Until October 2022, buying reputable hearing aids directly wasn’t an option. Instead, you had to visit a local audiologist. This requirement kept prices high and led Congress to step in, creating a new direct sales channel for hearing aids.
While most hearing aid wearers still visit clinics for their devices, OTC hearing aids are shaking up a category that hasn’t seen much change in decades. If you’re looking for innovation, this is the space to watch. Want to learn more? Here's the pros and cons for OTC and prescription channels.
What are OTC hearing aids?
The term "OTC hearing aids" gets thrown around a lot, but here’s what it really means:
- FDA-Regulated: OTC hearing aids are governed by the FDA’s 200-page guidelines, which specify marketing standards and safety requirements, like limiting maximum output volume.
- Designed for Mild-to-Moderate Hearing Loss: These devices are capped at certain volume levels to ensure safety for all users and are best suited for those with mild to moderate hearing loss.
- Self-Fitting Technology: Many OTC hearing aids come with smartphone apps that take over the programming role traditionally handled by an audiologist. Interestingly, studies from JAMA and others show that self-fitting devices can deliver outcomes comparable to prescription-fit hearing aids.
- Affordable Pricing: OTC hearing aids typically range from $300 to $2,000 per pair—much lower than the national average for hearing aids (around $4,500 per pair).
If you’re reading this guide, you likely already know some of this information. What you really want to know is: “What are the best OTC hearing aids on the market?”
How we determined the list of best OTC hearing aids below.
I’ve personally worn just about every OTC hearing aid available—from disappointing Amazon finds to truly impressive options like Sennhieser All Day Clear and Sony CRE-C20. Here’s how we built our list:
- Comprehensive Testing: Soundly’s team and lead audiologist reviewed every brand in a test environment using quantitative metrics.
- Personal Experience: We wore and set up each device to evaluate ease of use and performance.
- Community Insights: We polled our editorial review board (25 individuals with hearing loss) and analyzed hundreds of real customer reviews from Soundly customers.
The result is a curated list of brands that offer a variety of price points, styles, and features. These are the brands we’d recommend to friends and family considering hearing aids outside of a clinic.
Not Sure if OTC hearing aids are right for you?
Take our free hearing test to get started, or watch our guide on interpreting hearing test results to better understand your scores.
Now, let’s dive in!
- 50+ hearing aid brands reviewed and rated by our team of hearing aid wearers and audiologists
- 200+ hours each month spent researching brands and care options
- 100% independently owned and operated
We launched Soundly.com in 2022 to create a better starting point for the hearing health experience.
Instead of selling hearing aids directly, we spend our time reviewing products, publishing clearly organized information, and building modern tools to make the process of accessing hearing health easier. Learn more.
Our work is funded through reader support. When you buy through our links, we may earn a commission. Read more about our research process here.
- 50+ hearing aid brands reviewed and rated by our team of hearing aid wearers and audiologists
- 200+ hours each month spent researching brands and care options
- 100% independently owned and operated
We launched Soundly.com in 2022 to create a better starting point for the hearing health experience.
Instead of selling hearing aids directly, we spend our time reviewing products, publishing clearly organized information, and building modern tools to make the process of accessing hearing health easier. Learn more.
Our work is funded through reader support. When you buy through our links, we may earn a commission. Read more about our research process here.
Featured in this article
Our Overall OTC Hearing Aid Picks for 2025
After testing dozens of products, two OTC hearing aids clearly stand out. Interestingly, both are made by traditional hearing aid manufacturers—the same companies behind top in-clinic devices.
- Sony CRE-C20: Our pick for the best in-ear OTC hearing aid. Manufactured by WS Audiology (the world’s third-largest hearing aid maker by volume), the C20 stands out for its sound quality, comfort, and an impressive 28-hour battery life. The only notable downside is the lack of Bluetooth streaming (due to the invisible style).
- Sennheiser All Day Clear: Our pick for the best behind-the-ear OTC hearing aid. Made by Sonova, (the largest hearing aid manufacturer globally), the All Day Clear is comfortable, discreet, rechargeable, and supports Bluetooth streaming for both Android and iPhone.
Both of these hearing aids are produced by industry leaders, offering clinic-grade sound quality for under $1,000. They strike the balance between affordability and quality that we look for.
Sennheiser All Day Clear
Sennheiser All Day Clear
- Our favorite OTC hearing aids for under $1,000
- Manufactured by the largest hearing aid maker in the world
- Compatible with iPhone and Android devices
Here’s why we picked the Sennheiser All-Day Clear:
- Trusted Manufacturer: Developed by Sennheiser, a leader in audio, and backed by Sonova, the world's #1 hearing aid maker, ensuring high-quality sound and technology.
- Comfortable Design: Lightweight and comfortable for all-day wear, available in both Slim and standard models to suit different preferences.
- Affordable Price: Offers premium sound quality and features typically found in prescription hearing aids, all for under $1,000.
- Easy App Control: The intuitive smartphone app allows for quick, user-friendly setup and self-programming, ideal for even mildly tech-savvy users.
