfort, and simple setup. Many said it was one of the most discreet devices they tried. “They are extremely discreet," said Sheila, one of our older adult testers. "Since they sit fully in the ear canal and don’t have anything behind the ear, they’re barely noticeable. From most angles, you really can’t see them.” Another tester agreed, saying, “The device is very discreet since they do not have the behind-the-ear piece and only insert it in the ear canal.” Testers gave the tiny devices the highest possible score (5/5) for appearance.
Testers also rated the Eargo 8 high for comfort (5/5). Even though they are small, most testers said they felt secure once in place. “They fit really well once inserted properly,” said Sheila. “You do have to push them in a bit because they’re so small, but once they’re in, they feel comfortable and natural. I wore them for several hours and didn’t have any discomfort.” The one drawback of the size is that it can be difficult to change the wax guards if you have dexterity or vision issues, testers noted.
Comparing Eargo models
Eargo offers two styles of discreet hearing aid, the 8 and the SE (Signature Essentials). Both have four preset programs and a 16-hour battery life. The Eargo 8 has more than twice as much on-the-go charging power and more advanced tech. The Eargo 8 will automatically adjust to the noise level wherever you are and has an in-app hearing check. It is also more water- and sweat-resistant than the SE.
| Eargo SE | Eargo 8 | |
| Cost | $1,699 | $2,699 |
| Type | CIC | CIC |
| Model notes | Simpler device with long battery life | Most advanced (and priciest) model |
The Eargo customer experience
The Eargo 8 earned a 10/10 rating from our testers for customer service.
- Warranty and trial period: 45-day risk-free trial period for all Eargo devices; one- to two-year manufacturer’s warranty depending on model
- Financing: Yes
- Customer service: Phone or online chat options
For more customer service information, see our Eargo review.
Lexie B2 Plus: Best Value
We named the Lexie B2 Plus our Best Value OTC Hearing Aid because it offers a lot for its price. It has strong sound, helpful support, and a feature-rich app for a cost that’s much lower than you might expect for that quality.
- Lexie Review
- In-app hearing test to match the devices to your hearing profile
- Uses Bose sound technology
- Most customizable with four preset modes and 10 personalized settings
- Award-winning customer support
- Device type: Receiver-in-Canal (RIC)
- Battery type: Rechargeable
- Trial period: 45 days
- Bluetooth: Yes
- Warranty: 1 year
Pros
- Step-by-step setup
- Simple, streamlined user manual
- Comfortable fit out of the box
- Bluetooth enabled with hands-free calling
- Competitive price
Cons
- May not be as effective against background noise
- Best for smartphone-savvy users
Why our testers chose the Lexie B2 Plus as the Best Value OTC Hearing Aid
Our testers felt the Lexie B2 Plus was the Best Value OTC Hearing Aid because it offers a lot for its relatively low price. “I really liked these hearing aids,” said one tester. “The sound quality was great, the app was very impressive, and someone called me while I was testing, and the transition to voice call through the hearing aids worked seamlessly.”
Testers gave the B2 Plus the highest marks (5/5) for comfort and fit, the app interface, and long-distance sound quality. “Connecting to the app worked just as I expected it to,” said one tester. “The app has a lot of good instructions and information. It takes you through the process of fitting the hearing aids step-by-step.” The app also lets you fine-tune features, such as muting one ear at a time and creating custom settings. For the price, that level of control stood out.
Lexie provides a good amount of support for all its devices. The app includes how-to videos, shopping tools for supplies, and even access to hearing experts. That adds value, but it also means these hearing aids are best for people who are comfortable using a smartphone. Setup had a small learning curve. But once everything was running, testers felt the overall experience was great for the price.
Comparing Lexie models
| Lexie H1 | Lexie B2 Plus | Lexie H3 | |
| Cost | $299 | $899 | $999 |
| Type | ITE/Earbud style | RIC | RIC |
| Model notes | Tap controls, rapid recharge | Bose technology, hands-free calling | Newest model, more natural-sounding voices and music streaming |
The Lexie customer experience
Testers gave Lexie a 9.3 out of 10 for customer service.
- Warranty and trial period: 45-day risk-free trial and a one-year warranty
- Financing: Available through Klarna
- Customer service: Phone, email, or text options
For more customer service information, see our Lexie review.
Soundbright Discovery: Best for Conversations
We chose the Soundbright Discovery as our Best Hearing Aid for Conversations due to its impressive scores in our conversational testing. It helps people hear clearly in everyday situations. Our testers found it simple to use, comfortable to wear, and reliable throughout the day.
