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Best OTC Hearing Aids of 2023: Price and Sound Comparison

Everything you need to know before going shopping

In this video, HearingTracker Audiologist Matthew Allsop provides his perspectives about OTC hearing aids. Closed captions are available on this video. If you are using a mobile phone, please enable captions clicking on the gear icon.

Are you turning up the TV too loud or having trouble listening without captions? Do you ask family members to repeat themselves too often? Or find yourself nodding your head when you don’t really hear what they just said? It may be time for you to start shopping for a set of over-the-counter (OTC) hearing aids.

Here's what you need to know about the new affordable, accessible OTC hearing aids—how they can help you, what you should look for, what to avoid, price and purchase options, alternatives to consider, and more. To get you started, here are links to write-ups on some of the best early entrants in the OTC hearing aid market.

Top-10 products worth considering:

  1. Jabra Enhance Plus
  2. Sony CRE
  3. Lexie Powered by Bose
  4. HP Hearing PRO
  5. Eargo 7
  6. MDHearing VOLT MAX
  7. Lucid Engage
  8. Sound World Solutions
  9. Soundwave Sontro
  10. GoHearing

What are OTC hearing aids?

In October 2022, the FDA approved two new classes of OTC hearing aids that, unlike prescription hearing aids, are not required to be purchased from a hearing care professional. If you’re among the 30-million-plus adults in the U.S. with untreated mild-to-moderate hearing loss, they may help you start to hear much better. At prices ranging from $300 to $1,200, the best of them will put an iPhone-sized dent in your pocketbook. But they are easy to buy and are bringing the average cost of high-quality hearing assistance below the thousands of dollars more you may pay for premium prescription hearing aids.

The average price of a set of quality hearing aids fitted by a hearing care professional is about $5,000, and it generally takes 2-6 office visits to get these hearing aids matched precisely for your unique hearing needs. But not everyone has a $5,000 hearing problem or wants to devote several hours to solving it. For them, OTC hearing aids are a good alternative—even if it's a temporary or situational remedy—for addressing their hearing loss.

However, the FDA's new rules also provide only minimal quality assurances—and fewer consumer protections—compared to the state licensing laws that apply to prescription hearing aids dispensed by professionals. Additionally, there are two classes of OTC hearing aids:

  1. A more-regulated “self-fitting” class that often utilizes a smartphone app and a hearing test for programming and adjusting the aids for your unique hearing loss, and
  2. A less-regulated “wear and go” class that is generally less expensive and uses pre-set amplification or no programming at all; in general, these offer more basic amplification and fitting technology.

And it's actually a bit more complicated than that, because OTC hearing aids sold both online and in stores have different FDA regulations (mostly labelling requirements) than those sold online only. For interested readers, HearingTracker has published a full list of FDA-registered OTC hearing aids based on their classifications.

Finally, it should be noted there are also "hearables." These are essentially smart earbuds that are not FDA-registered as OTC hearing aids but have "hearing-aid-like" features that can make them good, inexpensive listening devices for some people in certain situations. The Apple iPods Pro 2 is a good example of a hearable. However, these devices are not specifically designed and marketed to compensate for a hearing loss. HearingTracker covers these products in our Hearable Technology Guide.

10 Best OTC Hearing Aids

Because it’s such a new market, we recommend checking out OTC hearing aids that either have a long-standing brand presence in hearing healthcare or at least a reliable track record for providing good online amplification devices via hearables. Professional support during the initial onboarding process and product support are also very important. Here are our top-10 picks:

Jabra Enhance Sony CRE-C10 Lexie by Bose B1 Lexie by Bose B2 HP Hearing PRO Eargo 7* MDHearing VOLT MAX* Lucid Engage Sound World HD75R* Soundwave Sontro Go Prime*
Price $799 $999 $849 $999 $699 $2,950 $700-1,000 $700-1,000 $500 $999 $299
Self-fitting Preset selection
Battery Life 10 hours 70 hours 56 hours 18 hours 5-8 hours 16 hours 15 hours 15-20 hours 22 hours 4-6 days 30 hours
Wireless Audio ✓ iOS Only ✓ Android Only
Pro online support
Companion App
Push Button Tap Control
Trial Period† 45 days 45 days 60 days 60 days 45 days 45 days 45 days 60 days 45 days 45 days 45 days
Warranty Period 1 year 1 year 1 year 1 year 2 years 2 years 1 year 1 year 1 year 1 year 1 year
IP Rating IP52 IP68 IP67 IP67 IP54 IPX7

