As an audiologist with years of experience helping countless patients navigate the complexities of hearing loss, I've witnessed firsthand the profound impact that timely and appropriate treatment can have on an individual's quality of life.
Whether you’re new to hearing aids or have been living with significant hearing impairment for some time, finding the right solution that fits your lifestyle and budget is paramount.
It’s no secret that hearing aids can be expensive. The national average for a pair of devices, according to the White House, is around $4,400 - $5,500 / pair.
The good news for hearing aid shoppers is that more affordable options exist.
This guide is crafted to provide you with the insights and knowledge needed to make informed decisions, regardless of your budget.
Prefer to watch?
See our video breakdown of price drivers for hearing aids below.
Featured in this article
Best Hearing Aids Under $500
Best under $300
Our favorite option under $300 is MDHearing, which offers a pair of hearing devices for $297. MDHearing's devices are designed to provide essential features for those with mild to moderate hearing loss, catering to users who need a balance between quality and affordability. These hearing aids include user-friendly volume controls and different program settings to adapt to various listening environments. Additionally, MDHearing's cost-effective price point is complemented with a strong commitment to customer support, including comprehensive user guides and access to professional consultations, ensuring that you get the most out of your purchase.
Best Under $500
Go Ultra hearing aids are our top option at under $500. If you’re looking for rechargeability and streaming to Android or iPhone, you’re in luck. Using one of four-preset programs, you can manually adjust these hearing aids via the buttons on the devices. For those with mild to moderate hearing loss who are comfortable with adjusting devices with buttons (and without a Smartphone app), we give this device a passing score. Go Ultra hearing aids are a popular choice for individuals looking for affordable yet high-quality hearing solutions. We especially like these devices for individuals who do not spend a lot of time in noisy environments. Read more in our detailed review here.
MDHearing Volt Max
MDHearing stands out as one of the original direct-to-consumer hearing aid brands, having sold over a million affordable devices even before the FDA established official OTC hearing aid guidelines. Here’s what we like:
- Trusted Brand: MDHearing is backed by a real team, including audiologists, and has sold over a million hearing aids, which provides solid peace of mind for users.
- Simplicity: With straightforward devices that don’t require tech expertise, MDHearing offers an easy-to-use solution for those who prefer minimal setup.
- Range of Styles: MDHearing provides various styles, from in-ear to behind-the-ear options, catering to different comfort and fit preferences.
MDHearing maintains a solid 4.3 rating from over 5,000 customers. Most customers praise MD's affordable prices and easy setup. Some customers complain about feedback, fit and less than desired sound quality.
Supporters
- "These hearing aids are a game changer! I knew I was having trouble hearing low talkers and I'm crowded spaces but once I started wearing these out was like a whole new world opened up. I can hear birds singing, I can hear students in the back of the classroom. Now if I try to take them out, it sounds like I have cotton balls in my ears." - Kim C.
- "I would recommend md hearing aids to anyone having hearing issues, I've been fighting my hearing issues for several years and have even used the more costly aids. Md hearing aids have helped me greatly, give them a chance, it's worth it. Md also gives good support following up on their products. It's nice to be able to hear the TV and people talkiRead more about review stating I would recommend md hearingng." James W
Detractors
- "Have trouble with not losing them they fall out of my ear" - Doug H
- "No matter what setting I have them at, they whistle. Can only use one at a time, which doesn't allow me to hear all around me." - Bruce P
- "I cannot get the adjustment to reduce background enough to be able to hear people speaking to me." Jose M
- Less than $500 for a pair
- Rechargeable
- Multiple styles available
- No Bluetooth streaming
- Slightly larger size
- Only one color available
- Less advanced sound processing
- MDHearing offers OTC products 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
- Does not require a prescription from a doctor
- MDHearing offers limited options for customization
- MDHearing is less effective than leading prescription devices in background noise (although significantly more affordable)
- Comfortable thin-tube is great for all day wear
- We suggest that you change the eartips on this product for additional comfort
- MDHearing's in-ear devices are slightly less comfortable due to "occlusion" (boominess of your voice)
- MDHearing offers both behind-the-ear and in-the-ear devices
- Devices are slightly larger than other OTC options
- Available in only beige
- MDHearing has built-in rechargeable batteries that last up to 20 hours on a single charge
- MDHearing hearing aids come with a recharge case that carries additional portable charge
- MDHearing devices do not allow Bluetooth streaming or app controls
- MDHearing's behind-the-ear options are reasonably easy to handle but do 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)
- MDHearing devices are rechargeable and do not require battery changes
- MDHearing devices are not advertised as waterproof. Avoid moisture if possible
- MDHearing devices use onboard buttons to change programs and volume
Go Ultra From hearX
The Go Ultra hearing aids by hearX offer an appealing balance of affordability and essential features. Here’s why they made our list:
- Accessible Price Point: At $499 per pair, Go Ultra provides a low-cost alternative with Bluetooth streaming and rechargeable batteries—features often seen in higher-priced models.
