Advancements in Auditory Implants and Hearing Aid Technology: OTC Hearing Aid Reviews and Insights from Frontiers in Audiology and Otology

Over the counter hearing aid reviews

The Potential of Over-the-counter (OTC) Hearing Aids to Transform Global Hearing Care

At Hears to U, we stay informed about the latest research and insights shared by experts in the field of hearing healthcare. This blog post is a summary of information published in Frontiers in Audiology and Otology, dated March 11, 2024, focusing on the advancements in technology and innovation within hearing aids. The article, authored by King Chung and Fan-Gang Zeng, delves into the exciting developments shaping the future of hearing devices and OTC hearing aid reviews. If you would like to read the full article let us know and we can send you a copy.

The Summarized Article on OTC Hearing Aid Reviews:

People Who Need Hearing Health Care; Making Hearing Aids More Accessible:

Around 1.6 billion people, which is about 20% of the world’s population, have some level of hearing loss. This number is expected to rise to around 2.5 billion by the year 2050. Hearing loss is a significant cause of disability globally, costing the world about US $1 trillion annually due to healthcare, education, lost wages, and reduced quality of life. Hearing aids, which have been around for over a century, help people with hearing loss.

However, not many people use them because they can be expensive and hard to access. To make hearing aids more available, the FDA introduced over-the-counter (OTC) hearing aids for adults with mild-to-moderate hearing loss in October of 2022. These OTC hearing aids amplify soft sounds and have volume controls but are different from other hearing aids as they don’t need a prescription. They must meet certain safety requirements and come with warning signs to seek professional help if needed. People see OTC hearing aids as a significant step in making hearing aids more accessible and, hopefully, affordable, potentially changing how hearing care is provided globally.

Companies in the Market for OTC:

Since the FDA introduced over-the-counter (OTC) hearing aids a year ago, there have been some interesting changes in the market. Over 100 companies are now making OTC hearing aids, with most of them being startups from Asia. Some big companies, known for making regular hearing aids, are also entering the OTC market. Companies such as Sonova, Demant, Sivantos/Widex (WSA), GN ReSound, and Starkey. However, notable companies like Google and Apple haven’t joined the OTC market yet, even though they have the technology to make high-quality hearing aids.

Cost of Over-the-Counter Hearing Aids:

On the demand side, people using OTC hearing aids are generally younger and have had hearing loss for a shorter time compared to those using prescription hearing aids. However, the overall number of people using OTC hearing aids is still low. One reason could be the price. While a good pair of OTC hearing aids can cost between $800 and $3,000, most people are only willing to pay around $200 for them. Apple’s AirPods, priced similarly, have been very successful, selling over 80 million units in 2022 alone.

Guidelines for the OTC hearing aid:

The FDA set rules for over-the-counter (OTC) hearing aids, including limits on maximum output levels without restricting gain. This means the hearing aids can amplify sounds more than needed for mild-to-moderate hearing loss. Analyses showed that these OTC devices can actually provide enough amplification for severe or profound hearing loss. While this might help more people, it also poses risks of overamplification. So, while OTC hearing aids offer potential for a wide range of users, both manufacturers and users need to be careful about excessive amplification.

To increase the popularity of OTC hearing aids, both technical improvements and changes in the business model might require consideration. If the price doesn’t go up, big companies might not be interested in joining the market. So, the OTC hearing aid market still has some challenges to overcome to make a bigger impact.

Such challenges include the following proponents:

1. Smartphones

People worldwide widely use smartphones, which possess powerful computing capabilities. They also have similar output levels to OTC hearing aids. However, combining different earbuds and smartphones can create unpredictable results in terms of sound quality. Researchers have found a way to use smartphones with earbuds to create a personalized hearing aid-like system. By measuring a person’s hearing range with their specific earbud-smartphone combination, an app can adjust the sound to fit their needs. This technology could make smartphones a helpful tool for people with different levels of hearing loss.

2. Technology for Stereo Hearing:

True Wireless Stereo (TWS) earbuds are popular because they use radio waves to transmit audio without wires. They’re used for high-quality sound, noise cancellation, and even health monitoring. The TWS earbud market was worth $51 billion in 2022 and is expected to grow even more by 2030. Some companies, like Apple, are adding features to TWS earbuds that could work like hearing aids. However, the high price might stop these companies from making them OTC hearing aids.