Comparison of key attributes of OTC hearing aids (use scroll bar at bottom of chart to see all 10 devices). Prices may vary by distributor and some companies offer holiday specials, as well as add-on service, loss & damage, cleaning, and subscription packages. IP ratings indicate product has been tested for resistance to dust and moisture incursion; no rating means not tested or rating was not listed. Notes: *OTC status pending † May vary by seller.

1) Jabra Enhance Plus

Jabra Enhance Plus is a medical-grade self-fitting OTC hearing aid from GN Hearing, a major global hearing aid manufacturer that makes ReSound and Beltone hearing aids.

Jabra Enhance Plus

Jabra Enhance Plus from GN Hearing.

At $799/pair, the Jabra hearing aids look like modern wireless earbuds but have features more often associated with traditional hearing aids, including speech enhancement, directional microphones, noise reduction, feedback suppression, and Bluetooth streaming. They also feature consumer-friendly earbud applications including streaming audio and hands-free calling via Bluetooth® (iPhones only).

Jabra Enhance Plus

4 stars stars
1 review

Listed prices are for a pair of hearing aids in US dollars unless otherwise specified. Prices may change over time, and may vary by region.

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Product Highlights

Self-fitting w/ hearing test
Rechargeable with carrying case that doubles as recharger
Bluetooth streaming for phone and media


$799 per pair
Streaming supported on iPhone only
Sound quality is more like a hearing aid and less like a Jabra earbud

A quick overview of Jabra Enhance Plus hearing aids by HearingTracker Audiologist Matthew Allsop. Closed captions are available on this video. If you are using a mobile phone, please enable captions clicking on the gear icon.

2) Sony CRE-C10

Sony's new CRE-C10 is a discreet self-fitting in-ear hearing aid, sold for $1000 a pair, that is so tiny it falls into the “invisible in ear” category.

Sony Otc Cre C10 Hand 1200x675

Sony CRE-C10 hearing aids.

Like the Jabra Enhance Plus, the CRE-C10 was co-produced by a global hearing aid manufacturer—in this case, WS Audiology who make Widex and Signia hearing aids. In fact, the CRE-C10 appears to be very similar to Signia’s Vibe “ready to wear” self-fitting hearing aids. It features an effective self-fitting app, self-adjusting optimization for your listening environment, and what appears to be the longest battery life (70 hours) among true OTC hearing aids.

Sony CRE-C10 Self-Fitting OTC

4 stars stars
3 reviews

Listed prices are for a pair of hearing aids in US dollars unless otherwise specified. Prices may change over time, and may vary by region.

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Product Highlights

One of most-discreet OTC hearing aids
Self-fitting w/ hearing test
Size 10 battery provides long (70 hrs.) battery life


Does not offer phone/music streaming; does have app for controlling aid
Not rechargeable

Watch HearingTracker Audiologist Matthew Allsop's video about the new Sony CRE-C10 and CRE-E10 OTC self-fitting hearing aids. Closed captions are available on this video. If you are using a mobile phone, please enable captions clicking on the gear icon.

A second Sony OTC hearing aid—the Sony CRE-E10—has just been released this winter at $1,299.99 and can be ordered now. Unlike the CRE-C10, it offers Bluetooth streaming for phone calls and music, rechargeability, and feature in a slightly larger wireless earbud design.

3) Lexie Powered by Bose

Lexie B2 Powered by Bose (and B1) are OTC receiver-in-canal (RIC) hearing aids that offer good sound quality, onboard volume control, directional microphones, noise reduction, feedback and wind-noise suppression, smartphone app controls, and real-time remote set-up and support from Lexie Hearing.

Lexie B2

Lexie B2 Powered by Bose hearing aid.