Sennheiser All Day Clear reviews are about as glowing as you'll find among self-fit devices. Users comment on Sennheiser's lightweight comfort, clear sound and easy to use app. Some users wished that the battery life was longer for 16+ hours of wear. Here are some sample reviews:
- "One of the best over-the-counter hearing aids you'll find.They're extremely lightweight which I really appreciate because usually whenever I use any sort of earbuds I like it to wear I don't even feel like they're on my ear.The clarity of the audio that comes out of these small little hearing aids is very impressive." - Jay
- "The instructions are not complicated and the all day clear app for the phone is easy to use and works well for personal customization. You can use the hearing aids itself to control the volume and connect to other devices. The all day clear hearing aids are comfortable to wear all day. I feel more confident because I feel like I am apart of conversations and not alienated in life. The battery life is good but you will need to recharge if you are wearing them all day." - Kamille
- "I got my 72-year-old dad the Sennheiser hearing aid, and oh boy, it's a total game-changer! Dad's been dealing with some hearing trouble for a while, but this device has turned things around big time.Being far away from him, I sent the aid his way, and he managed to set it up all by himself using YouTube. Easy peasy! Now, he's raving about how it's like night and day. In group chats, he used to miss out on voices, but not anymore. He's hearing everyone loud and clear, even when Mom calls him from another room." - Britto
- Premium Sonova-built technology for less than prescription channels
- Bluetooth streaming and hands-free calls (Android and iPhone)
- Comfortable all-day form factor
- Charger must be plugged in while charging
- Requires a smartphone for programming
- All-Day Clear is an OTC product appropriate for mild-moderate hearing loss levels
- If you have more significant hearing loss you might consider local or Telehealth care. Read more about prescription Vs. OTC hearing aids here
- Available for purchase online via Soundly
- Does not require a prescription from a doctor
- Customize your hearing aids with the Sennheiser All-Day Clear app
- Soundly customers get a complimentary guided setup session
- Sennheiser offers impressive underlying background noise management technology
- We found this product performed at a similar level to top prescription brands
- Comfortable receiver-in-canal style is great for all day wear
- Sits behind the ear with a receiver (speaker) that reaches into the ear canal
- The form factor of Sennheiser All-Day Clear is comparable to leading prescription hearing aids like Phonak Lumity
- Available in a dual-tone black and silver
- Choose between slim and non-slim versions (we recommend the non-slim option for most people)
- Sennheiser All-Day Clear comes with rechargeable batteries
- 16 hours of wear on a single charge
- Recharge case must be plugged into the wall while in use
- All-Day Clear streams to all devices including iPhone and Android
- All Day Clear allows hands free phone calls on both iPhone and Android
- Streaming quality is similar to the top prescription products on the market
- All-Day Clear is reasonably easy to handle but does require the wearer to place the hearing aid behind their ear and insert the receiver into the ear (consistent across all behind-the-ear styles)
- The All-Day Clear recharge case has ports that must be in contact for charging. This type of charger is more difficult than premium conduction chargers which do not require ports to be touching
- Sennheiser All-Day Clear hearing aids have an IP68 rating
- These devices can be submerged in up to one meter of water for 30 minutes without damage
- The Sennheiser All-Day Clear app enables setup and customization of your hearing aids
- The smartphone app allows on-the-go volume and sound quality adjustments
- The All-Day Clear app has a music and automatic program but does not offer Tinnitus masking, program creation or other advanced features
Sony CRE-C20
Sony CRE-C20
- Soundly's top-selling in-ear OTC hearing aid
- Nearly invisible in most ears
- 28-hour battery life per charge
- Self-fits through Sony's smartphone app
Sony’s CRE-C20 is a big step up for in-ear OTC hearing aids, packing new features that make it our top pick. Here’s why we chose it:
- Sound Quality Boost: Sony borrowed tech from in-clinic product Signia Silk for sound processing, and the difference is clear. The CRE-C20 delivers noticeably better sound than past models.
- Long-Lasting Battery: With 28 hours on a single charge, you can count on the CRE-C20 to get you through a full day.
- Invisible, Comfortable Fit: Designed to be invisible in most ears, the CRE-C20 fits comfortably and stays discreet—even more so than many other IIC models we’ve reviewed. We especially like the slightly curved design that improves in-ear comfort.
If you’re looking for an in-ear OTC hearing aid, the CRE-C20 wins on sound, battery, and comfort.
Sony CRE-C20 is Soundly's top-performing in-ear OTC hearing aid. Our customers love the discretion and sound quality and often comment on how comfortable CRE-C20 is compared to other in-ear options. Some customers do report that the app setup is more involved than simpler products like Lexie or Sennheiser. Some sample review:
- "Over the past few years, I have tried a half-dozen or more OTC hearing aids and none of them were better than the Sony CRE-C20 aids that I have had the opportunity to evaluate. I have tried less costly and more expensive OTC's - doesn't matter - these were the answer to my inability to hear in many situations." - Ern
- "In terms of function, I was very impressed with the overall sound quality once it was dialed in. Initially they sounded a bit tinny, but that was easily adjusted with the Sound Balance control. It took a couple of days of use and adjusting before I really felt they were dialed in. At that point I wore them all day in different environments to put them through their paces. One of my main concerns is the ability to hear clearly and understand what the person I’m speaking with is saying in a louder environment. The CRE-20Es did a fantastic job with toning out the background noise and producing a clear and easy to understand conversation experience. I tend to have to listen and read lips at the same time but quickly realized I could hear the conversation very well, even in a loud restaurant environment." - Stanley
- "These are IP68 Sweat and water resistant - I was able to wear these biking multiple times without any fear of them falling out or being damaged." - James
- "I shut down and restarted the app, turned off my phone, uninstalled and reinstalled the app, and nothing seemed to work. I tried the next day, and then it worked." - Trobadaur
- C20 is Nearly invisible in most ear canals
- High quality sound for a lower price
- Self-fit at home
- Rechargeable with 28 hours of battery life
- Does not allow Bluetooth streaming
- Requires some tech-savvy for setup
- Only for mild-moderate hearing loss
- Sony CRE-C20 hearing aids are sold over the counter and are appropriate for those with mild-moderate hearing loss
- If you have more significant hearing loss it is recommended that you access professional care through Telehealth or local care
- Available for purchase here Soundly.com with a complimentary guide setup service
- Does not require a prescription from a doctor
- Customize your hearing aids with an onboard hearing test and app-controls
- Sony CRE-C20 is made in collaboration with hearing leader WSA audiology
- Sony CRE-C20 offers good background noise management algorithms and newly re-designed processing chip
- Sony CRE-C20 sits discreetly in the ear and comes with various ear tip sizes
- Sony CRE-C20 is not custom-molded to your ear shape
- Our team finds all in-the-ear models slightly less comfortable for all-day wear than RIC hearing aids
- Sits inside the ear
- Only available in one completely-in-canal size (invisible in many ears)
- Only available in black
- Sony CRE-C20 has rechargeable batteries
- Sony CRE-C20 batteries last 28 hours on a single charge
- The included CRE-C20 carry-case comes with three additional on-the go charges
- Sony CRE-C20 does not come with Bluetooth streaming
- Sony CRE-C20 is a small device which can pose dexterity challenges
- Sony CRE-C20 uses rechargeable batteries and has a convenient charge case with strong magnets that pull the devices into place
- CRE-C20 is water resistant but we recommend you avoid water activities while wearing (i.e. swimming)
- Sony CRE-C20 uses a smartphone app which includes an onboard hearing test and manual controls for bass, treble and volume
- The app is required to make changes (no buttons onboard)
Other OTC Hearing Aids Brands We Love
Eargo, Sony CRE-E10, Lexie B2+, and Elehear complete our shortlist, earning a spot for their modern design, earbud-style streaming, and affordability.
