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What Are Over The Counter Hearing Aids?

Hearing loss is one of the least visible health issues, yet it affects a massive 37.5 million Americans. Because of how difficult it is to identify, it’s been largely unaddressed up until recently. And while the issue of hearing loss is finally gaining some attention, it’s also generating controversy – enough to divide the hearing healthcare world.

The Over the Counter Hearing Aid Act was announced in 2016, and subsequently passed in 2017. This act enables certain types of hearing aids to be bought from pharmacies and retail stores – such as Best Buy – without a medical evaluation from a qualified hearing specialist. It will theoretically be in full effect by 2020.

This decision was met with mixed feelings from the healthcare world, and remains a hot topic to this day. There are several aspects to this debate, so if you’d like to understand the pros and cons of over the counter (OTC) hearing aids, this article is for you.

However, if you’d rather consult with a hearing specialist about OTC hearing aids, use our online tool to be directed to a free consultation with your nearest hearing specialist.
On this page:

What is an OTC hearing aid?
Hearing loss deserves more respect
Universal hearing aid
Are they good or bad?
How do I buy one?

What is an OTC hearing aid?

The general idea of an OTC hearing aid is that any person can go to a pharmacy and buy a hearing aid which accommodates their hearing. The shopper can bypass a possibly lengthy and pricey appointment, in favor of a simple 15 minute purchase.

These non-prescription hearing aids are mass-produced, and are theoretically a “one size fits all” fix to any and all hearing aids needs. But the question is: should hearing aids be sold over the counter?

Hearing loss is not as respected as it should be

Thanks to medical advancements brought on by our technological boom, diseases have been cured, viruses have been destroyed, and some disabilities have become inconsequential. However, even with this healthcare genesis, public awareness of hearing loss is lower than it should be.

Around 37.5 million Americans have some form of hearing loss. That is approximately 15% of the country’s population: an astonishing amount of people to be affected by a condition that can lead to depression, dementia, or physical injury.

And yet, for a condition with such grave potential consequences, only around one in five adults who experience hearing loss have addressed it using a hearing aid.

How can such a serious issue go unaddressed?

There are many reasons as to why someone might ignore their hearing loss. The three most common reasons that people ignore their hearing are:

  • High cost
  • Understandable confusion regarding the process
  • The social stigma around hearing aids

There is no debate – hearing aids are expensive. If you’re wondering why they’re so pricey, take a look at our article about hearing aid costs. And despite the risks we explained above, most insurance companies do not cover the costs of hearing aids.

When this cost is coupled with the mistrust and conflicting reports that often surround hearing aids, it’s not hard to see why someone would figure that the whole process isn’t even worth it. “I could spend all this money on a piece of plastic that I don’t even fully understand,” they could say. “I’ll save my money, and just listen a bit harder.”

Is it time for a universal hearing aid?

If you read the article mentioned above, “How Much Do Hearing Aids Really Cost?”, you may be asking yourself: “Why don’t I just skip the expensive hearing specialist, and buy a standard hearing aid from the manufacturer?

Over the Counter Hearing Aids

If you’ve searched around with this question in mind, you may have come across “hearing aids” priced in the low triple-figures. Odds are you’ve stumbled across what is known as a “Personal Sound Amplification Product” (PSAP.)

The FDA classifies PSAPs and hearing aids as two different products. PSAPs are intended for non-hearing impaired people to use to help them hear in certain environments, like crowded restaurants or windy parks. PSAPs are not intended to compensate for hearing impairment.

A hearing aid, however, is designed for the purpose of aiding someone with impaired hearing. They are Class 1 Medical Devices, and are more heavily regulated than PSAPs. Nearly all hearing aids in the US are produced by six companies, which helps make tough decisions more simple.

Before 2016, your only options when it came to hearing enhancement were a PSAP or a hearing aid. Since the Over the Counter Hearing Aid Act was passed, however, a third device has entered the fray: the OTC hearing aid.

So are they good or bad?

What’s the risk?

This premise of an over the counter hearing aid immediately falters when you learn how precise and tailored a hearing aid needs to be in order to do its job. As with any study of the human body, audiology is a complex and deep topic. It can take 8 years of study to become an audiologist.

Knowing this, would you trust the average person to know the exact requirements of their hearing aid? Or what if their hearing loss was a symptom of a more serious issue? Sometimes, hearing loss can be a part of a larger problem – such as an acoustic neuroma – and only a trained hearing specialist will be able to diagnose the bigger picture.

On the flipside, hearing loss may be the result of a relatively minor issue. There have been instances where a person buys a PSAP, only to discover that they were in need of a simple ear wax removal. This is why the importance of a consultation before a purchase is emphasized so much – it may just save you money.

Another big concern that hearing specialists have in regard to OTC hearing aids is the act of fitting the hearing aid. Even looking at a drawing of an ear, you can see the complexities and intricate curves that comprise it.

Unless you have an intricate series of mirrors in your bathroom, it’s doubtful that you’ve even had a good look at your own ear. This means you may make mistakes when fitting an OTC hearing aid.