- Simple Setup: With four preset programs, Go Ultra is designed for straightforward use, ideal for users who prefer minimal customization.
- Practical Design: The behind-the-ear style and easy controls make these aids comfortable and user-friendly.
While the sound quality doesn’t quite match premium options like the Lexie B2+, Go Ultra delivers practical features at a fraction of the cost, making it an excellent option for budget-conscious users looking for simplicity and functionality.
- One of the most affordable options on the market
- Rechargeable batteries
- Bluetooth streaming for Android and iPhone
- Limited fine-tuning options
- Less comfortable than other RIC hearing aids
- Larger than other OTC RIC alternatives
Best Hearing Aids Under $1,000
We like Sennheiser All-Day Clear, Lexie B2+ by Bose and Sony CRE-C20. For those with mild to moderate hearing loss, these three products provide extremely high value.
The Sennheiser All-Day Clear is renowned for its superior sound quality and user-friendly design, making it an excellent choice for those needing an effective and reliable hearing aid. It features advanced noise reduction technology, long battery life, and comfortable wearability, ensuring users can enjoy clear hearing throughout the day.
Similarly, the Lexie B2+ by Bose offers outstanding performance with cutting-edge technology designed to deliver exceptional sound clarity. It includes features such as multiple listening environment settings, easy volume adjustments, and a sleek, discreet design. The B2+ is crafted with the user in mind, providing both comfort and high functionality, making it a top-tier option at this price.
Similarly, the Sony CRE-C20 offers an affordable in-ear option that is nearly invisible in most ears.
All three are purchasable through Soundly.com with complimentary setup services, free returns and 60-day price matching.
We've also included Jabra's budget pair ($1,195). Jabra is unique on this list because it comes with professional programming via telehealth (all of the other products listed below are self-fit).
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
Lexie B2+ Powered By Bose
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-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)
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
Side-by-side comparison of affordable hearing aid options. 👇
How Much Do Hearing Aids Cost?
Today there are several different options to choose from: prescription, telehealth, and OTC options, with each ranging in price.
Prescription - Starting at $2,500 / pair
Prescription hearing aids can range significantly in price, typically from $2,500 to $6,000 per pair. The cost varies based on the brand, technology level, and also geographic location. The prescription hearing care model involves working with a local provider in your area for in-person care. This model is ideal for individuals who prefer an in-person, hands-on approach during the hearing aid adjustment process, as well as ongoing follow-up appointments for adjustments and maintenance. This care model works for any degree of hearing loss, from mild to profound.
Telehealth - Starting at $1,000 / pair
Telehealth is another option for hearing healthcare for those comfortable with virtual appointments over the phone or on a computer. Cost with telehealth options range from $1,500 to $2,500 per pair. This is an attractive option for individuals who may not have access to a local hearing care provider or prefer the convenience of managing their own adjustments at home. Telehealth options are ideal for mild to moderate hearing loss and may require a hearing test before purchasing.
OTC (Over-the-Counter) - Starting at $100 / pair
OTC hearing aids are designed to be a more accessible and cost-effective option, particularly for individuals with mild to moderate hearing loss. Priced between $100 and $2,500 per pair, these devices are the most cost-effective option for those with mild to moderate hearing loss who are comfortable with setting up their devices themselves. OTC hearing aids can be purchased without a prescription or a visit to an audiologist, making them a convenient choice for budget-conscious consumers who prefer a do-it-yourself approach.
Why Are Hearing Aids So Expensive?
There are several reasons why hearing aids tend to be pricey:
- Research and Development: Significant investment goes into developing cutting-edge technology that can fit into a tiny device.
- Professional Services: The cost often includes not only the device but also services provided by audiologists, such as hearing tests, fittings, and follow-up adjustments.
- Bundled Care Plans: Many hearing aids come with bundled care plans that include unlimited follow-up visits in addition to your devices. This means that the upfront cost you pay covers not only the hearing aids but also continuous professional support.
- Insurance Limitations: One critical factor contributing to the high out-of-pocket cost of hearing aids is that insurance often doesn't cover them. For instance, Original Medicare does not cover hearing aids, leaving many consumers bearing the full financial burden.
Now that we understand some of the factors that go into hearing aid cost, let's look at some ways to find cost-effective options.