TWS technology can improve OTC hearing aids in a few ways. First, noise reduction algorithms can make it easier to hear in noisy places. Second, the wireless connection between microphones and earbuds can improve sound quality and speech understanding. Finally, advancements in Bluetooth technology, like the LC3plus protocol, reduce delays, making TWS earbuds better for people with hearing loss. Overall, TWS technology could make OTC hearing aids even better in the future.

3. Artificial Intelligence (AI)

Artificial Intelligence is changing many areas, including healthcare. The FDA has approved over 170 AI-enabled medical devices. Smart hearing aids with AI features have been introduced since 2018. AI can be used in Over-The-Counter (OTC) hearing aids to analyze sounds, reduce background noise, and even improve speech understanding in noisy places, like at parties. This could greatly help people with mild-to-moderate hearing loss. AI technology is advancing quickly, and it’s likely that manufacturers will use it more in OTC hearing aids in the future.

Over-the-counter (OTC) hearing aids are more affordable than prescription hearing aids:

The Over-The-Counter hearing aids, introduced by the FDA in the USA, have the potential to impact global hearing care in significant ways. They could make hearing aids more affordable, encouraging more people to try them, especially those who are younger and have recently noticed hearing difficulties. Currently, OTC hearing aids are expensive, but a future reduction in price could make them accessible to more people worldwide, including those in low-income countries.

Accessibility is crucial, as many people face barriers like multiple appointments and time away from work when seeking hearing aids. OTC hearing aids could remove these barriers by allowing direct access to those with mild-to-moderate hearing loss. This could expand the market for hearing aids rather than competing with traditional ones. Tele-audiology and artificial intelligence could also help, particularly in areas with limited healthcare infrastructure.

OTC Hearing Aids with Younger Users will Help Reduce the Stigma:

Stigma and lack of awareness are also barriers to hearing aid use. However, OTC hearing aids, which offer discretion and compatibility with smartphones and wireless earbuds, may reduce stigma and raise awareness about hearing loss. Overall, OTC hearing aids have the potential to improve global access to hearing care and reduce the negative impact of hearing loss on individuals and communities.

Research Suggests Hearing Aids May Slow Down Loneliness and/or Cognitive Decline:

About 40% of dementia risk can be changed, with midlife hearing loss being a major factor. Studies suggest that using hearing aids can help slow down cognitive decline and reduce dementia risk, especially in people at high risk. While it’s not clear if hearing loss directly causes dementia, catching and treating hearing loss early could improve hearing, thinking abilities, and social connections, possibly preventing dementia in older age.

Over-the-counter (OTC) hearing aids target younger people with mild-to-moderate hearing loss. Helping them hear better early on may lead to greater long-term benefits, including improved cognitive health. This could be one of the most important impacts of OTC hearing aids.

Chung and Fan-Gang Zeng Conclude with their OTC hearing aid reviews:

The Over-The-Counter (OTC) hearing aid category was established in 2022 for adults aged 18 or older with mild-to-moderate hearing loss. Here are the key findings:

  1. Traditional hearing aid manufacturers dominate the OTC market, with few disruptors from consumer electronics or startups.
  2. OTC hearing aids, without gain limitations, can provide enough amplification even for severe-to-profound hearing loss.
  3. We need customized technological innovations to better serve people with mild-to-moderate hearing loss.
  4. Smartphones and wireless earbuds can function similarly to OTC hearing aids, making hearing aids more accessible and affordable, especially in low-income countries.
  5. Artificial intelligence has the potential to enhance OTC hearing aid functionality.
  6. OTC hearing aids may be adopted by younger people with less severe hearing loss, potentially helping to reduce cognitive decline and dementia as well as reducing Stigma.

Thank you for reading and again if you have any questions please reach out for a copy of this article.  As you know we offer many solutions including choices of the OTC hearing aids.  We support new businesses that are entering into the field.


The LINNER Mercury OTC hearing aids are a receiver-in-the-canal style amplifier. These are easy to use with push button functionality on the aids themselves. They do not have any app control or Bluetooth capabilities. These are a great introduction to to OTC hearing aids at a low cost. These would be great for someone who does not like futzing with apps and just want the simplicity of putting something in their ear and hearing better. We tested these in our clinic and found the sound quality to be fair for the low price point. A great affordable option to see how you like hearing better!
Starting at
Sennheiser All-Day Clear are ready-to-wear hearing aids for adults with perceived mild to moderate hearing loss. All-Day Clear provides amplification for enhanced hearing performance and seamless connectivity to Bluetooth with sleek designs and ensures all-day wearing comfort.

