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Hearing aids, 2026

OTC or professionally fitted?

Since October 2022, adults can buy hearing aids without an exam. Here is who that suits.

18+
OTC aids: adults with perceived mild to moderate loss
$1,599-$5,150
hear.com's fitted-aid list prices, by model

FDA and hear.com, read Oct 2, 2026. See source

A hearing specialist fits a small hearing aid for a smiling older woman.
On this page
  1. Key facts
  2. Where to start
  3. What the FDA rule says
  4. hear.com list prices
  5. See fitted aids on the maker's site
  6. Deciding between OTC and a fitted aid
  7. Hearing aid questions
  8. Sources

Key facts

  • OTC hearing aids are for adults 18 and older with perceived mild to moderate hearing loss1.
  • They are sold in stores and online, no exam or prescription needed, since October 17, 20221.
  • The box must list warning signs that mean seeing a professional first1.
  • hear.com lists fitted aids from $1,599 to $5,150, with a 45-day trial2.

Where to start

Where to start
If you are askingStart withLink
Sudden change in hearing, or one ear worse?See a professional before buying OTC
Mild trouble with conversation or TV?OTC aids are made for this range
Want a fitting and follow-up?Fitted aids, $1,599 to $5,150 at hear.com

What the FDA rule says

The FDA created the over-the-counter hearing aid category for adults 18 and older with perceived mild to moderate hearing loss. It went into effect on October 17, 2022. OTC hearing aids can be bought in a store or online without seeing an ear, nose and throat doctor or a hearing professional1.

The warning signs on the box. OTC packaging must warn buyers to see a professional first if the ear has a birth defect or unusual shape, if there was blood, pus or fluid from the ear in the past 6 months, if hearing changed suddenly in the past 6 months, or if one ear hears worse than the other. The FDA also says an OTC aid may not suit someone who does not hear loud sounds well1.

hear.com list prices

ModelTierListed priceListed life expectancy
Horizon 7IX (2026)2Premium$5,1504 to 6 years
Horizon 5IX2Mid-level$4,6504 to 6 years
Horizon 1IX2Essential$1,5994 to 6 years
Horizon 7AX (2023)2Premium$3,9753 to 5 years
Horizon 3AX (2023)2Mid-level$2,9753 to 5 years

Read October 2, 2026. hear.com says its prices reflect insurance discounts and may vary with promotions, and lists a 45-day no-risk trial and a 3-year repair warranty. The page we read does not say whether a price is for one device or a pair; ask before you buy.

See fitted aids on the maker's site

How these links work: each button opens the provider's own site and earns us nothing today. This site is not a medical provider; nothing here is medical advice.

Good for a professionally fitted aid with a trial period

hear.com

Trial
45 days, no-risk, as listed
Repair warranty
3 years, as listed
Listed price
$1,599 to $5,150 by model
Checked
Oct 2, 2026
See prices on hear.comOpens hear.com's site. Not a referral link.

Also on hear.com's site

What to check first
  • Whether the price is for one aid or a pair
  • Follow-up visits included in the price
  • What the trial needs for a full refund

Deciding between OTC and a fitted aid

  • Check the warning signs

    Any of them means seeing a professional before buying OTC.

  • Get a hearing test if unsure

    A test shows whether the loss is in the mild to moderate range OTC aids are made for.

  • Compare the whole cost

    Price, trial length, follow-up visits and repair coverage.

Hearing aid questions

Do I need a prescription for an OTC hearing aid?

No. Adults 18 and older with perceived mild to moderate loss can buy them in stores or online1.

How long do hearing aids last?

hear.com lists a life expectancy of 4 to 6 years for its IX models and 3 to 5 years for AX2.

Sources

  1. OTC Hearing Aids: What You Should KnowU.S. Food and Drug Administration, read Oct 2, 2026
  2. Hearing Aid Priceshear.com, read Oct 2, 2026

About this page

We do not earn anything from sign-ups today: every provider link is a plain link to the provider's own site, without a referral code. This site is not a medical provider and nothing on it is medical advice; talk to a qualified clinician about your own health.

ElderCompass Guide is not a care provider, placement agency or medical provider, and nothing here is medical, legal or financial advice. Talk to a qualified clinician about health questions.

Costs are published medians or list prices on the date we read them. The provider's or community's own page, contract and written quote are the final word on price and terms.