Eargo
Eargo
- Disruptive leader in hearing health, known for sleek, invisible design.
- Rechargeable with a patented tip that allows ears to breathe.
- Eargo 7 adapts to your environment throughout the day.
- Newer models (Eargo SE and Eargo LINK) offer a range of prices and features.
Eargo has long set the standard for design in the hearing aid industry. Their compact devices, along with an intuitive app and thoughtful packaging, make Eargo a standout choice for early adopters. Here’s why we picked it:
- Invisible Design: The Eargo 7 is the smallest rechargeable hearing aid on the market, rivaled only by the Sony CRE-C20.
- Reduced Occlusion: Eargo’s patented “floating” ear tip design sits comfortably in the ear without causing occlusion, a common issue for in-ear hearing aid users.
- User-Friendly App: The Eargo app is easy to navigate, and it allows audiologists to remotely adjust your devices as needed, though most adjustments can be managed directly in the app.
Eargo has received numerous customer reviews, reflecting a generally positive reception.
Overall
Customers frequently commend Eargo for its discreet design, sound quality, and responsive customer service. Many users highlight the significant improvement in their hearing experience and the comfort of the devices.
Positives
- Discreet Design: "The Eargo hearing aids are virtually invisible, and no one can tell I'm wearing them." — James D.
- Sound Quality: "The clarity of sound is remarkable; I can hear conversations clearly even in noisy environments." — Charlie B.
- Customer Service: "Eargo's support team was incredibly helpful and guided me through the setup process with ease." — Rowdy G.
Complaints
While the majority of feedback is positive, some customers have reported issues with device durability and the need for adjustments. However, these concerns are relatively infrequent compared to the overall satisfaction expressed by users.
For a comprehensive view of customer experiences, you can visit Eargo's review page.
- Eargo is a tiny, rechargeable device that sits entirely inside the ear
- Eargo uses a unique design that prevents occlusion
- Eargo is self-fit using an app but offers remote support
- Only appropriate for those with mild to moderate hearing loss
- Requires some tinkering to fine tune the product
- Eargo is not Bluetooth enabled due to the tiny size
Lexie B2+ Powered By Bose
Lexie B2+ Powered By Bose
- Self-fit with the Lexie app, adjusting treble, bass, and directionality.
- Rechargeable with 18-hour wear time and an on-the-go charging case.
- Bluetooth streaming for calls on both iOS and Android.
- On-demand support from Lexie hearing experts for setup and care.
Lexie leads the OTC hearing market in volume, with wide availability in pharmacies and strategic partnerships that make it highly accessible. Here’s why it stands out:
- User-Friendly App with Extensive Adjustments: Lexie’s app offers near-limitless adjustment options, ideal for users who want full control over their sound quality.
- Top-Notch Customer Service: Lexie excels in customer support, allowing users to connect quickly through the app for any assistance needed.
- Soundly Extras: Purchasing Lexie hearing aids through Soundly includes a complimentary audiology setup call, ensuring you start with a perfectly tailored fit.
Ease of Use and Setup
- Cindy B. – "After a lot of research on OTC hearing aids for my moderate hearing loss, I chose Lexie B2 Plus. I wanted rechargeable hearing aids that would link to my iPhone, and the price was affordable...One of the most exciting experiences I’ve had was hearing the birds in my backyard! It was almost completely quiet without them on."
- William – "These Lexie B-2's were easy to adjust per the app and proved to be superior to the more expensive ones, plus no trips to the doctor every week or so."
Sound Quality and Listening Experience
- Faith Li – "The Lexie B2 hearing aid doesn't get time to charge as I just love wearing them. I am grateful for the gift of hearing and that I no longer miss out on the moments."
- Listener T. – "The sound quality through the aids was fine, once I had them set appropriately. The noisy room filter allowed me to focus on the person in front of me in a restaurant."
Affordability and Value
- Carolyn – "I kept putting off getting hearing aids because they are so expensive and my insurance doesn’t cover them. Once the audiologist mentioned the high quality, I looked into them...What a difference they have made!"
- Kyle, MD – "The Lexie B2 Plus hearing aids are very good introductory hearing aids...The sound quality is excellent and extremely natural."
Challenges
- DJR-NJ – "Customer service and support were excellent! Unfortunately, I was unable to wear the devices because the wires were too short. They did respond quickly to my calls and sent the longest wires they make, but I still couldn't wear them long enough to judge their performance."
- James - "Android App on my phone kept dropping connection with the Lexie hearing aids. The app was more consistent on my iPad"
- Shopper A - "Android phone tries to play audio through hearing aids with No Way To Turn it off unless it's a phone call. Otherwise, you must turn your media volume off. Phone call through hearing aids mutes your microphone so caller can't hear you."
