Book appointment
Centers
Call 855-898-1320
I need help
Centers
Call 855-898-1320
I need help
Hearing health
Hearing solutions
Special offers
Blog
Support
Book appointment
How we can help

Prescription vs Non-prescription Hearing Aids: What’s the Difference?

Not sure whether prescription or over-the-counter hearing aids are right for you? This side-by-side guide helps you choose the solution that matches your hearing needs and budget.
By
Audiologist Stephanie Jaffe
Published 5/14/2025,
Updated 5/15/2025
3 min read
Reviewed by
HearUSA editorial team
Hearing aids
Share article
Sony's cre-e10 over-the-counter self-fitting earbud hearing aids in an earbud design. Doesn't look like a hearing aid.
Home
Blog
Prescription vs Non-prescription Hearing Aids
Blog
On this page
Comparing Prescription and Non-prescription Hearing Aids
Not Sure Which Hearing Aids to Choose?
Comparing Prescription and Non-prescription Hearing Aids

Prescription vs Non-prescription (OTC) Hearing Aids: Side-By-Side Comparison

There are two types of hearing aids regulated and approved by the FDA to assist with hearing loss:

  1. Premium, medical-grade hearing aids available with a doctor's prescription.

  2. Pre-programmed medical-grade hearing aids sold over the counter without a prescription, also known as over-the-counter (OTC) hearing aids.

This comparison table explains the similarities and differences between premium, doctor-prescribed hearing aids and pre-programmed OTC hearing aids.

Category
Category
Prescription hearing aids
Non-prescription (OTC) hearing aids
Hearing test
Hearing test
A hearing test is required so the hearing aids can be programmed and adjusted to your level and type of hearing loss.
A hearing test isn't required as the hearing aids are pre-programmed to a general level of mild to moderate hearing loss. 
Fit & setup
Fit & setup
Custom-fit and programmed by a hearing care specialist using objective measures. Programmed specifically for your level and type of hearing loss, lifestyle, and preferences. 
Self-fitted by the user using basic instructions that come with the devices.

Support

Support

Includes follow-up care like adjustments and cleanings (and sometimes repairs) to optimize hearing and keep your devices operating at their best.
Normally has no support or follow-up care included. This means you’re responsible for troubleshooting any issues that may occur. Support may differ across hearing aid brands.
Hearing loss level
Hearing loss level
Works for mild to profound hearing loss and more complex conditions.
Only suitable for mild to moderate hearing loss; not ideal if your hearing continues to worsen over time.
Ease of use
Ease of use
Guided, in-person setup at the start and follow-up support help reduce confusion and setup mistakes.
A “do-it-yourself” setup offers convenience and independence, but it may come with a learning curve or setup challenges.

Best for

Best for

People needing tailored support, personalized hearing, or long-term hearing care.
Self-starters and tech-savvy users with stable, mild hearing loss.

Typical user

Typical user

Often used by adults 60+ who have a more serious level of hearing loss and/or need expert-guided care longer term.
Often chosen by adults ages 40 to 65 with a milder form of hearing loss who are looking for lower-cost, self-managed solutions. 

Brands

Brands

Signia, Widex, Rexton, Phonak, Oticon, Starkey — clinical-grade quality with innovative technology.
Sony, Jabra Enhance, Lexie, Eargo, HP — designed to be used “out of the box” and often user-friendly.
show more
Not Sure Which Hearing Aids to Choose?

How to Decide What’s Right for You

No matter which type of device you choose, always get a professional hearing test first so you’re investing in the right hearing aid for your specific needs. 

The right hearing aid for you depends on your level and type of hearing loss, how confident you are with managing technology, and how much care and support you prefer.

If you want peace of mind, in-person support, and a hearing aid that can change with your needs, a prescription device is often the better long-term option.

As a long-term investment, it can last you years and improve your hearing experience with advanced features, even if your hearing loss is severe.

If you’re experiencing mild hearing issues, an OTC hearing aid could be a smart first step.

If your hearing loss remains stable and this type of hearing aid is more affordable for your budget, an OTC device can help you stay connected without breaking the bank.

Guide yourself with these questions:

  • Am I comfortable setting up and adjusting devices myself?

    OTC hearing aids may be right for you if you have a milder form of hearing loss.

  • Do I want access to hearing care professionals for screenings, device setup, and ongoing hearing care and support?

    Prescription devices may be the right choice for you.

  • Is my hearing loss stable or likely to advance?

    If it’s progressed over time, prescription devices that can be readjusted as your hearing changes are ideal.
Namebookappointment ColorloudIndigo

Still unsure? We can help.

Book an appointment with HearUSA to learn which type of hearing aid is best for your hearing, lifestyle, and budget.
Book an appointment

Make the Choice That Supports Your Life

Prescription and OTC hearing aids each have benefits. Consider your level of hearing loss and your day-to-day environments and needs to determine which hearing aids are best for you.

Remember, any device is better than no device, as untreated hearing loss can have a serious impact on your physical and mental well-being. 

With the options available today, it's easier than ever to start hearing your best life.

Hearing Care Professional at HearUSA

We’re Here to Help You Hear Better

HearUSA can set up a hearing appointment for you with one of our hearing care partners in your area. Together, we will determine the best devices for you.

We offer convenient financing and work with your insurance company to get you the best price, every time, no matter which hearing aid you select. 

Find your nearest hearing center

Sources

FDA: Over-the-counter hearing aids https://www.fda.gov/medical-devices/hearing-aids/over-counter-hearing-aids

Mayo Clinic: Hearing aids https://www.mayoclinic.org/healthy-lifestyle/healthy-aging/in-depth/hearing-aids/art-20044116

NIDCD: Hearing aids https://www.nidcd.nih.gov/health/hearing-aids

Share article

Related articles

Go to consultation to see which hearing aids fulfil your needs
Updated 12 May · 2 min read
| Recommended

How to save money on hearing aids

It’s no secret life has gotten more expensive, and sometimes it’s easy to let health take a back seat. But you and your health are worth the investment. Here are some ways you can save money while putting your hearing health first.
Hearing servicesHearing aidsTips and tricks
Bluetooth hearing aid technology timeline
Updated 12 May · 3 min read

The Evolution of Bluetooth Hearing Aid Technology: How Far It’s Come

Bluetooth wireless technology has forever changed hearing aids — but it didn’t happen overnight. This timeline shows the evolution of Bluetooth hearing aids, from early experiments to today’s popular masterpieces.
TechnologyHearing aids
best hearing aids for musicians
Updated 12 May · 2 min read
| Recommended

Discover the Best Hearing Aids for Musicians 2025

Are you struggling to hear every note like you used to? This guide covers the best hearing aids for musicians in 2025 so you can stay in tune with your music.
Hearing aidsHearing health

Talk to an expert in one of our hearing centers.

Book appointment

Have questions or need assistance?

Call us 855 252 5312
hearusa center map

Find your nearest hearing center.