One of the biggest woes of the hearing specialist profession is that many carefully crafted hearing aids end up unused in the back of a drawer, and this is after they’ve been specially fit by a professional. If an OTC hearing aid is uncomfortable due to improper fitting, there may be more abandoned hearing aids than ever before.

What are the perks of OTC hearing aids?

From the tone of this article, you’d be forgiven for thinking OTC hearing aids are the worst things to happen to the field of audiology since AC/DC concerts. However, as is the case with most things, there are some benefits to OTC hearing aids.

Pharmacy Hearing Aid

Firstly, the lower price point may be beneficial in encouraging people to address their hearing loss sooner. People wait an average of 7 years to address their hearing loss, which may be because they are dismayed by the high price point. If people were able to address their hearing sooner rather than later, the differences in quality of life would be enormous.

Secondly, introducing new players into the hearing game allows for fresh eyes in the industry, which could shake things up and lead to advancements. It could also drive lower prices, as competition would increase.

Finally, more people adopting these OTC hearing aids due to ease of purchase may go some way towards reducing the stigma around hearing aids. Without this perceived stigma, more people may consider hearing aids sooner.

Like most things in life, OTC hearing aids can’t be firmly labeled as strictly good or bad. If you’re asking whether they are good hearing aids, the answer is no. They won’t be properly fitted, and might turn you off proper hearing aids.

But if you’re asking whether they’re good for the hearing aid industry, the answer is most likely yes. They can encourage advancements, help get rid of stigma, and topple monopolies. And if someone buys an OTC hearing aid due to its cheaper price, they may be encouraged to commit to a real hearing aid after experiencing some slight hearing recovery.

OTC hearing aids have a mixed reputation, and are still hotly debated in the hearing healthcare world. Here’s a concise summary of their pros and cons:

ProsCons
Cheaper to buyMay not fit
Faster to buyMight discourage further hearing aid consideration
Potentially good for the future of the industryNot tailored by a professional
Could encourage people to adopt actual hearing aids soonerHearing loss might be a symptom of a bigger problem

OTC hearing aids may end up being a great development for the future of hearing aids. They may disturb the monopolistic status quo, lead to advancements in the industry, and perhaps encourage people to take the first step in the journey to recovering their hearing.

However, on an individual basis, there is no debate that OTC hearing aids are, at best, a temporary fix to a permanent problem. If you are undergoing hearing loss, there is no harm in following this link and arranging a free consultation to address the issue properly.

How and where do I buy an OTC hearing aid?

If you’re interested in buying an OTC hearing aid or two, you should know that you might be waiting a while. Since the bill is preparing to come into full effect next year (2020), there’s a lot we don’t know about OTC hearing aids.

The typical cost of an OTC hearing aid – and the best OTC hearing aids on the market – are both relatively unknown at the moment, as the governmental regulations are still under works. These regulations are projected to be finalized by August 2020, after which production and sale would commence.

So what’s next?

Like any technological field nowadays, hearing aids represent a rapidly developing industry. More players are entering the game, and hearing loss is finally being addressed as a serious issue.

The Over The Counter Hearing Aid Act of 2016 will be taking full effect over the next couple of years. No one can firmly predict where this will take the audiology industry, but there is no doubt that the impact will be enormous.

While you’re waiting with bated breath to see how the industry changes after the law takes full effect, why not arrange a free consultation with a hearing specialist to see if you could benefit from a hearing aid? If you would like to arrange a free consultation, follow this link to a form that will help you find your nearest hearing specialist.

Duncan Lambden

Writer

Duncan is an Australian-born American-raised creative writer with a passion for healthy ears. He continues to build upon his audiology qualifications with research and various courses. Duncan has been working alongside Florida-based audiologist Lindsey Banks, Au.D., to make sure that Everyday Hearing has the most up-to-date content.

Comments

  1. Max Sweetman says:

    I recently purchased Nuheara IQbuds for$299 I find these augment my hearing better than $8000 hearing aids plus they havev other functions as well and are comfortable to use

  2. Bob Hubbard says:

    Iam not sure how my hearing problem could be diagnosed, as I hear fairly well, but when people speak fast, I can’t decifer what they are saying.
    I hear teh words, but can’t tell what they are.

    Any suggestions?
    Thanks,

    Bob.

    1. Hi Bob,
      I would recommend you have your hearing evaluated by an audiologist. They will be able to tell you what is causing the difficulties you’re experiencing via speech testing.