- Strong underlying technology
- Self-fitting using the Lexie app
- Affordable and rechargeable
- Only comes in one color
- Not for those with severe hearing loss
- Lexie B2 Plus - Powered by Bose is an OTC product appropriate for mild-moderate hearing loss levels
- If you have more significant hearing loss you might consider local or Telehealth care. Read more about prescription Vs. OTC hearing aids here
- Available for purchase online or at retail stores like Walgreens and Best Buy
- Does not require a prescription from a doctor
- Customize your hearing aids with an onboard hearing test and app-controls
- Lexie B2 Plus Powered by Bose is among our top-rated OTC hearing aids for overall value
- Technology from Bose does a great job managing background noise
- Comfortable receiver-in-canal style is great for all day wear
- Sits behind the ear with a receiver (speaker) that reaches into the ear canal
- The form factor of Lexie B2 Plus Powered By Bose is comparable to leading prescription hearing aids
- Only available in grey
- Lexie B2 Plus Powered by Bose comes with rechargeable batteries and a portable recharge case
- 18 hours of wear on a single charge
- New recharge case carries an additional 18 hours of portable charge (without being plugged in)
- Lexie B2 Plus Powered by Bose added Bluetooth streaming for iPhones in 2023 and now with compatible Android™ devices
- Refer to the FAQs at LexieHearing.com to check if your Android™ device is compatible.
- Lexie B2 Plus Powered by Bose uses Apple's MFi protocol for connection
- Streaming functionality is designed for phone calls. While music and media streaming is possible, it is not optimal.
- Lexie B2 Plus Powered by Bose is reasonably easy to handle but does require the wearer to place the hearing aid behind their ear and insert the receiver into the ear (consistent across all behind-the-ear styles)
- Lexie B2 Plus Less waterproof than industry leaders but still sweat and moisture resistant
- Take an onboard hearing test to customize your hearing aids
- Adjust directionality between “Everywhere” and “Front” modes so you can choose between hearing sounds around you or the sound that’s in front of you
- Manually customize treble/bass, volume and programs
Sony CRE-E10 Hearing Aids
Sony CRE-E10 Hearing Aids
- Bluetooth streaming for seamless audio connection
- Earbud and hearing aid crossover design
- Comfortable for all-day wear
- 26-hour battery life on a single charge
- Self-fitting via the Sony app for easy customization
We chose the Sony CRE-E10 for its unique mix of convenience, sound quality, and customization, making it a standout in the in-ear hearing aid category. Here’s why it’s a top pick:
- Bluetooth Streaming: The CRE-E10 stands out as one of the few in-ear hearing aids that provides direct Bluetooth streaming from iPhones, allowing hands-free calls and media playback with clear, high-quality sound.
- Rechargeable & Long-Lasting: With up to 26 hours of battery life, this device supports all-day wear and includes a simple charging case for extra convenience, making it great for active users.
- Self-Programming: Sony’s app guides users through an intuitive hearing test, allowing personalized adjustments to fit individual hearing needs. This feature gives users greater control and convenience right from home.
At Soundly, we’ve seen firsthand how these features resonate with our customers, who appreciate the balance of tech and comfort Sony offers.
Users share excitement that Sony has entered the hearing space. Many reviewers comment on E10's streaming capabilities and comfortable fit. A few complain about the setup process.
- "I knew Sony would come through with these hearing aids and I'm very, very happy with them...my research payed off!...they've already made me a little more confident and willing to interact with people without saying WHAT? or HUH?" - Ben
- "After initial calibration, there is some fine tuning that you can perform in order to customize the hearing aids for specific situations like speech and your own voice. I liked the ability to adjust the sound EQ balance between treble and bass. This made it easier to focus on voices in higher or lower registers on-the-fly, as needed. You can also set directional hearing amplification as well to focus on sounds coming from in front, behind, or to either side rather than omnidirectional." - Phil
- "The Sony E10s are significantly smaller and lighter than what I had, but sound just as good, with the added benefit of being able to go through the app test to customize them in ways that only a doctor can on professional ones." -Fixm
- Rechargeable Modern design
- Self-fit at home
- Bluetooth streaming for iPhone users
- Not compatible with Android
- More visible than smaller options
- Sony CRE-E10 hearing aids are sold over the counter and are appropriate for those with mild-moderate hearing loss
- If you have more significant hearing loss it is recommended that you access professional care through Telehealth or local care
- Available for purchase online or at retail stores Best Buy
- Does not require a prescription from a doctor
- Customize your hearing aids with an onboard hearing test and app-controls
- Sony CRE-E10 is made in collaboration with hearing leader WSA audiology
- Some people compare this product to Signia Active Pro
- Sony CRE-C10 offers excellent background noise in line with premium prescription hearing aids
- Sony CRE-E10 sits in the ear like an earbud and comes with various ear tip sizes
- The device is larger than other in-the-ear hearing aids but does a good job handling occlusion
- Our team finds all in-the-ear models slightly less comfortable for all-day wear than RIC hearing aids
- Sits inside the ear like an earbud
- Only available in black
- Sony CRE-E10 has built-in rechargeable batteries
- 26 hour runtime on a single charge
- Each pair comes with a sleek, portable charging case that includes additional, on-the-go charges
- CRE-E10 only streams Bluetooth through iPhones at this time
- CRE-E10 offers hands-free calling for iPhone users
- Android users can use the hearing aid app
- Sony CRE-E10 is very easy to handle
- The recharge case includes convenient magnets that pull the product into place
- No battery changes needed
- CRE-E10 has an IP Rating of IP68, which means it can be submerged in one meter of water for up to 30 minutes
- The Sony Sound Control app allows users to take a test that programs their devices to match their hearing loss
- The rest of the App is very minimal, with features to control directionality, volume, and bass + treble
- The app is required to make changes (no buttons onboard)
Elehear Beyond
Elehear Beyond
- Our favorite OTC hearing aids for under $500
- Compatible with iPhone and Android devices
- Bluetooth streaming and rechargeable
Here’s why we picked Elehear Beyond:
- Sound Clarity: Elehear Beyond’s noise reduction effectively separates speech from background sounds, providing clear listening in a variety of environments.
- Simple Bluetooth Streaming: Elehear Beyond connects directly through Bluetooth settings, similar to pairing regular headphones. It supports music and calls without requiring extra accessibility setup steps.
- Battery Life: The charging case provides up to 20 hours of use after a 90-minute charge, making it convenient for all-day wear without needing frequent recharges.
