From Sfchronicle · · 2m
Hearing aids over the counter still hard to get right
Over-the-counter hearing aids are accessible but finding the right one remains difficult for many.
In brief
Over-the-counter hearing aids are accessible but finding the right one remains difficult for many. Many Americans struggle to find and afford the right over-the-counter hearing aids despite FDA approval for mild-to-moderate hearing loss. Originally reported by Sfchronicle.
FDA allows OTC hearing aids
The FDA proposed a rule in 2021 allowing adults with mild to moderate hearing loss to buy hearing aids over the counter without a medical exam or audiologist fitting.
Kathryn Phillips' struggle
Kathryn Phillips, a UCSF health economics professor, tried multiple hearing aids over years, paying up to $2,700 for one OTC device before finding two that work well for her at $1,500 total.
OTC hearing aid challenges
Many people face confusion choosing OTC hearing aids, as products on Amazon are not FDA-regulated and may not work like true hearing aids.
Professional help gaps
Only about half of OTC hearing aid users get full professional services, and 1 in 5 receive no assistance at all, according to a 2025 market analysis.
Insurance coverage issues
Medicare does not cover hearing aids, but some Medicare Advantage plans and commercial insurance may cover partial costs or specific devices.
Self-fitting devices
Self-fitting OTC hearing aids use manufacturer apps to adjust settings based on hearing tests, with trial periods and warranties for customer support.
Sara Rittweger's advice
Sara Rittweger, a Kaiser Permanente audiologist, recommends getting a hearing test first, using online screenings if needed, and checking insurance coverage for hearing aids.
Hearing loss and dementia link
Research shows hearing loss is linked to dementia, emphasizing the importance of addressing hearing issues for social health.
Phillips' solution
Phillips found two OTC hearing aids that work well for her after years of trial, paying a combined $1,500 for effective devices.
Key steps for users
Users should get a hearing test, check insurance coverage, look for self-fitting devices with good customer service, and be persistent in finding the right aid.
Here's the gist
Many Americans struggle to find and afford the right over-the-counter hearing aids despite FDA approval for mild-to-moderate hearing loss.