- Soundbright Review
- Customizable hearing profiles
- Discreet behind-the-ear design
- Bluetooth streaming for calls and music
- Up to 48 hours of battery life with case
- Device type: Receiver-in-Canal (RIC)
- Battery type: Rechargeable
- Trial period: 45 days
- Bluetooth: Yes
- Warranty: 1 year
Pros
- Discreet, comfortable behind-the-ear design
- Bluetooth connectivity
- Simple sound profile adjustments
- Budget-friendly price
- 45-day trial and free shipping
Cons
- Limited long-range hearing support
- Set up may be more challenging on Android devices
Why our testers chose the Soundbright Discovery as the Best for Conversations
Our testers found the Soundbright Discovery stood out most for conversation support. It earned a 5/5 for conversational sound quality and a 5/5 for directional sound quality. In busy places like restaurants, it helped voices stand out more clearly. “Competing sounds became less prominent, making it easier to focus on the conversation,” one tester said. This made conversations easier to follow.
Our testers thought the Soundbright Discovery fit well and discreetly for a behind-the-ear RIC model. They gave it a perfect 5/5 for fit. “I was able to easily insert the earpieces,” said Sheila, one of our older adult testers. “It felt comfortable and did not need to be adjusted. The wire fits and bends easily to my ear, and the part behind feels flush and comfortable.”
The Discovery did rate surprisingly low (2/5) for sound clarity at a distance. “I think Soundbright does a really good job of amplifying close-range noises, and has a really natural sound to it,” said one tester. Combined with its smaller, more lightweight profile and affordable price tag, it's a great behind-the-ear option.
Comparing Soundbright Models
The Soundbright lineup includes three main options. The Horizon Pro is the most advanced and works best in loud places with stronger sound processing. The Discovery is the most balanced option, offering good sound, helpful features, and easier controls for everyday use. The Mini is the smallest and most affordable, but it has fewer features and works best in quieter settings.
| Soundbright Horizon Pro | Soundbright Discovery | Soundbright Mini | |
| Cost | $499 | $249 | $99 |
| Type | RIC | RIC | CIC |
| Model notes | Best for noisy restaurants/crowds | 48-hour battery life with case | No Bluetooth capability |
The Soundbright customer experience
Testers gave Soundbright a 9 out of 10 for customer service. Here’s what you can expect:
- Warranty and trial period: 45-day risk-free trial
- Financing: Available through Affirm
- Customer service: Phone and email options
For more customer service information, see our Soundbright review.
OTC hearing aids 101
Chances are high you’ll experience some degree of hearing loss in your lifetime. Most of us do. In fact, hearing loss is one of the most common conditions affecting adults 65 and over in the United States.3 Yet original Medicare (Parts A and B) doesn’t cover the costs of hearing aids.
Due to a new FDA rule that took effect in October 2022, millions of Americans with mild to moderate hearing loss can now purchase hearing aids over the counter (OTC). This is great news for people who need more choices of accessible, affordable hearing aids. What once might have cost thousands of dollars in office visits, fittings, and equipment may run a small fraction of that today. Now, anyone age 18 or over can buy OTC hearing aids without having to visit a hearing care professional first.
Advice from our long-term testers
Don't be afraid to reach out to your hearing aid's support line if they're not working for you.
“I couldn’t get one [hearing aid] to work. She walked me through it and what I was doing. I was charging them up all the time, constantly charging them. She goes, ‘That's a no-no.’ You know, you charge them a little bit and then once I stopped doing that and we rebooted them, they've been working okay.”
By calling customer support, our tester, Neil, 70, was able to troubleshoot his hearing aid issues, and found a quick and easy solution.
Risks of untreated hearing loss
Why is this important? Research suggests that those of us with untreated hearing loss could have a greater risk for dementia, depression, heart attacks, and falls.4, 5, 6
“Untreated hearing loss significantly increases the risk of cognitive decline, including dementia. Studies show that mild [untreated] hearing loss doubles the risk of dementia, moderate hearing loss triples it, and severe hearing loss makes it five times more likely,” said Rachel Artsma, AuD, a senior audiologist at Hear.com in Scranton, Pennsylvania. “This is due to cognitive overload,” she said. “When the brain struggles to fill in missing sounds, it takes energy away from other functions. Social isolation also plays a major role, as people with hearing loss often withdraw from conversations, further increasing the risk of dementia.”