    2. Dr Gary Mendelson says:

      Sounds like a high frequency hearing impairment. Could be aging (sorry about that) or environmental. Like myself I hear but don’t always understand unless I am wearing my hearing aids. Saves lots of aggravation and time. Dr Gary M

  3. Kitty Fitz says:

    Another problem I’ve seen with some OTC hearing aids is that they come pre-programmed. I have hearing loss in low pitches and hearing loss in the high pitches is what these hearing aids usually treat. I’ve been trying to find a cheaper hearing aid since I’m in my 20s and have a fairly active lifestyle that sometimes is not conductive to hearing aids. Especially when I have to worry about damaging the $5,000 piece of equipment on my ear. (It’s happened before.)
    Any Suggestions?
    Thanks,
    Kitty

    1. Hi Kitty,
      I’d love to know what OTC hearing aids you’ve already tried.

    2. Dr Gary Mendelson says:

      Dear Kitty:
      There are simple devices that you can get to protect your “good” hearing aids.
      Iam also very active as a martial artist and 5K walker, I wear my aids all the time with a device that protects them ($25.00) call “sweat band”. Works great. Gary M

  4. Virginia Sargent says:

    I have Tinnitus. Sometimes extreme, sometimes barely there. I have friends with this condition who bought Hearing aids and threw them away or permanently drawered them. I am sometimes OK, Is there an OTC device that would cover this condition? The information on PSAPs doesn’t seem to address this.

  5. Earl McHugh says:

    I had expensive hearing aids to start with, Phonak I believe, but my audiologist (connected with a medical center ) told me they did not cope with age-related hearing loss. The struck me as weird at the time. I then got MD Hearing Aids ( which I believe were psaps ) but they served me well for a number of years. Now, I am 90 and my hearing loss is more sever. My otologist (no less told me “there was nothing more he could do for me” some years ago & he walked out of the room. Nice guy! I am not poor but $2-3,000. is a stretch. Would I be well-advised to try a new hearing aid, they do say it is that, made by the MDH company or are they not to be trusted at all. I just stumbled upon your publication & find it an oasis in a desert of misinformation.

  6. Born 1933, raised by deaf grandparents, I devoted my entire life as an avid supporter for the Deaf and Hard of Hearing. I dispensed hearing aids in the State of Texas from 1970 until 2008.

    My major concern is that hearing aids have been so expensive that the average person just cannot afford them and goes without.

    Over the counter hearing aids should not be taken lightly however I am all for it. It’s about time that the hearing industry start to think more of their clients than the pocketbook.

    [Deleted personal information]

  7. Andrew M says:

    I guess what amazes me the most is the fact that practically all modern technology goes down in price, not up! So, why does the price of hearing aids not come down? I’m in the trial and testing phase dealing with both hearing loss and Tinnitus. I’ve had T for over 20 years. I developed a “full feeling” in my right ear about 18 months ago. I went to an ENT and explained straight up that I was there primarily because of the fullness feeling in my right ear. I was disappointed when he finished going over my history, looked in my ears and said you need hearing aids. He was leaving the room when I ask, what about the fullness feeling in my right ear? Very disappointing! Cost has not been discussed yet. However, a friend of mine recently paid a little over $8,000.00! Wow! Unbelievable!

    1. Chris says:

      Look in your local paper for sales. I got my hearing aids at a major hearing aid company for $1,500 a piece. They work quite well. I am not embarrassed to wear them. I do think it would be wonderful for the prices to come down and have them available OTC.

  8. Tom says:

    I own a set of Resound and a set of Phonak with remote controls. It is important to know that there are two distinct qualities between these two hearing aids. Something I wish I had been schooled upon before I purchased. The Resound (a great unit with lots of perks) is designed for SURROUND detection from all directions. The Phonak is designed more FOCUSED (for lack of a better word). I have never been unable to use the Resound set because the more ambient sounds picked up by the Resound, the less distinct any sound becomes. A normal work or restaurant environment becomes pure ‘white noise.’ On the other hand the Phonak is great for ME. Now I’m not saying that the Resound won’t work for YOU, I just wish I knew before hand what the differences were because I am more concerned with one-on-one communication, especially with my grandchildren. Also, louder amplification is not always better; and for me, worse. I want to hear the kids or the TV in front of me – not my neighbor’s barking dog. Lets focus on clarifying the important sounds.
    A poke at the Audiologists: I am really tired of Audiologists telling me what hears better for me! I have yet to be serviced by an Audiologist with a hearing deficiency or hearing aids. It’s like getting child rearing advice from one of those ‘professionals’ who have NEVER had children of their own. I find this a very common criticism from peer patients.
    I have had hundreds of tests (yes -honestly, because of my rare hearing disorder: Anti-68KD HSP-70) and it comes down to this: No matter what the tests indicate, it is not up to the tests to determine what works best for the patient – it’s the patient. Having said that, Audiologists are an essential starting point with a necessary audio health evaluation exam.
    The cost of my units are $9k and $8k per pair, respectively. That is 10 times the cost the government pays for them. Overpriced is an understatement!
    Maybe O-T-C aids are what we need to lower prices and get more needy people to try them so they can improve their quality of life.

    1. Everyday Hearing says:

      Sorry to hear that you’ve had a difficult time with your ReSound hearing aids. This reply is to further clarify for those who may read your comment: The ReSound and Phonak hearing aids both have directional capabilities, which give it the ability to be “focused” to what’s in front of the listener. It depends on whether the directional functions are activated in the hearing aids and whether this automatically activates when the wearer is in noise, or if they have to manually put the hearing aid into a directional program.

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