- Customizable Sound Settings: Through the Elehear app, users can adjust bass, treble, and volume to match their personal preferences, offering more control than pre-set options in higher-end models.
- Affordable Choice: Priced at $399 per pair, Elehear Beyond is an accessible option in the OTC market, with essential features suited for those who prefer handling adjustments independently.
- Robust features for a very affordable price
- Bluetooth streaming (iPhone and Android)
- Tinnitus masking features
- Robust features for a very affordable price
- Bluetooth streaming (iPhone and Android)
- Tinnitus masking features
- Requires some tech savvy
- Newer company
- Slightly less advanced sound (although impressive for the price)
- Elehear Beyond is an OTC product appropriate for mild-moderate hearing loss levels
- If you have more significant hearing loss you might consider local or Telehealth care. Read more about prescription Vs. OTC hearing aids here
- Available for purchase online or at retail stores
- Does not require a prescription from a doctor
- Customize your hearing aids through dials and controls inside a smartphone app
- Elehear Beyond has the best sound quality we've seen at products under $500
- Comfortable receiver-in-canal style is great for all day wear
- Sits behind the ear with a receiver (speaker) that reaches into the ear canal
- The form factor of Elehear Beyond is comparable to leading prescription hearing aids
- Only available in silver
- Elehear Beyond comes with rechargeable batteries and a portable recharge case
- 20 hours of wear on a single charge
- New recharge case carries an additional 80 hours of portable charge (without being plugged in)
- Elehear Beyond is compatible with iPhone and Android Devices
- Bluetooth connection is managed through the settings app
- Elehear Beyond is reasonably easy to handle but does require the wearer to place the hearing aid behind their ear and insert the receiver into the ear (consistent across all behind-the-ear styles)
- Elehear Beyond has an IPX5 raing
- In practical terms, an IPX5-rated device can handle splashes, rain, and some exposure to water but is not fully waterproof
- Adjust volume, sound quality and background noise
- Elehear Beyond comes with built-in tinnitus management features
Telehealth Hybrid Approach
Jabra Enhance Select takes a slightly different approach to the OTC category with its unique programming method. Instead of relying on a smartphone app, Jabra gathers your audiogram (uploaded or via an online test), programs the devices to match your needs, and ships the pre-programmed hearing aids directly to your door. This approach strikes a balance between in-clinic care and self-fit OTC options. For those willing to spend a bit more for personalized, hands-on support, Jabra is an excellent choice.
Jabra Enhance Select
Jabra Enhance Select
- Bluetooth enabled and rechargeable
- 100-day risk-free trial
- Nearly invisible with a sleek design
- Professionally programmed before shipping to your home
The Jabra Enhance Select 500 offers an impressive blend of clinic-grade technology, affordability, and user convenience. Here’s why it stands out:
- Professional-Grade Technology at a Lower Price: Jabra’s Enhance Select 500 provides the advanced sound quality of clinic-only brands like ReSound but at less than half the price.
- Professional Programmed Hearing Aids From Home: Jabra’s pre-programmed approach ensures a personalized fit without needing in-clinic visits—customers simply take or upload a hearing test, and Jabra's audiologists program the hearing aids before shipment.
- Seamless Bluetooth Streaming: Equipped with LE Audio, the Enhance Select 500 delivers high-quality, direct streaming for calls and media, with excellent sound quality and range.
- Purchase Perks: Jabra offers 100-day returns, unlimited remote adjustments, and seven-day-a-week customer support.
Overall
Users commend the Jabra Enhance Select 500 for its natural sound quality, discreet design, and effective customer support. Many report significant improvements in hearing clarity and comfort.
Positives
- Natural Sound Quality: "The sound quality is excellent, and the ability to adjust settings via the app is a great feature." — Timothy T.
- Discreet Design: "These hearing aids are virtually invisible and very comfortable to wear throughout the day." — Angel M.
- Customer Support: "The customer service team was incredibly helpful and guided me through the setup process with ease." — Damian.
Complaints
While the majority of feedback is positive, some customers have reported issues with device durability and the need for adjustments. However, these concerns are relatively infrequent compared to the overall satisfaction expressed by users.
For a comprehensive view of customer experiences, you can visit Jabra Enhance's review page.
- One of the most affordable and convenient ways to purchase online while maintaining professional care
- Comes with a 100 day free-return period
- Offers rechargeable batteries and Bluetooth streaming
- Remote care requires users to be somewhat tech savvy
- Jabra only offers styles that sit behind the ear
- Jabra Enhance Select is a fully customizable, prescription hearing aid appropriate for mild-severe hearing loss
- If you have severe hearing loss and struggle with feedback (squealing) you may need a custom earmold (not available through Jabra Telehealth)
- If you have profound hearing loss, you may be a better fit for a high-powered BTE style hearing aid (note available through Jabra Telehealth)
- Jabra is a remote care brand that programs and delivers your hearing aids through Telehealth
- Take or submit a hearing test and a Jabra professional will program your hearing aids and ship them to your door
- Three years of unlimited support is included with every purchase
- Jabra Enhance Select hearing aids come with the capability for remote adjustments. This feature means you don't need to ship your hearing aids back to get program updates
- Jabra Enhance Select is manufactured by GN Hearing (the makers of ReSound hearing aids)
- Jabra devices come with a strong set of background noise handling features and app controls
- Jabra Enhance Select comes in a small and comfortable receiver-in-canal style that is easy to wear all day
- Sits behind the ear with a receiver (speaker) that reaches into the ear canal
- The form factor of Jabra Enhance Select is comparable to ReSound hearing aids
- Choose between five colors including: Sparkling Silver, Champaign, Gold, Bronze and Warm Grey
- Jabra Enhance Select offers three levels of technology. Select 500 and Select 300 come with rechargeable batteries and as of May 2024, Select 50 also comes with rechargeable batteries
- 30 hours on a full charge
- Comes with a portable charger (does not need to be plugged in)
- All Jabra Enhance Select technology levels allow Bluetooth streaming, music listening, and phone calls.
