Hearing Aids Without a Prescription - What Does This Mean?

Posted by Julie, Volunteer Mentor @julieo4, Oct 16, 2022

In 2017 then President Trump signed legislation that would allow hearing aids to be sold without a prescription. The FDA was to write the regulations for this within 3 years. Now, five years later, the regulations have been written and approved. The devices will be on the market this coming week. What does this mean for people who need/use hearing aids? Most likely you will see a variety of articles on this topic in the next few weeks.

These non-prescriptive devices are meant only for adults with mild to moderate hearing loss. While they will be far less costly than prescriptive devices, there are no guarantees they will work well.

Buyer beware. Make sure there is information on the package that explains if there is a return policy. That was not regulated although advocates strongly fought for it.

It is likely they will help many people, but the jury will be out for a while.

If you decide to purchase OTC hearing aids, please share your experience with them. Prescriptive hearing aids cost a great deal more than these new devices. ($3000 - $7000/pair). Professionals who fit those prescriptive devices have training on how to fit them to a person's audiogram. Are you a candidate for hearing aids? What will you choose to do?

Here is an article on this topic.
https://news.yahoo.com/frontier-hearing-aids-181814746.html

Interested in more discussions like this? Go to the Hearing Loss Support Group.

@billchitwood

It did improve his hearing a lot - the 'cheap' online ones he kept buying didn't help his understanding at all. A complete waste of not only money but time. Research has been connecting loss of hearing in older people with dementia for various reasons - one being isolation. He refused to interact even with family as he couldn't hear them.

Last night he fell again - INTO the bath tub. After over an hour of attempting to get out of it with me bringing him pillows, towels, etc., he finally conceded and let me call 911. They had him up and out within minutes.

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So sorry to hear of all the issues you are dealing with. Not easy. Glad neither of you were injured last night and got someone to come in and help you. Hope things are better today - sending you hugs and prayers.

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I know this site is giving information mostly about what is going on in the USA. But what about expanding your information to include what may be going on through-out the rest of the World! I would especially be interested in the rest of the countries in North America/South America etc.

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There may be a difference between OTC hearing aid failure rates based upon those who raised in cold climates vs those raised in warm climates. This is something my AuD taught me. When she examined my ears she said I must have grown up in cold weather, which was correct. I live in FL currently. Apparently our ear canals can adapt when raised in cold climates vs warm climates. Chances are if you were raised in warm climates your ear canals are mostly straight. My ear canal has almost a 90° hook and is far from straight. This helps to protect the inner ear in cold climates and many develop a "bend" after chronic cold weather exposure as a child.
That said, "reciever in ear" silicone cones have not worked well at all for me. They just won't seat or position properly and are quite uncomfortable, even painful. The only solution for "reciever in ear" type hearing aids in my case are "custom molds". I suspect that had I tried OTC hearing aids I would have never learned about my northern type ear anatomy and no OTC hearing aid would have been comfortable or have worked in my case.

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@imallears

@julieo4

Hi Julie

I never thought about the size of the instructions and know what you mean...so many interior packaging have tiny print. I know there are regulatory recommendations about what is included in the instructions both inside and outside such as being over 18. The concern is that, for someone who will be trying their first pair of hearing aids and bypassing an audiologist....how do they know the level of their hearing loss. Certainly, someone under 18 would be able to purchase them. What about dexterity....how small are the buttons or switches.
The domes may not be appropriate and a custom mold would be necessary. Apart from an audiological evaluation which should be the first step, your concern about a tcoil is correct.
I foresee many being dissatisfied with them when an audiologist is bypassed.

People generally gravitate towards hearing aids many years after they really need them. I am not being a naysayer on the idea at all...just thinking of things that will come up during and after the purchase. We all agree hearing aids are expensive but price alone can't be the motivator to buy online. I wonder how many audiologists would be willing to prescribe a hearing aid mold or to make an adjustment if purchased online....maybe same some will for a set fee.

It's all so new yet. As @lacy 2 mentioned about eyeglasses....yes you can get frames cheaper elsewhere with a prescription from an ophthalmologist. I did that once from a chain and the
prescription was filled wrong. Found that out when I went back a year later and got new ones from my doctor....I knew something was wrong and thought it was my eyes.

There are pitfalls to everything. But it will be interesting to see if anyone here posts their experiences....sure would love to hear about that.

FL Mary

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"....I wonder how many audiologists would be willing to prescribe a hearing aid mold or to make an adjustment if purchased online...."

They will fit & adjust HA's purchased online. I asked my doctor. For a one time fitting & service it costs $3800 for HA's purchased online.
Buying through the doctor includes a 3 yr warrentee on the device and includes 3 yrs of care, support, & maintenance. Plus she handles ongoing local servicing, as they can fix many issues and she handles any shipping, etc, for manufacturer warrentee claims & repairs. Another bonus is she sends them to the manufacturer right before the warrantee expires for full refurbishing and a full service.