Hunter Gerhart, AuD, director of audiology at Livingston Hearing Aid Center in Dallas, agrees that social isolation is a major factor with untreated hearing loss. “Many of my patients avoid social functions because it’s difficult for them to participate. As a result, they risk social isolation, which can have a major impact on their mental health,” Gerhart said. “On average, it takes seven years from the time someone first notices hearing difficulties to do something about it. That can mean seven years of missing out on significant social events like birthday parties or holidays.”
Should I Get a Hearing Test?
Anyone with mild to moderate hearing loss can buy OTC hearing aids without a professional evaluation. Still, we recommend taking an in-person hearing test. This can rule out possible causes for your hearing loss that hearing aids won’t fix.
In-person vs. online hearing tests
If you’ve never had a hearing test, experts recommend having one in person first. “In-person hearing tests are more comprehensive [than online tests] and include testing multiple frequencies (pitches), speech testing, bone conduction testing (which specifies the type of hearing loss), and testing middle-ear function,” said Taylor Ferrell, AuD, an audiologist at the Ohio State University Wexner Medical Center in Columbus, Ohio.
Audiologists and ENT (ear, nose, and throat) specialists offer the most thorough checkup possible. In addition to testing your hearing range, they will look for other problems—such as impacted earwax, structural issues, and underlying medical conditions—that may explain your hearing loss.
Online or app-based hearing tests are good options if you’ve already consulted a hearing care professional. “Online hearing tests are typically not as comprehensive as in-person hearing tests, and are more basic like a hearing screening,” said Farrell. Online hearing tests won’t diagnose the reasons for your hearing loss. But they do help identify: your level of loss (mild, moderate, or severe); your pitch range (low to high); and any differences in hearing ability from one ear to the other.
What you should know before buying an OTC hearing aid
Before you start shopping, ask yourself four simple questions:
1. Do I know what type of hearing loss I have?
Just like there are many types of hearing aids, there are also many types of hearing loss. Presbycusis, or age-related hearing decline, falls into the “sensorineural” category—the most common type of hearing loss.7 Sensorineural hearing loss happens because of damage to your inner ear or the nerves that carry auditory (hearing) signals to your brain. In addition to aging, exposure to loud noise (like blaring music, gas-powered lawn equipment, jet engines, and sirens) can cause sensorineural hearing loss. So can some medications, illnesses, and inherited conditions.
On the other hand, your hearing loss might be “conductive”—meaning sounds don’t make it to your inner ear very well or at all.8 Impacted earwax, ear infections, noncancerous tumors, and anatomical issues all can cause conductive hearing loss. It’s also possible you have “mixed” hearing loss: partially conductive, partially sensorineural.
An audiologist or other hearing professional can help pinpoint what’s causing yours so you can choose the best OTC hearing aid to address it. And if hearing aids aren’t effective for the type of hearing loss you have, your health care provider can go over treatment options with you.
2. Do I know my level of hearing loss?
Over-the-counter hearing aids are meant for people with mild to moderate hearing loss. If you generally pick up on most sounds—but sometimes have a hard time following soft-spoken people or conversations—you likely have mild hearing loss. If you regularly strain to hear people who are speaking at a normal volume—especially in crowded or noisy places—you may have moderate hearing loss.
Of course, judging your own hearing is subjective. That’s why you need to get your hearing checked by a professional before you spend any money. Buying OTC hearing aids won’t help if your hearing loss is severe, no matter the type. If your hearing loss is more complex, ask your audiologist about the best prescription hearing aids for your hearing profile.
3. What lifestyle factors should I consider?
Once you know the type and degree of your hearing loss, it’s time to think about when and how you want to wear hearing aids. Perhaps you regularly take a group fitness class and would like to hear better while exercising. Maybe you spend a lot of time on the phone and want your hearing aids to connect to it—and have a solid battery life, too. And you might have ideas about how hearing aids look. Some people don’t mind if they’re noticeable. Others prefer them not to show.
In my experience
“It's not that people see it, it's that I feel it and move my hair, comb my hair and different things like that. It's less about the look and more just the convenience of it.”
—Carol, 68, one of our long-term testers, describing her experience getting used to BTE hearing aids
4. What trial period do I need?
Because you can buy OTC hearing aids without an expert appointment, you’ll have limited post-purchase support compared to a prescription hearing aid. That’s why a long trial period is important. Every brand on this list has at least a 45-day trial period, but we prefer 100 days, since it usually takes at least one month to adjust to new hearing aids.