While the B1 and B2 use Bluetooth wireless technology to connect with the Lexie app, neither stream phone calls, music, or other audio from smartphones or wireless tablets, computers, etc. The only major difference between the two models is that the B1 is powered by a size 312 battery while the B2 is rechargeable. Sold by the pair, the B1 costs $849 while the rechargeable B2 costs $999, including charger. If you're a Costco member, you can save $20 by ordering the B2 directly from Costco's website.

Lexie Powered by Bose

3.5 stars stars
3 reviews
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Product Highlights

Self-fitting w/ hearing test
RIC style w/ option of disposable or rechargeable battery
Free 6-day/wk 45-day onboarding support from licensed professionals


$849 for battery version; $999 for rechargeable
Does not stream music or phone calls
Available only in gray color

HearingTracker Audiologist Matthew Allsop provides his perspectives on the Lexie B2 Powered by Bose hearing aid. Closed captions are available on this video. If you are using a mobile phone, please enable captions clicking on the gear icon.

Lexie also offers the Lexie Lumen hearing aid for $799, and its parent company, HearX, markets the Go Lite and Go Prime direct-to-consumer (DTC) hearing aids for $199 and $299, respectively.

4) HP Hearing PRO

The HP Hearing PRO is a self-fitting OTC hearing aid branded by Hewlett-Packard and developed and manufactured by Australian audio device maker Nuheara.

Hp Hearing Pro 1200x675

HP Hearing PRO.

The HP Hearing PRO appears to be nearly identical with or bearing a strong resemblance to one of HearingTracker’s favorite hearables, the Nuheara IQbuds2 MAX—a smart, rechargeable, Bluetooth-compatible earbud that comes with a great self-fitting app developed by the esteemed National Acoustics Laboratories (NAL) of Australia. Similarly, the HP Hearing PRO uses the same Ear ID™ system to calibrate the PRO hearing aids to your personal hearing configuration after measuring your hearing thresholds via its hearing test. The PRO reportedly provides 30% better speech understanding in noise using directional microphones, and features active noise cancellation, Bluetooth streaming for music and phone calls, and premium sound quality.

Nuheara IQbuds² MAX

4.5 stars stars
2 reviews

Listed prices are for a pair of hearing aids in US dollars unless otherwise specified. Prices may change over time, and may vary by region.

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Product Highlights

Self-fitting w/ hearing test yielding good sound quality; has directional microphones for hearing in noise
Apple and Android compatible with hands-free calling
Rechargeable with excellent carrying case that doubles as charger


$699 per pair, about $200 more expensive than IQbuds2 MAX
Shorter battery life (5-8 hrs) compared to other OTC hearing aids
Heavier than most other in-ear OTC hearing aids

HearingTracker Audiologist Matthew Allsop provides an overview of the HP HearingPRO OTC hearing aid. Closed captions are available on this video. If you are using a mobile phone, please enable captions clicking on the gear icon.

5) Eargo 7

The new Eargo 7 released in January 2023 is a rechargeable completely-in-canal (CIC) “invisible” hearing aid that you can buy online or at retailers, including Victra/Verizon stores.

Eargo 7 With Charging Case

Eargo 7.

Eargo 7 has some significant upgrades over its predecessor, including Sound Adjust+ with Clarity Mode” which analyzes the soundscape in loud environments and automatically chooses whether to emphasize speech or reduce noise for comfort. It also features faster noise reduction, better water resistance, and a rechargeable battery with up to 16 hours of power.

Eargo 6 is fit via the company's Sound Match app-based hearing test, and Eargo also provides lifetime professional telehealth support via phone or app. The app also functions as a remote control for muting the hearing aids, changing listening programs, adjusting volume, tone, and background noise level, as well as for uploading updates. Eargo 7 does not support Bluetooth streaming of music/phone. At $2,950 a pair, Eargo 7 is on the more expensive side of OTC hearing aids. But the company does provide extensive professional online support, which can be crucial.