- Jabra Enhance Select 500 uses Bluetooth LE Audio (Auracast ready) and is handsfree for iPhone (11 and newer) and compatible Android models
- Jabra Enhance Select 300 allows iPhone users to take calls hands-free, while Android users must keep their phones close to pick up outbound audio
- Jabra Enhance Select 300 uses Apple's MFI connection and Android's ASHA connection to stream content through Bluetooth
- Jabra Enhance Select is reasonably easy to handle but does require the wearer to place the hearing aid behind their ear and insert the receiver into the ear (consistent across all behind-the-ear styles)
- If dexterity is a concern we recommend Select 300, which is larger and easier to grasp than the microRIE (Select 500)
- The Jabra Enhance Select charge case uses induction charging and is fairly easy to handle
- All levels of Jabra Enhance Select have an IP rating of 68
- These hearing aids can withstand dust and water submersion in one meter of water for up to 30 minutes
- Customization: Treble/bass, volume, microphone directionality
- Jabra Enhance Select includes Telehealth capabilities through the Jabra app
AirPod Pro 2 As OTC Hearing Aids
AirPods Pro 2 are among the best earbuds on the market, known for their excellent music quality and seamless Apple connectivity. Now, they include a “hearing aid mode,” allowing users to amplify the sounds around them. While AirPods aren’t as comfortable for extended wear or as effective at managing background noise compared to dedicated hearing aids, they’re a very affordable option—and you might already have them at home.
If you’re not ready to commit to hearing aids, AirPods Pro 2 could be a great starting point.
Apple AirPods Pro 2
Apple AirPods Pro 2
- Personalized Audio: Spatial Audio with head tracking provides a tailored listening experience.
- Extended Battery Life: Up to 6 hours on a single charge with noise cancellation enabled.
- Seamless Apple Integration: Quick setup and automatic switching between Apple devices.
- Comfortable Fit: Comes with four ear tip sizes to ensure a snug, secure fit.
The Apple AirPods Pro 2 deliver an enhanced audio experience with intelligent noise cancellation and a comfortable, customizable fit.
- Advanced Noise Cancellation: With up to twice the noise-canceling power of its predecessor, these earbuds create a focused listening experience by blocking out unwanted distractions—ideal for commutes or busy environments.
- Personalized Fit & Audio: Four sizes of silicone tips ensure a secure fit, while Spatial Audio with dynamic head tracking provides immersive sound tailored to your ears.
Designed for those seeking a seamless blend of comfort, sound quality, and integration with Apple’s ecosystem.
- Impressive Sound Quality: Users highlight the clear highs and deep bass, making these ideal for music lovers.
- Effective Noise Cancellation: Many praise the substantial improvement in blocking background noise, even in busy areas.
- Comfortable Fit: The inclusion of four ear tip sizes helps achieve a secure, comfortable fit for various ear shapes.
- Longer Battery Life: Users appreciate the extended battery life, especially with Active Noise Cancellation on.
- Convenient Controls: The intuitive swipe and press controls on the stems are a favorite for quick volume adjustments and call management.
- Occasional Charging Issues: Some users report rare connectivity glitches when charging with non-Apple chargers.
- Excellent built-in hearing test
- Industry leading headphone features and Apple connectivity
- Affordable hearing aid alternative
- Limited functionality with non-Apple devices.
- Not as good in background noise
- Not as comfortable or socially acceptable for all-day wear
Why did the fDA create a new class of hearing aids?
Research consistently shows that hearing aids are one of the best investments someone can make in their overall health. Hearing aids increase the quality of life and relationships while decreasing risks of dementia, falls, and more.
New research from Johns Hopkins showed that hearing aids decrease the long-term effects dementia by as much as 48%. Like glasses or other basic assistive technology, better access to hearing aids is good for everyone.
Hearing aids are notoriously expensive, and most people don’t get help from insurance. Learn why hearing aids often aren’t covered and what to do about it.
One reason that hearing aids cost several thousand dollars is that, until October 2022, they required a highly trained professional to program them during an in-person doctor's visit. That same professional typically bundles in 4-5 additional visits for ongoing adjustments and support. Overhead costs add up.
The FDA and lawmakers like Chuck Grassley and Elizabeth Warren created the new OTC hearing aid category to give a budget-friendly option to those with mild-moderate hearing loss.
Are OTC hearing aids right for you?
A common question people often have is whether OTC hearing aids can effectively address hearing loss. The answer is yes for those with mild to moderate hearing loss who are comfortable with the do-it-yourself approach.
How many people fit that profile? The NIH estimated from their NHANES database that nearly 70% of individuals with hearing loss fall into the "mild" hearing loss category. This means that many individuals with hearing loss could potentially benefit from an OTC device.
To help you determine whether you might benefit from an OTC hearing aid, let's delve into what mild and moderate hearing loss actually mean:
- Mild Hearing Loss: Individuals with mild hearing loss may have difficulty hearing soft sounds, such as whispers or distant conversations. Everyday speech at normal volume might still be audible, but softer consonants like 'f', 's', and 'th' can be hard to distinguish. In a quiet room, you might not notice much of a problem, but in a setting with background noise, like a crowded restaurant or a family gathering, you may struggle to follow conversations.
- Moderate Hearing Loss: With moderate hearing loss, you might find it increasingly difficult to hear sounds at normal conversational levels. This means you may frequently ask others to repeat themselves or rely on lipreading, even in quieter environments. Telephone conversations can be particularly tricky without some amplification. Everyday sounds such as doorbells, alarm clocks, and conversations from a few yards away might fade into the background. It’s common to miss parts of words or sentences, making it feel like people are mumbling or not speaking clearly.
If you aren't sure what level of hearing loss you have, I suggest that you take our free, 5-minute hearing test to find out more about your hearing.
What styles are available?
OTC hearing aids come in various styles, each catering to different preferences and needs. The most common styles include:
- Behind-the-ear devices
- Completely-in-the-canal (CIC) or invisible devices
- Earbud-style devices
Behind-the-Ear (BTE)
These hearing aids sit behind the ear and are connected to an earpiece inside the ear canal.