Tips for Keeping Costs Manageable
Despite the expenses associated with hearing aids, there are several strategies you can employ to keep costs manageable.
Tips for Prescription Hearing Aids
Though prescription devices are more expensive, there are ways to keep costs lower for those with more than a moderate hearing loss or who prefer in-person care. Here are some ways to manage cost when it comes to prescription care:
- Start with a Basic or Budget Model: These devices can treat your hearing loss and often meet most of your needs if you don’t require advanced features. Most hearing aid manufacturers offer a budget option (example: Oticon Zircon or ReSound Key). Ask your audiologist about budget brands that might be available at their clinic.
- Insurance Coverage: Check if your insurance plan covers hearing aids. Some plans offer partial or full coverage (read about BCBS, Aetna, United Healthcare, and Cigna).
- Unbundled plans: some clinics allow you to purchase your hearing aids and pay separately for follow-up appointments, which may mean potential savings compared to a standard 'bundled' plan that includes all follow-up appointments for three years (paid upfront).
- Financing Plans: Many providers offer financing options that allow you to pay for your hearing aids over time.
OTC Hearing Aids: Alternatives to Traditional Prescription Care
- Consider Over-the-Counter Options: New regulations have made OTC hearing aids a more accessible option, offering a less expensive alternative for mild to moderate hearing loss.
- Look for Discounts and Promotions: Many providers offer seasonal discounts or bundled deals that can save you money.
- Costco: Costco offers a range of hearing aids at competitive prices, often significantly lower than traditional retail options. Read more about Costco here.
What to Avoid
When shopping for hearing aids, be cautious of:
- Unverified Vendors: Stick to reputable brands and authorized dealers to ensure product quality and warranty protection. One tip here: products made from or in partnership with prescription manufacturers are a safe bet (Sony and Jabra are two examples).
- Ultra Low Prices: Extremely low prices might indicate low-quality products or poor-quality devices. Our research suggests that any device below $300 is likely to either be ineffective or an amplifier rather than a true hearing aid. Proceed with caution.
- Buying Hearing Aids on eBay: eBay offers a wide variety of hearing aids, some at substantially lower prices than traditional retail or clinical settings. However, these products may not always meet the quality standards, may be defective, and need reprogramming. Read more here.
It's also important to remember to be cautious if you come across an ad or an Amazon device that sounds too good to be true. While online marketplaces can offer convenience and competitive pricing, they can also be a haven for substandard products and misleading advertisements. Always research the seller and read reviews carefully before making a purchase to ensure you're getting a reliable product.
Consider Options for Free or Low-Cost Hearing Aids
Need more options? There are several resources available for those who need financial assistance:
- Non-Profit Organizations: Groups like the Hearing Loss Association of America or Lions Club International offer programs to help those in need.
- Government Programs: Medicaid and other state programs may provide coverage for hearing aids.
- Veteran Benefits: Veterans may qualify for hearing aids through the VA.
- Clinical Trials: Participating in clinical trials can sometimes provide access to free hearing aids.
Read more about programs that can assist those in need here.
Additional Resources That Can Help
Effective communication is critical, especially for those with hearing loss. One valuable resource to consider are caption phones, such as CaptionCall. These specialized phones utilize captioning technology to display written text of your phone conversations in real-time. This can be particularly beneficial for individuals who struggle to understand spoken words over the phone, ensuring they do not miss out on important information. This captioning service is available at no-cost to those with hearing loss who require captions for phone conversation.
Talk to Text Apps: Making Conversation Easier
Talk to text apps are another option that can help make conversation easier for those with hearing loss. These applications convert spoken words into written text in real-time, allowing users to read conversations as they happen. Popular options include Google Live Transcribe, Otter.ai, and Ava. Google Live Transcribe is a particularly popular option due to its reliability and compatibility with a wide range of devices. Otter.ai offers advanced features such as speaker identification and searchable transcripts, making it a powerful tool for both casual and professional use. Ava provides precise transcriptions with the added benefit of being able to translate multiple languages, ensuring inclusivity and accessibility.
Utilizing talk to text apps can significantly enhance communication, reduce misunderstandings, and enable users to engage more fully in conversations. I’ve regularly heard about how patients appreciate using a talk-to-text app at doctor’s appointments or other situations where clear understanding is crucial. While one of these apps does not replace a hearing aid, it can be a good, cost-effective option to aid in understanding in certain situations.