In-Clinic Care Package

Take your All-Day Clear ready-to-wear hearing aids to the next level with an "In-Clinic Care Package" which includes a consultation in a clinic where your hearing aids will be professionally programmed. This also gives you 1 additional year of manufacturer warranty on your purchase.  We can help you find that clinic with the care package.
Starting at

Advanced, award-winning self-fitting OTC hearing aids for those listening situations where you need help

HP Hearing PRO

  • 30% Better Speech Understanding in Noise*
  • Self-Fitting OTC Hearing Aids with HP Hearing App
  • Clinically-Proven, Natural Sound Quality*
  • Premium Sound Fidelity
  • Bluetooth Streaming
  • Active Noise Cancellation
  • Modern Earbud Design
  • Built-In Rechargeable Batteries
  • 2-Year Manufacturer’s Warranty
  • 60-Day Money-Back Guarantee
Introducing the Sony CRE-E10, Sony's breakthrough in hearing aid technology. Developed in collaboration with WS Audiology, this innovative device is Sony's first rechargeable and Bluetooth-compatible over-the-counter (OTC) hearing aid. Our online platform offers you easy accessibility, making OTC hearing aids more affordable and convenient for everyone. The Sony CRE-E10 is designed to be a hassle-free, "do-it-yourself" solution for individuals with mild to moderate hearing loss. As a result of our partnership with WS Audiology, a leading hearing aid company, we bring you a trusted brand that incorporates Signia hearing aid technology, renowned for its exceptional sound quality, into a comfortable and streamlined design. Featuring a rechargeable battery, the Sony CRE-E10 allows for wireless charging, providing you with 18-26 hours of continuous use. Additionally, these OTC hearing aids offer Bluetooth connectivity, specifically compatible with iOS devices, such as Apple iPhones. When you choose the CRE-E10 as your over-the-counter hearing aid from our online store, you can be confident in its reliability and effectiveness. It combines affordability, accessibility, and desirability, delivering compact and high-quality Signia hearing aid sound to enhance your hearing experience in various situations. Below, you will find more information that Sony would like to share with you. Enjoy the benefits of improved hearing with the Sony CRE-E10 OTC hearing aid!

Introducing the Sony Self-Fitting C10 OTC Hearing Aid – where hearing assistance meets a touch of fun and convenience! Get ready to embark on a thrilling journey of improved hearing, all while enjoying a delightful touch of modern technology.

With the Sony Self-Fitting C10 OTC Hearing Aid, you become the master of your hearing destiny. This do-it-yourself hearing solution brings a playful twist to the world of sound. Equipped with the Sony | Hearing control app, you hold the power to personalize your hearing experience right at your fingertips. Adjust settings, fine-tune sound quality, and explore different modes with a simple tap on your smartphone. It's like having a sound engineer in your pocket! But let's not forget the fun factor! With the sleek and stylish design of the Sony Self-Fitting C10, you'll be the envy of your friends. Its discreet appearance blends seamlessly into your daily life, making it a cool accessory that enhances your hearing without stealing the spotlight. The Sony Self-Fitting C10 OTC Hearing Aid is here to accompany you on your adventures for hearing more sounds. Whether you're enjoying a lively concert, exploring the great outdoors, or simply having a heartfelt conversation with loved ones, this device will help in hearing sounds and speech. So, embrace the fun side of hearing assistance with the Sony Self-Fitting C10. Unleash your inner audiophile, customize your hearing experience, and rediscover the joy of sound. Get ready to embark on a journey we all hope will be filled with laughter, music, and unforgettable moments –  with the Sony Self-Fitting C10 OTC Hearing Aid!
Members Pay: $990

Purchase your Over-the-Counter Hearing aids with us Online - Jabra Hearing Aids are a great one to check out!

This aid is a nice compact 3-in-1 earbud for hearing enhancement, music and calls with Bluetooth technology
Jabra and Resound share that these aids have the following features
  • Hearing enhancement solution with medical-grade technology
  • Situational use with different programs
  • Improves speech clarity in some environments
  • Discreet and comfortable Over-the-Counter Hearing aids that are somewhat affordable and accessible
Starting at
Members Pay: $792