Where to buy over-the-counter hearing aids
More than 65% of our hearing aid survey participants bought their devices at an audiologist’s office or hearing health clinic. This isn’t surprising; In the past, it was the only way to get them. The FDA’s ruling means your buying options are nearly endless now. From big-box stores to Veterans Affairs centers, you can walk into hundreds of retailers or visit them online. In many cases, you can buy directly from the manufacturer’s website, too.
Other popular options include:
- Warehouse clubs like Costco and Sam’s Club
- Superstores like Walmart and Best Buy
- Pharmacies like Walgreens and CVS
- Cellular providers like Verizon and T-Mobile
- Amazon
- Community-based clinics
Online or in-store
How and where you choose to purchase is largely a matter of convenience and comfort. If you prefer to see and touch hearing aids before you buy—and want the opportunity to ask questions of a real person—it makes sense to visit a brick-and-mortar store. On the other hand, if you don’t live near many stores or you don’t have a car or other good way to get to them, shopping online can work well. Nearly 13% of our survey respondents bought their hearing aids this way.
In my experience
"I just set mine up when they came, and then we called, and they were all set up. It was easy…it's got good directions and I just followed it through, loaded the app, and they started working.”
—Neil, 70, one of our long-term testers, describes setting up his hearing aids after receiving them in the mail
Some in-store locations have audiologists or trained hearing health providers on staff. These professionals may administer hearing tests and help fit your OTC hearing aids. Hours and services may vary by location, and the hearing tests may not be comprehensive. Always check ahead of time by calling the store you plan to visit.
And a note about customer support: Whether you’re buying online or in-store, you’ll want to find out about trial periods, store return policies, and manufacturers’ warranties. These can vary widely depending on the retailer and can make a big difference in your overall satisfaction.
Expert shopping tips for OTC hearing aids
First things first: Always look for clear FDA labeling before you buy.9 This is the best way to ensure you’re getting a solid product—not a cheap knock-off.
Consumer note
FDA regulations require that all OTC hearing aids include the following information on the box:
- The words “OTC” and “hearing aid” must clearly be displayed
- Hearing health information
- Product warnings
- Whether the device is used or rebuilt
- The type and number of batteries needed, and whether batteries are included
- If you need a mobile phone or remote-control to control the device
The FDA also says that OTC hearing aids can’t exceed a certain volume and must sit safely away from your eardrum. Their volume adjustments must be easy to use, and they must include instructions for how to wear and care for them.
Here are some other things to keep in mind as you shop:
Check for FDA registration. This is a bit tricky because of the wording. Keep in mind “registration” is not the same as “approved,” “authorized,” or “cleared.”
Any retailer or other establishment that sells medical devices like OTC hearing aids generally must register with the FDA each year.10 This registration applies to the business itself—whether online or brick-and-mortar—not the hearing aids you buy there. The FDA doesn’t issue any certificates, signs, or badges that businesses can display to prove they have registered. Retailers displaying these may be trying to mislead you. The only way to check whether you’re buying from an FDA-registered establishment is to search the FDA Registration & Listing public database (every brand we recommend is registered with the FDA).
Because the OTC hearing aid rule is relatively new, the FDA is just getting started on approving the devices themselves. You can check Devices@FDA for approved brands and companies by typing “hearing aids” or “OTC hearing aids” into the search box. But it’s important to know you won’t see many just yet. As long as the FDA labeling is present on the packaging, you can proceed with confidence.
Learn about trial periods and return policies. It takes time to adjust to hearing aids—especially if you’re wearing them for the first time. As one of our testers observed, “I think people just expect to insert a hearing aid in their ear and they’ll be able to hear everything with no problems—not all ears are shaped uniformly. You have to almost re-learn how to hear. The brain needs to adapt to the sounds the hearing aids produce.”
And buying them over the counter means you’ll likely be tweaking the fit, sound level, and other features yourself. It’s important that you’re comfortable with the amount of time you’re allowed to test out different models.
Understand the capabilities of each device you’re considering. First, there are many different styles of hearing aids: behind-the-ear (BTE); receiver-in-canal (RIC); in-the-ear (ITE); in-the-canal (ITC); completely-in-canal (CIC); and invisible-in-canal (IIC). Consider your preferences and your hearing needs.