Eargo 7

5 stars stars
80 reviews
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Product Highlights

Discreet Completely-in-Canal (CIC) self-fitting hearing aid w/ hearing test
Lifetime remote professional support included with purchase
App and/or tap controls; Inductive rechargeable batteries


One of the most expensive ($2,950/pair) direct-to-consumer hearing aids
No Bluetooth steaming for music or phone calls
Although they tout noise reduction, aids do not have directional microphones

Eargo 6 is an invisible hearing aid that promises to help you "hear more of every conversation" through personalized amplification, background noise removal, and automatic environmental adjustments. Coming in at $2,950 a pair, Eargo 6 isn't the cheapest hearing aid we've reviewed, but with premium features like rechargeability and IPX7-rated water resistance and—and lifetime telehealth support—it's worth consideration, says Audiologist Matthew Allsop. Closed captions are available on this video. If you are using a mobile phone, please enable captions clicking on the gear icon.

6) MDHearing VOLT MAX

VOLT MAX is a rechargeable, self-fitting, behind-the-ear (BTE) hearing aid that programs itself to your unique hearing loss via a hearing test, and provides remote assistance and adjustments from in-staff hearing care professionals.


MDHearing Volt MAX.

The hearing aids feature adaptive noise reduction, directional microphones, feedback cancellation, and app-based control of settings. MDHearing offers the devices at a base price of $1,900, but you can often buy them on special for $700 per pair. MDHearing has been a strong proponent of the Auracast Bluetooth LE wireless broadcasting system, and we anticipate they’ll be an early adopter of this technology in the future. The company has several other models of direct-to-consumer hearing aids, ranging from $250-300/pair.

Product Highlights

Self-fitting Behind-the-Ear (BTE) hearing aid w/ hearing test
Rechargeable with push-button controls and app controls for volume, programs, and finding hearing aid
Remote professional support and online adjustments available


$1,900/pair (often offered for $700 when on special)
Does not offer phone/music streaming; has app for controlling aid
BTE style hearing aids, while effective, are becoming superseded by newer RIC style.

7) Lucid Engage Rechargeable

Lucid is the manufacturer of Liberty hearing aids for Sam’s Club and the owner of Etymotic Research, which makes high-quality earplugs and headphones.

Lucid Engage Rechargeable 1200x675

Lucid Engage Rechargeable.

Lucid Engage Rechargeable—which is essentially the same as the premium Liberty aid—is a self-fit Receiver-In-canal (RIC) hearing aid that offers Bluetooth streaming and app-based controls. It uses a special fitting formula (ADRO) in its programming and allows you to adjust the shape of your amplification by dragging lines up or down in a simulated audiogram within its LucidShape app. Lucid advertises five other OTC hearing aids on its website: fio, Engage, Enlight, Enrich Pro and Enrich, ranging from $200-1,000.

Lucid Hearing Engage

4 stars stars
1 review
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Product Highlights

Self-fitting RIC hearing aid that also relies on manipulation of sound parameters in app for "shaping" response
Bluetooth for steaming music and phone calls (Android & iOS, choose model at check-out)
Rechargeable with 15-20 hours of usage time/charge


$1,000/pair although frequently offered on special by Lucid for $700—possibly lower at Sam's Club where you can also get in-person testing/fitting
Does not use hearing test like other self-test OTCs; instead relies on 4 preset configurations and fine-tuning in LucidShape app (but this may be good for people who like more control)

8) Sound World Solutions HD75 and HD75R

Sound World Solutions is based in Chicago and started out by offering quality personal sound amplification products (PSAPs) that were used in several studies, ultimately proving self-fitting devices can be helpful to people with hearing loss.

Sound World Hd75r 1200x675

Sound World Solutions HD75R BTE hearing aid.

The company now offers its HD75 and HD75R OTC Behind-the-Ear (BTE) self-fitting hearing aids. Both hearing aids offer a hearing test and Customizer app for calibrating the sound to your unique hearing needs, three program settings with voice prompts, an equalizer screen for adjusting bass, mid and treble ranges, directional microphones for better hearing in noise, and a manual volume control button. The HD75R is rechargeable and can stream music and phone calls directly to ASHA Android compatible devices but are not “hands-free”(ie, can hear conversation via hearing aids but need to speak into the phone for caller to hear you); the HD75 uses size 312 batteries and does not feature streaming.

