Q: I’ve heard about the new over-the-counter hearing devices, but I’m not sure if they’ll work for me. What do I need to know? And what should I consider as I make my decision?
A: Hearing loss can be a significant quality-of-life issue for people. There are many benefits to visiting with an audiology practice or specialist. People with moderate hearing loss are good candidates for hearing aids bought over the counter without medical exams or professional fittings. Think of these devices as you would “cheater” glasses — they fill a need until you’re ready for traditional hearing aids.
There are many types of hearing aids, and it can be challenging to choose the right one.
To determine if these devices are a good fit, here are some things to consider before you buy.
More convenient and accessible: An over-the-counter option is more convenient and accessible, especially for those who live in areas where making an appointment with a hearing specialist and getting to the office can be a barrier to care. Over-the-counter devices are widely available at pharmacies, drugstores, other major retailers and online.
Less expensive: Hearing aids typically are expensive, with prices averaging $1,000 to more than $3,000 per ear, or $2,000 to over $6,000 per pair, depending on the technology and included services. Insurance coverage for adults can be limited, expensive or nonexistent. With over-the-counter options ranging from $99 to $1,700 a pair, these hearing devices can save many people money.
Quality devices: Some of the developers behind over-the-counter hearing devices are traditional hearing aid manufacturers. In some cases, they’re working with companies known for products with high sound quality, such as wireless headsets. These over-the-counter devices go beyond noise reduction and sound amplification, and provide a basic level of sound shaping you’d experience with a hearing aid.
Entry-level option: Over-the-counter hearing aids are an excellent first step for people who are just beginning to notice hearing loss. People in the target market tend to be younger — 40 to 65 years old, fairly tech-savvy and able to navigate the home-fitting process.
Self-diagnosis: Under the Food and Drug Administration ruling allowing the sale of over-the-counter hearing devices, people need to determine their level of hearing loss. Most manufacturers offer an online or app-based hearing test.
But patients may not be the most accurate judge of their condition. Hearing loss varies from person to person. That’s why traditional hearing aids are customized — not one-size-fits-all.
Quality of life: Hearing loss isn’t just an inconvenience. It reduces quality of life because you can’t hear what other people are saying, which causes you to miss out on conversations with friends and family, as well as important information, such as from health care providers. People with hearing loss can begin to feel isolated, which can lead to depression and cognitive decline.
Whether you opt for over-the-counter devices or customized hearing aids after seeing an audiology specialist, what is important is your commitment to improving your hearing level and remaining engaged with those around you. — Katie Dease, Au.D., Audiology, Mayo Clinic Health System, Owatonna, Minnesota
Mayo Clinic Q&A is an educational resource and doesn’t replace regular medical care. Email a question to MayoClinicQ&A@mayo.edu.