OTC vs. prescription hearing aids
Who over-the-counter devices are for, when you need a prescription model, and how to decide.
What changed in 2022
The FDA created a new over-the-counter category, allowing adults with perceived mild to moderate hearing loss to buy hearing aids directly — no exam or prescription required. Brands like Jabra Enhance, Sony and Lexie sell these online and in stores.
Who OTC is good for
Adults who struggle in restaurants or with the TV but manage one-on-one conversations reasonably well. OTC devices are self-fit using a smartphone app, cost far less, and are a low-risk way to try amplification for the first time.
When you need prescription
If your hearing loss is more than moderate, differs a lot between ears, or came on suddenly, see a professional. Children should always be fitted by an audiologist. Prescription devices offer more power, finer tuning, custom molds and ongoing professional care.
Red flags that need a doctor, not a store: sudden loss, loss in only one ear, pain, drainage, dizziness, or ringing in just one ear.
How to decide
A hearing test is the honest answer — many are free. If your results show mild to moderate loss in both ears, OTC is a reasonable, affordable start. Anything more complex is worth the investment in professional fitting.
Ready to compare models?
See our Top 10 hearing aids →