Product Highlights

Self-fitting Behind-the-ear hearing aid that can use either app or presets for customization
Long battery life for both size 312 disposable (HD75) and rechargeable battery (HD75R) models
Directional microphones for hearing in noise w/ 3 program settings


Either model is $500/pair
Bluetooth streaming for Android offered only in rechargeable (HD 75R) model and does not provide for hands-free calling
Does not offer rechargeable carrying case for HD 75R
Does not provide dedicated remote/virtual professional support

9) Soundwave Sontro

Soundwave is a company established by a team of experienced hearing healthcare executives who believe in three core principles: simplicity, affordability, and convenience.

Sontro Hearing Aids 1200x675

Soundwave Sontro hearing aids and otoTune hearing test.

Their first product, Sontro, is a receiver-in-canal (RIC) hearing aid launched in January 2022 that uses a size 312 battery. The Sontro otoTune® App tests your hearing in 3 minutes and calibrates itself for your hearing loss, offers a choice of four listening programs (Quiet, Noise, Entertainment, and Automatic), and the aid automatically adjusts to different sound environments. Sontro does not feature streaming for music, phone calls, or other media, although the company says it plans to offer this in a future version.

Product Highlights

Self-fitting w/ hearing test
Receiver-in-canal with a 312 battery that provides 4-6 days of power
Automatically adapts to listening environment and can be adjusted using both app or buttons on hearing aids


$849 per pair
Does not feature Bluetooth for music or phone calls
Only comes in non-rechargeable model
Relatively new company (but experienced management)

10) GoHearing Go Lite and Go Prime

Now we get into some tricky territory, because we wanted to include at least one product in the sub-$300 range. In truth, there currently aren't many products we can give a glowing recommendation. The Go Lite and Go Prime hearing aids are basic rechargeable, in-the-ear “wear-and-go” type OTC hearing aids offered for $199 and $299 per pair, respectively. They do not offer a hearing test as the others above do and hence are not uniquely calibrated for your hearing loss. And our HearAdvisor Lab found “underwhelming sound performance” for the company's Go Ultra higher-end hearing aid.


GoHearing's Go Lite OTC in-ear hearing aid.

So why recommend this? GoHearing is owned by HearX, which is the same company that makes Lexie B1/B2 Powered by Bose OTC hearing aids (see above)—although the Go products are manufactured in China while the Bose products are made in Minneapolis. Go Lite is designed to be discreet, and works best in small groups or for watching TV. You can adjust the volume on each Go Lite aid using a provided tool. Go Prime features a button on the aid that can change the volume setting and three pre-set programs, and it offers noise reduction and feedback cancellation (preventing the hearing aid from whistling). Neither hearing aid is wireless or uses an app, nor do they employ the advanced features found in their Lexie counterparts. Frankly, except for their price tag, there isn’t much impressive about them; however, they may help people with milder hearing losses who can benefit from basic amplification. The really good thing: They’re sold by a reputable company that stands behind its products and you should get your money back if they don't work for you and return them within the trial period.

Product Highlights

Simple "wear and go" in-ear discreet hearing aids
Go Prime is rechargeable and has button control for volume/program changes
HearX is a reputable company that generally provides good customer support


Offered for $199 and $299, they do not provide a hearing test and are not tailored for your specific hearing loss
Go Lite requires a special tool just to change the volume
Neither hearing aid offers Bluetooth or has app controls

Top-10 Do's and Don’ts when buying OTC hearing aids

Please do...