Leading examples: Sennheiser, Bose, Jabra
Pros:
- Versatility: BTE hearing aids are suitable for a wide range of hearing loss, with open domes that allow more natural sound quality for those with normal low frequency hearing.
- Battery Life: Typically, these style devices are widely available with rechargeable batteries that last a full day.
- Bluetooth: BTE-style devices are typically available with Bluetooth streaming.
Cons:
- Visibility: BTE hearing aids can be more visible than some styles, which might be a concern for those looking for a discreet option.
Completely-in-the-Canal (CIC)
These smaller devices fit in the ear canal, without a piece behind the ear.
Leading examples: Eargo, Sony CRE-C20
Pros:
- Discretion: CIC hearing aids can fit discretely in the ear canal.
- Sound Quality: Their placement within the ear canal can offer a natural experience by utilizing the ear's anatomy for microphone placement to collect sound.
Cons:
- Battery Life: These devices often come with rechargeable batteries now, but some use disposable batteries.
- Handling: These devices can be challenging to handle and adjust, particularly for those with dexterity issues.
- Bluetooth: Due to their small size, Bluetooth functionality is typically not available.
Earbud Style Devices
These hearing aids resemble regular wireless earbuds that many people use for listening to music or making calls. Earbud style devices offer a modern alternative to traditional hearing aid designs.
Leading examples: CRE-E10, AirPods Pro 2
Pros:
- Modern Design: Earbud style hearing aids resemble popular wireless earbuds, allowing users to feel more at ease wearing them in public.
- Multipurpose Use: Many models offer features like Bluetooth connectivity for streaming music and making calls.
- Comfort: Designed to fit snugly in the ear, they can be more comfortable for extended wear.
Cons:
- Visibility: While the earbud style can look like standard headphones, these will be visible in your ear, more so than other styles.
Each style has its pros and cons, so it’s essential to choose one that fits your lifestyle and comfort preferences.
How to choose an OTC hearing aid.
Some OTC hearing aids today are made by the same manufacturers who make prescription products. For example, Sonova manufactures Phonak hearing aids and also Sennheiser All-Day Clear.
ReSound is made by the GN Group who also make Jabra brand hearing devices. That's great news for consumers, who can be confident that these high-quality manufacturers offer high-quality, cost-effective options in an OTC product.
Other OTC devices from less experienced manufacturers can be less advanced or less stable. In general, we recommend that consumers stick with brand-name products like Sony, Eargo, Sennheiser and Lexie/Bose.
Ultimately, OTC hearing aids can be a viable option for many, offering an affordable and accessible way to improve hearing.
However, assessing your individual hearing requirements and possibly taking an online hearing test can provide a clearer indication of whether OTC hearing aids will meet your needs.
Key features of a good OTC hearing aid.
When making any large purchase, it’s incredibly helpful to break down your decision into “must-haves” and “nice-to-haves.” This approach ensures you prioritize features that are essential while still keeping an eye on added bonuses that could enhance your experience.
When it comes to OTC hearing aids, you might consider "must-haves" such as hearing loss appropriate, comfort and user-friendly controls. These are the fundamental aspects that directly impact functionality and usability in your day-to-day life.
On the other hand, "nice-to-haves" could include Bluetooth connectivity and apps. These features can improve your overall satisfaction and convenience but aren’t strictly necessary for the hearing aid's primary function.
By clearly distinguishing between these two categories, you'll be better equipped to choose a hearing aid that meets your core needs while still offering some enjoyable extras.
Must-Have Features
When shopping for an OTC hearing aid, certain features are non-negotiable. These include:
- Easy Setup: A good OTC hearing aid should be user-friendly, with straightforward instructions for setup and use.
- Comfortable Fit: Since you’ll be wearing these devices for extended periods, comfort is crucial. Look for hearing aids with adjustable fittings to ensure a snug yet comfortable fit.
- Adjustable to Your Hearing Loss: The device should allow for adjustments to match your specific level of hearing loss, providing the best possible sound quality.
Nice-to-Have Features
While not essential, some features can enhance your experience:
- Bluetooth Streaming: This allows you to connect your hearing aid to your smartphone, TV, or other devices for direct audio streaming.
- Rechargeability: Instead of dealing with disposable batteries, rechargeable OTC hearing aids offer convenience and environmental benefits.
- Smartphone App Features: Many hearing aids come with useful app features that allow you to control settings, adjust directionality, and more - right from your phone. Some apps are more simplistic, with fewer options for adjustment.
Understanding the price range.
OTC hearing aids can vary in price, typically ranging from $100 to $2,500 per pair. The cost often depends on the features and technology offered.
While it might be tempting to go for the cheapest option, sometimes spending slightly more can significantly improve your hearing experience and overall satisfaction. The table below is organized by price-per-pair (highest to lowest).
Does insurance cover OTC hearing aids?
One of the big questions consumers have is whether their insurance will cover the cost of OTC hearing aids. Unfortunately, many insurance plans, including Original Medicare, do not cover prescription or OTC hearing aids.
However, some private insurance plans may offer partial coverage or discounts. It’s always wise to check with your insurance provider to understand your coverage options.
Example: Aetna's Medicare Advantage Plans through Nations Hearing offer some coverage, ranging from $750 to $1,500. Coverage within individual plans varies, so you'll want to check your coverage with your plan.
Aetna hearing aid health insurance guide
BCBS hearing aid health insurance guide
Selecting OTC Hearing Aids - Final Thoughts
We hope this information helps you navigate the world of OTC hearing aids. Just to recap, OTC hearing aids can be a fantastic, affordable solution for many experiencing mild to moderate hearing loss. Be sure to think about what features are most important to you. Our top picks like the Sennheiser All-Day Clear and the Sony devices make the decision a bit easier by combining quality and innovation.
Feel free to reach out to the Soundly team if you need help finding the right OTC device!
