# 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.
- Title: Hearing aids over the counter still hard to get right
- Summary: 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…
- Keywords: hearing aids, otc, fda, medicare, ucsf, kaiser permanente, hearing loss, dementia, news, local, Hearing, aids
- Source: Sfchronicle — https://sfchronicle.com/health/article/hearing-aid-otc-prescription-insurance-22477653.php
- Read time: 2 min
- Topics: hearing aids, otc, fda, medicare, ucsf, kaiser permanente, hearing loss, dementia, news, local
## 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.
## Key takeaway

Many Americans struggle to find and afford the right over-the-counter hearing aids despite FDA approval for mild-to-moderate hearing loss.