Get a hearing screening test from an independent source to be sure you fall into the mild-to-moderate hearing loss category for which OTC hearing aids are designed. You can use CEDRA from Northwestern University and Mayo Clinic to see if you have any medical risks, then take an online hearing test to assess the severity of your hearing loss (see "Who Should Get OTC Hearing Aids" below). Even better, visit a hearing care professional for an audiogram. While some are free and others may cost $100-250, a hearing evaluation in a sound-treated booth gives you an accurate picture of your hearing loss, rules out any medical issues, and resolves easy-to-fix problems like earwax. Plus you can use the audiogram to program many self-fit OTC aids and hearables—resulting in a hearing aid more precisely tuned to your hearing loss.
Make sure you understand the company’s trial period/return period and product warranty. These are major areas where the FDA's OTC rules depart from those of prescriptive hearing aids; in comparison, OTC hearing devices have far fewer consumer protections and your options for redress are more limited.
Check your warranty and service contract options. If you’re planning on using your OTC hearing aid for several years, then anticipate at least some service or repair issues during that time. Clogged and/or malfunctioning receivers, kinked tubing, moisture problems, etc., are not uncommon problems in hearing aids.
Be aware that the “self-fitting” hearing aids—featuring a hearing test and app-based programming—should provide you with better hearing aid performance. The “wear-and-go” type devices that don’t use an app or hearing test might work well for people with milder hearing losses, but they probably won’t correct for your individual hearing loss as well as the “self-fitting” devices. (Frankly, we’re concerned this “wear and go” class of OTC products may consist of a lot of the same cheap, low-quality, online hearing amplifiers we saw prior to the new FDA rules!)
Recognize that many hearing care offices will be able to offer a basic-level/economy prescription hearing aid with services for $1,000-$1,500—if you insist on this price and don’t allow them to upsell you. There are also several Direct-to-Consumer companies that provide hearing aids and services at lower prices (see "DTC hearing aids and services" below). As another point of reference, Costco has offered its premium Philips HearLink hearing aids starting at $1,599 a pair.

Please don't...

Don’t buy an OTC hearing aid based on price alone or from a company that doesn't list clear information about itself and its trial periods, warranties, and repair policies. And, if you can’t find their address, phone number, and customer service info, run away!
Don’t let the hearing aid sit in its box without giving it an honest try. Generally, the clock starts ticking on the trial period as soon as you receive the package, and it can take a week or two to get used to the new sound and decide if the hearing aids are right for you. Once you’re past the trial period, you probably won’t be able to return them. Don't get stuck with something that won't help you!
Don’t ignore the warnings about conducting your hearing test in a very quiet place when setting up "self-fitting" OTC hearing aids. In general, the results from the hearing test are *crucial
for calibrating the device; if the test is inaccurate, the sound settings for the hearing aids will be similarly inaccurate. Get the most value from these hearing aids by conducting your hearing test in a very quiet place where you won't be distracted or interrupted—or by obtaining an audiogram from a professional.
Don’t assume you can buy an online hearing aid and then get help for it later from a local hearing care provider. In a large city, this may be easy enough to do if you’re willing to pay for the service; in other areas, help could be difficult to find.
Don't get discouraged if the OTC hearing aid doesn’t work for you. If you buy an OTC hearing aid and it’s not helpful, send it back and try another, or seek help from a local reputable hearing care provider. Almost all hearing losses can be addressed by a properly fitted and programmed hearing aid or other device. So don’t give up!

OTC vs. traditional hearing aids: What’s the difference?

OTC hearing aids work much like traditional prescription hearing aids. The key difference is you're able to get them without a prescription or visit to a hearing care provider. That should help to reduce the costs, but you’ll also be missing out on important services like hearing testing in a test booth and hearing aid validation and verification, which is offered by most good audiologists.

Traditional prescriptive hearing aids also come with important post-purchase services. Some OTC hearing aids may come with telecare or remote support that involves a technician or even a hearing care professional. In general (but not all the time), you'll find that higher-priced OTC hearing aids come with good online or even in-person service support. Many buyers will benefit from more personalized service, including in-person sessions with an professional.

OTC hearing aids also have important limitations in the amount of volume they can provide to compensate for your hearing loss. That's why they're only suitable for people who have mild to moderate losses. If you're already having trouble understanding normal speech in a quiet one-on-one conversation, the amplification provided by an OTC hearing aid might not be strong enough to help you.