Features—including battery life and Bluetooth compatibility—are important, too. Some models use disposable batteries, while others are rechargeable. You may want to take this into account when thinking about the price of hearing aids. Having to replace batteries may increase their cost over time. But rechargeable batteries begin to decline after about two and a half years, so you may need to replace or repair your device by the five-year mark. All these factors depend on how much the hearing aid is used and in what ways. For example, streaming hours of music will drain a battery much more quickly.
Be wary of buying hearing aids on social media. This is a common phishing tactic. Sophisticated scammers create content that appears to originate with trusted brands and sites—Amazon being one—and use it to lure you in. When you click to purchase, these scammers are ready to steal your credit card info and other personal details. If you see a sale advertised on Facebook, Instagram, or another platform, check the manufacturer’s site separately. If the sale is real, you should find it there as well. We always recommend buying online from a site whose address you’ve typed into the browser window yourself.
Read more shopping tips in our hearing aid buyers guide.
How much do OTC hearing aids cost?
Among our survey respondents, 28% said price was their top concern when considering over-the-counter hearing aids (second only to “sound quality”).
You can expect to pay anywhere between $100–$2,000 or even more for OTC hearing aids. How much you spend really depends on the features you choose. The models we reviewed for this article range from $99–$2,699.
That may seem expensive at the high end. Keep in mind, prescription models can cost much more: Our research found some prices as high as $7,000. Why the difference? Prescription hearing aids include “baked-in” costs covering things like office appointments before and after you buy, as well as regular professional cleanings, adjustments, and upgrades.
Does Medicare pay for hearing aids?
No, in most cases, Medicare doesn’t pay for hearing aids. Original Medicare (Parts A and B) doesn’t cover hearing exams, hearing aids, or fittings. The exception: Medicare may cover diagnostic hearing and balance tests if your doctor suspects an underlying condition. You can discuss this with your primary health care provider.
Some Medicare Advantage plans offer additional vision, hearing, and dental benefits. If you’re enrolled in Medicare Advantage, check with your plan to see what coverage you may have for hearing health. It is also important to check who the participating providers are in your plan (or before you enroll in a plan).
What about Medicaid? It depends on where you live. Some states opt to include a certain level of hearing care in their plans. If you’re a Medicaid enrollee, contact your state agency to ask whether this coverage is included. Most include hearing aid coverage for pediatrics, but less than half provide some coverage for adults.
If you need hearing aids and can’t afford them, it’s worth checking around for programs that can help, like these:
- Some manufacturers may offer financing options, rebates, or other incentives.
- The nonprofit Hearing Aid Project of America publishes a searchable directory of state, national, and international resources.
- Some Lions Clubs have programs that provide free or low-cost hearing aids; contact your local chapter to learn more.
- If you’re a veteran whose hearing loss is service-related, you may qualify for free hearing aids through the U.S. Department of Veterans Affairs.
- The Indian Health Service may provide free or low-cost hearing aids for its tribal members.
- You can also check with your state’s Department of Rehabilitation Services to see if they can help you cover the cost.
- Check NCOA’s BenefitsCheckUp® to find benefits in your area.
Frequently asked questions
What is the best OTC hearing aid?
Our testing found Jabra Enhance hearing aids to be the best OTC option currently available. We were impressed by Jabra Enhance's sound quality, well-designed app for easy customization, and stellar customer service.
How do I know if I need hearing aids?
If you suspect you have hearing loss, consult a professional for an evaluation. An audiologist or ENT physician can pinpoint the exact cause(s) of your hearing loss and identify the best way(s) to treat it.
Are OTC hearing aids any good?
Yes, OTC hearing aids can be an affordable alternative to prescription hearing aids for those with mild to moderate hearing loss. Always have your hearing checked by a professional to rule out any hearing conditions before purchasing OTC hearing aids. Take your time researching different brands and models before buying OTC hearing aids, so you can be sure the pair you purchase is legitimate.
How long do OTC hearing aids last?
OTC hearing aids last anywhere from three to seven years, on average. If you take good care of your hearing aids and follow the manufacturer's care instructions, there’s no reason they shouldn’t last. That said, it's always a good idea to find a brand that stands behind its products with solid product warranties and customer support.
Can you use HSA or FSA funds to purchase hearing aids?
Yes. Hearing aids are considered qualified medical expenses (QMEs) under the IRS code, which means they are eligible for reimbursement with HSA or FSA funds. You may also be able to use an FSA or an HSA to pay for eligible expenses related to hearing aids, such as batteries, ear molds, and repairs.
Questions? Email us at reviewsteam@ncoa.org.