Final Thoughts
In today's world, the wealth of options available for hearing aids and assistive technology ensures that there are viable solutions for every budget. Whether through affordable over-the-counter devices, financial assistance from non-profit organizations, or advanced apps that enhance communication, individuals with hearing loss can find technology to suit their needs and improve their quality of life. From enhancing personal interactions to boosting professional performance, these tools offer unprecedented accessibility and convenience. Thanks to these advancements, no one needs to feel left out or disconnected, regardless of their financial situation. With determination and the right resources, everyone can achieve better hearing health and enjoy the full richness of life's sounds.
And if you're in need of assistance, you can always reach out to us at Soundly to get advice on your unique situation.
Frequently asked questions
Some insurance policies cover hearing tests, but the majority of policies do not cover hearing aid devices. It's a good idea to call your insurance company to double-check on this. Read our full guide on the topic here.
Original Medicare does not cover hearing aid costs. It does cover hearing tests in many cases. One option is to get a covered hearing test locally and use it to find a good option online for less. Some Medicare Advantage plans do cover hearing aids. Read our full guide on Medicare and hearing aids.
If you have served in the U.S. military, there is a good chance the VA could cover your hearing aids and hearing care.
Process Overview:
- Apply for VA benefits.
- Schedule an appointment.
- Meet with a VA audiologist.
- Schedule an appointment to be fit with hearing aids.
Here's a full breakdown of the VA hearing aid application process.
Absolutely. Hearing aids are transformational in many social settings, and research indicates they improve connection, overall health, and earning potential. Around 80% of hearing aid wearers across budget levels are happy they made the purchase.
The short answer is, yes, hearing aids qualify for a tax deduction. However, the answer in your specific situation will depend on a few factors:
- Did your out-of-pocket medical care expense exceed 7.5% of your adjusted gross income?
- Did you pay for your hearing aids through a health savings account (HSA)?
- Do you qualify for the Earned Income Tax Credit (EITC) or the disability tax credit?
Read our full guide to taxes and hearing aids.
We've tested dozens of hearing aids, and typically find that the break-point for quality is around $700 / pair. Most products under that price are not meaningfully helpful or have major issues with background noise. If you have a common hearing loss in the mild-moderate range, an OTC product from Bose or Sony could be a great option (many people swear by these brands). If you want a more affordable device with prescription programming, we suggest Jabra Enhance Select.
These hearing aids aren't perfect, but they give you maybe 80% of the benefit for 25%-50% of the cost.
The best place to buy most OTC products is directly through the brand's website, and you can compare products and find links to OTC brands throughout this site. Some OTC devices are available at Walgreens, Walmart, CVS, and Best Buy. Here's our LIVE tracker of OTC brands.
The most affordable way to purchase prescription devices is through a buying group like ZipHearing or Yes Hearing. Use our shopping tool to find pricing on top devices.
If you are open to Telehealth care, the most affordable place to purchase is Jabra Enhance Select. They sell a prescription-grade product for less than half the price of local clinics.
The stated goal of new OTC hearing aid legislation was to bring down hearing aid prices. In reality, it appears that OTC devices will create a new robust (and quality) budget option, but traditional prescription models will stay at roughly the same prices due to their hands-on service.
Conventional wisdom is that prices for both OTC and prescription devices will remain roughly the same for the next few years.
Getting hearing aids on a fixed income can be challenging. While there aren't any government programs that make hearing aids free for seniors (hopefully someday!) There are many local organizations around the United States that can provide financial support for hearing aids.
These range from hearing providers to local Lions Clubs and nonprofits. The Hearing Aid Project has an excellent resource for finding these programs here. The Hearing Aid Project also accepts hearing aid donations.
The Hearing Loss Association of America has a list of published resources along with a PDF guide here.
Don't give up too fast. You've got options. If OTC hearing aids aren't within your budget or don't meet your needs, you might be a candidate for non-profit financial assistance.
The Hearing Aid Project has an excellent resource for finding these programs here. The Hearing Aid Project also accepts hearing aid donations.
The Hearing Loss Association of America has a list of published resources along with a PDF guide here.
This is an important (and slightly complex) topic. Most prescription hearing aids come in a few different technology levels. The "economy option" typically has fewer bells and whistles, and the premium option has more. In general, "economy options" are still very credible and achieve significant benefits. Read our full guide to technology levels here.
Rechargeable hearing aids usually cost anywhere from $200-$400 more per pair. Disposable batteries typically cost $5-$7 per month. Over a three-year lifespan, rechargeable batteries pretty much pay for themselves. Read our full guide on the topic here.
This depends a bit on your budget.
Jabra Enhance Select is our favorite at the $1k-$2K price range.
Lucid Engage is our top choice for under $1K.
You might also want to try AirPods pro (a guide to turning your AirPods into hearing aids here)
Call captioning is federally funded and does not require an individual to have Medicare coverage.