Finally, you should know that hearing aids can break or malfunction. Because they’re small electronic devices worn on the ears and exposed to the elements all day long, it’s not uncommon for prescription hearing aids to require basic maintenance or repairs from the audiologist. It may be harder to get it an OTC hearing aid repaired or replaced. In fact, a recent HearingTracker survey showed the #1 concern hearing care providers have about OTC hearing aids is common breakdown problems like those caused by moisture and earwax. This means it’s imperative for consumers to read and understand the OTC hearing aid company’s trial period and warranty policies, as well as support and costs for repairs.

To learn more about the specifics of OTC hearing aids, please see "The New FDA Rules for OTC Hearing Aids: What Do They Mean for People with Hearing Loss."

Who should get OTC hearing aids?

OTC hearing aids are more affordable hearing aids for adults with mild-to-moderate hearing loss. They’re particularly helpful to people who don’t have access to insurance that covers traditional hearing aids. Potential buyers should be comfortable with self-managing electronic devices, customizing them using apps, and regularly optimizing their settings. A recent study suggests that people who have had experience with conventional hearing aids and who are comfortable with smartphone technology are more likely to benefit from OTC hearing aids.

Prior to investing in OTC hearing aids, it's best to consult with a hearing care professional to confirm the level of hearing loss and rule out underlying and/or treatable conditions, which might be covered by insurance. There is really nothing that can compare to having a trained professional look in your ears and provide a comprehensive hearing evaluation.

If you don't wish to take that route, you might wish to visit Northwestern University's CEDRA webpage to see if you have a risk for conditions and diseases that affect hearing. If you're all clear with CEDRA, then you can move on to an independent hearing test like those mentioned in our Top-10 Free Online Hearing TestsAARP's phone-based Hearing Test, or HearingTracker's 3-minute hearing test.

Pros & Cons of OTC hearing aids

As OTC hearing aids are a completely new category of hearing aids, the jury is still out regarding their potential good and bad points that the new regulations may bring. But here are some possible pros and cons:


OTC will provide increased access to hearing devices
OTC will eventually lead to the creation of new self-fitting hearing aid technologies by consumer electronics companies
OTC will lead to the demise of bad hearing care providers and increase the overall quality of hearing care services (ie, greater adherence to best practices)
OTC could lead to more regulation of the direct-to-consumer marketplace
OTC will put pressure on hearing care providers to be more transparent with their pricing (“unbundling” product costs from services)


OTC could put you at risk of improperly treating your hearing loss and/or missing a serious health issue
There is no guarantee that your OTC hearing aids will be programmed correctly
OTC may not drive down the costs of medical-model hearing aid technology
Instant-fit or “fit and go” OTC (as opposed to the more regulated self-fitting OTC) devices could open the market to more unscrupulous companies and poor-quality amplification
It may be more difficult to get an OTC hearing aid repaired or replaced, so purchasers need to understand the trial period/warranty and return policies of the device manufacturer

Alternatives to OTC hearing aids

Because they're a new product category created in October 2022, OTC hearing aids are just now coming onto the market. You should see many more soon.

Although HearingTracker is excited about OTC hearing aids, it's hard not to notice that many of the best ones are very similar—and in some cases identical—to previous hearing aids or personal sound amplification products (PSAPs) that have been offered for years.

It's also hard not to notice that many OTC hearing aids are in the $1,000 price range where perhaps the majority of hearing care professionals can compete at the price level with their lowest-priced hearing aids. In other words, if you're going to pay that much, you might consider alternate options that can include help from an audiologist or hearing aid specialist—either online or in person.

Here are some of your options.

Audiologists and hearing aid specialists

Professionally-fitted (prescription) hearing aids are available for purchase through state-licensed audiologists and hearing aid specialists. In our view, this is where people with moderate and more severe hearing losses will find the most benefit and value, as long as those hearing care providers adhere to best practices. However, the average price for a professionally-fitted hearing aid, including a hearing aid fitting and follow-up care, is $2372 each, according to a recent Hearing Tracker survey.

When seeking professional help, make sure to check if insurance might help pay for the hearing aids and/or associated services. For those who cannot afford professionally-fitted hearing aids, there several alternate routes. You might consider looking into financing, options for financial support, and our affordable hearing aids guide.

Another good resource for financial assistance (in a PDF file) is offered by the Hearing Industries Association. If you’re still left with the bill, remember that you can offset a portion of the cost of hearing aids from your taxes.