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@johnbflat

There may be a difference between OTC hearing aid failure rates based upon those who raised in cold climates vs those raised in warm climates. This is something my AuD taught me. When she examined my ears she said I must have grown up in cold weather, which was correct. I live in FL currently. Apparently our ear canals can adapt when raised in cold climates vs warm climates. Chances are if you were raised in warm climates your ear canals are mostly straight. My ear canal has almost a 90° hook and is far from straight. This helps to protect the inner ear in cold climates and many develop a "bend" after chronic cold weather exposure as a child.
That said, "reciever in ear" silicone cones have not worked well at all for me. They just won't seat or position properly and are quite uncomfortable, even painful. The only solution for "reciever in ear" type hearing aids in my case are "custom molds". I suspect that had I tried OTC hearing aids I would have never learned about my northern type ear anatomy and no OTC hearing aid would have been comfortable or have worked in my case.

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This is interesting. I've never heard or read about an ear canal adaptation due to climate and would like to know more.

Did your audiologist tell you where s/he found that information?

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@johnbflat

"....I wonder how many audiologists would be willing to prescribe a hearing aid mold or to make an adjustment if purchased online...."

They will fit & adjust HA's purchased online. I asked my doctor. For a one time fitting & service it costs $3800 for HA's purchased online.
Buying through the doctor includes a 3 yr warrentee on the device and includes 3 yrs of care, support, & maintenance. Plus she handles ongoing local servicing, as they can fix many issues and she handles any shipping, etc, for manufacturer warrentee claims & repairs. Another bonus is she sends them to the manufacturer right before the warrantee expires for full refurbishing and a full service.

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At a recent HLAA meeting presentation by an area audiologist, we were told that she/they would service OTC hearing instruments if the service was something they could actually do with that particular device. However, it's pretty logical to assume there will be a cost associated with that. Most likely a higher cost than would typically be attached to servicing a hearing instrument sold by their practice. There is much remained to be seen with OTC devices.

Your audiologist has a very positive attitude and business model.

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@julieo4

This is interesting. I've never heard or read about an ear canal adaptation due to climate and would like to know more.

Did your audiologist tell you where s/he found that information?

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She just asked if I grew up in cold weather. She explained that she can typically tell if a person spent time in cold climates as a youth during her ear examination. I grew up in western Mass and spend a great deal of time as a kid skiing in MA, VT, NH, Canada, and Rockies, so lots of cold conditions.
She is a UConn doctor so a northern transplant to FL, like me. I didn't ask for her literature sources on this, as my hands are full doing new HA trials at this time.
She had me try a cone solution first which did not work well with my canal's "hook shape". She did impressions of my canals and sent them to Phonak to make custom acrylic molds over new "in the ear" recievers. Also, she ordered pair of Phonak Virto "in the ear" HA's with the same custom molds. As the next step, I wanted to trial both the Audeo Lumity Life and the Virto Paradise, both with custom molds. She did say Virtos are more often returned at her practice but welcomed me to give them a try, as everyone is different.

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@julieo4

At a recent HLAA meeting presentation by an area audiologist, we were told that she/they would service OTC hearing instruments if the service was something they could actually do with that particular device. However, it's pretty logical to assume there will be a cost associated with that. Most likely a higher cost than would typically be attached to servicing a hearing instrument sold by their practice. There is much remained to be seen with OTC devices.

Your audiologist has a very positive attitude and business model.

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We found her though YouTube videos done by "Dr Cliff". She is a member of the same "Hearing Up", association mentioned in these videos. My wife and I are are very satisfied with her care and practice levels.

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I have just joined this group. I have been wearing OTC hearing (amplifiers) devices for two years. At first they seemed ok but they do not work well at all in large room settings with lots of people talking. I can't understand a thing anyone is saying, nor can I understand a speaker who is talking with or without a microphone. I tend to stay away from group settings because of this. My devices came from a propular OTC hearing device manufacturer and sell several different devices ....Mine cost me $600 for the pair, have three volumne controlls and four settings that don't seem to change anything with any given circumstances. I cannot afford aids that cost thousands, like most seniors I'm sure. Any advice on OTC products or has anyone encountered this problem and been able to come up with a solution. Thanks so much for your help.....glad I found this support group.

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@babs37

I have just joined this group. I have been wearing OTC hearing (amplifiers) devices for two years. At first they seemed ok but they do not work well at all in large room settings with lots of people talking. I can't understand a thing anyone is saying, nor can I understand a speaker who is talking with or without a microphone. I tend to stay away from group settings because of this. My devices came from a propular OTC hearing device manufacturer and sell several different devices ....Mine cost me $600 for the pair, have three volumne controlls and four settings that don't seem to change anything with any given circumstances. I cannot afford aids that cost thousands, like most seniors I'm sure. Any advice on OTC products or has anyone encountered this problem and been able to come up with a solution. Thanks so much for your help.....glad I found this support group.

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Take a look at the ClearCast hearing device. It is an FDA registered assistive listening device specifically designed for the situations you describe - trouble hearing in crows, difficulty understanding a speaker, etc.

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