Frequently asked questions
October 2015 - PCAST Letter Sent to President Barack Obama
OTC hearing aids got a significant boost from the President’s Council of Advisors on Science and Technology (PCAST) in 2015. PCAST recognized that hearing loss was a recurring issue prominently brought up by older adults. They noted that the traditional medical requirement to obtain hearing aids was a barrier for many individuals who needed them. In response, PCAST advocated for the removal of this medical prerequisite. Their efforts began the process to the creation of a new category of OTC devices, designed to be easily accessible and affordable for those with mild to moderate hearing loss.
December 2016 - FDA Takes The First Step
Thirty-nine years after the FDA’s first ruling on hearing aids, the agency came back with a blockbuster announcement in December 2016 that it would no longer enforce the requirement that individuals 18 and up receive a medical evaluation or sign a waiver before purchasing most hearing aids.
In that same announcement, the FDA shared their “commitment to consider creating a category of over-the-counter (OTC) hearing aids that could deliver new, innovative and lower-cost products to millions of consumers.”
March 2017 - Elizabeth Warren and Chuck Grassley Introduce a Bill
In May 2017, Democratic Senator Elizabeth Warren and Republican Senator Chuck Grassley signaled a bipartisan commitment when they introduced the Over-The-Counter Hearing Aid Act of 2017. In May, the two lawmakers co-authored a piece that was published on the Jama Network. They urged the FDA to “ go further than simply doing away with the medical evaluation requirement and create a new category of over-the-counter hearing aids for adults with mild to moderate hearing loss.”
July and August 2017 - Congress Says Yes
On July 12th, 2017, the bill earned bipartisan support in the U.S. House. Three weeks later, on August 3rd, the Senate passed the bill to the president’s desk.
August 18th - President Donald Trump Signs The Bill
On August 18th, 2017, President Trump signed the bill into law. The law mandated that the FDA create and regulate a new category of OTC hearing aids. The bill directed the FDA to focus on high standards for safety, consumer labeling, and manufacturing.
2017 through 2021 - The Waiting Game
After a lot of initial debate and speculation, everything went quiet. The FDA went to work on its regulations, and hearing aid wearers had no choice but to wait.
The three-year deadline loomed at the beginning of 2020, and it looked like we would finally get answers. Then came the pandemic. The FDA had bigger things to worry about, and OTC hearing aids got stuck on the back burner.
July 2021 - President Joe Biden Signs An Executive order
After nearly four years of crickets, President Biden lit a fire under the issue On July 9th with an executive order that directed the U.S. Department of Health and Human Services “to consider issuing proposed rules within 120 days for allowing hearing aids to be sold over the counter.”
October 2021 - At Long Last, A Proposal
On October 19th, the FDA released the long-awaited proposal for a new class of over-the-counter hearing aids. The 114-page document was long and technical (as it should be). As a part of the brand new guidelines, the FDA established a 90-day comment period where consumers, companies, and doctors could submit their feedback on the bill.
January 2022 - Comment Period Closes
In late January, the comment period closed, with more than 1,000 comments submitted from audiologists, manufacturers, and even hearing aid wearers. As you might expect, the disruptive regulation has been contentious, with many advocates and detractors on both sides.
August 16, 2022 - Final Guidelines Are Published
After reviewing more than 1,000 comments from manufacturers and consumers, new guidelines finally published. The final FDA ruling is over 130 pages long and includes in-depth responses to comments on topics like labeling, applicable technology, the OTC application process, and more. The final ruling made several changes in response to industry comments but largely remained intact.
October 17, 2022 - OTC Officially Go OTC
Starting on October 17th consumers began to see officially labeled OTC hearing aids on shelves at retailers like Walgreens, Best Buy and online. OTC hearing aids can now be purchased without a doctors appointment and will allow fitting at home.
Someone buy Elizabeth Warren and Chuck Grassley a drink. 🍺
October 2015 - PCAST Letter Sent to President Barack Obama
OTC hearing aids got a significant boost from the President’s Council of Advisors on Science and Technology (PCAST) in 2015. PCAST recognized that hearing loss was a recurring issue prominently brought up by older adults. They noted that the traditional medical requirement to obtain hearing aids was a barrier for many individuals who needed them. In response, PCAST advocated for the removal of this medical prerequisite. Their efforts began the process to the creation of a new category of OTC devices, designed to be easily accessible and affordable for those with mild to moderate hearing loss.
For the first time in almost 40 years consumers can now purchase hearing aids directly through online and offline retailers. Soundly sells Bose, Sony, and Eargo with complimentary audiologist support.
Leading OTC hearing aids are high-quality and deliver significant benefit to their wearers. Brands like Bose and Eargo go toe-to-toe with prescription products while products like Jabra Enhance Plus fill a niche in the market.
The biggest difference between OTC and prescription devices is in the level of service they include. If you need a lot of hands on support, OTC might not be the best fit for you.
Over-the-counter hearing aids are for people with mild to moderate hearing loss. If you aren’t sure what level of hearing loss you have, you can take a free online hearing test to establish your level of hearing loss.
Over-the-counter hearing aids are not for people with severe hearing loss. The FDA outlined some specific dB output limits meant to keep more severe hearing loss cases under the oversight of a hearing professional.
If you regularly miss loud noises or you struggle to hear conversations at full volume without background noise, it is recommended that you see an audiologist.
Yes. Eargo and Sony are the leading invisible OTC hearing aid makers.
This is where things get tricky. If you search “hearing aids” on Amazon you’ll find a wide array of products that have not registered with the FDA. Most of these devices are personal sound amplifiers (PSAPS).
In general, PSAPs offer less customization to match your hearing loss and have not gone through the FDA clearance process. Many PSAP products are cheaply made in China and may not even be safe for use.
Our suggestion is to use lists like this one to discover legitimate brands. You can then use that information to search in a more targeted way and avoid PSAPs.
There are several good over the counter bluetooth hearing aids options for iPhone users - Sennheiser All Day Clear and Sony CRE-E10 are among our favorites.