DTC hearing aids and services

In addition to OTC hearing aids, several companies offer direct-to-consumer (DTC) hearing aids, often offering hearing aids from the world's largest hearing aid manufacturers along with professional services via remote and/or in-person care options. You'll note that some of these companies now have products in the OTC hearing aid category, as well. We think the OTC and DTC categories will continue to overlap. Note: Be wary of Amazon purchases! chaperones your hearing care journey by matching you with a local care provider for services like hearing tests, fittings, and follow-up care. Per default, the initial steps are in-person, but you can opt for the tele-audiology journey if you prefer remote services. Through the app, you can manage your hearing aid, schedule appointments, and keep in touch with your consultant for continued support. Prices range from $795 to $6500 per pair.

Yes Hearing

Yes Hearing is “America’s concierge hearing care solution,” connecting its customers with over 400 licensed hearing specialists nationwide who come to your home to fit and service your hearing aids. The company carries all the leading hearing aid brands and offers them at significant unit price discounts compared to local hearing care providers. Prices range from $1,395 to to $3,995 per pair, including service.


ZipHearing operates with a straightforward delivery system and provides excellent service by partnering with trusted global manufacturers and local clinics to offer hearing aids complete with in-person care—and substantial upfront savings of about 25%. Unlike some of its competitors, it does not offer remote/virtual services, but instead pairs you with a reliable hearing care provider. Reviews suggest Zip Hearing is a good choice for those who prefer face-to-face care at a local clinic. Prices range from $1,998 to $4,598 per pair.


Audicus markets affordable hearing aids and assists customers remotely with professional hearing care services. The company offers four hearing aid models—all manufactured by the world's largest hearing aid company, Sonova—ranging in price from $699 to $1,699 per pair. Audicus does everything in-house, including hearing aid programming, shipping, and remote customer care.

Jabra Enhance

Jabra Enhance was named Lively prior to its purchase by global manufacturer GN—the maker of ReSound and Beltone hearing aids—in late 2021. Jabra Enhance/Lively is an online hearing aid provider offering three GN-engineered hearing aids, as well as remote care for customers. Its digital platform enables consumers to explore, purchase, and receive hearing care from U.S. licensed hearing care professionals from the comfort of home. The Enhance product line is essentially the same as the former Lively 2 hearing aids and similar to ReSound One and ReSound Key hearing aids, now with the addition of the Jabra Enhance Plus OTC (see above). Prices range from $1,195 to $1,995.


Lexie is part of the South Africa-based HearX group which makes a wide array of hearing-related telecare products and was cofounded by a respected audiologist. Along with the Lexie B1/B2 Powered by Bose OTC hearing aids and Go Hearing aids (see above), their flagship product is the Lexie Lumen, a self-fitting hearing aid that features directional microphones, a noise-reduction program, good sound quality, 6 pre-set listening programs, and a telecoil. Buying a product from Lexie includes the help of Lexie technicians (a service called Lexie Care), with real-time communication and hearing aid programming achieved through the app. With Lexie, you have the option of paying for a subscription fee which includes all the company’s services, or paying once ($799) and then selecting service packages, as you wish.


If you're not ready for hearing aids, but still need help hearing, you might look at our hearable technology guide. As the market has changed, some of these hearables have transitioned into the OTC hearing aid category. But there are still some very popular hearables—including the Apple AirPods Pro and AirPods Pro 2—that work quite well as "situational hearing aids.”

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Editor in Chief

Karl Strom is the Editor in Chief of HearingTracker. He has been covering the hearing aid industry for over 30 years. 

David Copithorne

Contributing Editor

David Copithorne is a longtime hearing-loss blogger and regular contributor at Hearing Tracker. In 2002, he suffered a sudden and severe hearing impairment. Since then, he has dedicated himself to sharing the valuable information he has learned along his journey.


Gee, this is great. You've provided so much info on practically every OTC and other hearing aid out there! What an ENORMOUS help this is. Thank you. I'll try to keep you up to date on my excursions to get a good price on an excellent hearing aid for, first, my sister, then myself.

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