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OTC Hearing Aids vs Professionally Fitted Hearing Aids

OTC Hearing Aids vs Professionally Fitted Hearing Aids

May 21, 2025
6
min read
Written By
Reviewed By
Angela Lalla, Au.D.
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Hearing loss affects millions of Americans, and with the recent FDA approval of over-the-counter (OTC) hearing aids, more options are now available to address this common condition. While OTC devices offer accessibility and affordability, there are important differences between these and professionally fitted hearing aids that deserve consideration. At Audiologic Solutions, we believe in educating our patients about all options so they can make informed decisions about their hearing health.

Understanding OTC Hearing Aids

Over-the-counter hearing aids represent a significant change in how hearing devices are accessed. The FDA's approval of these devices aims to make hearing technology more accessible and affordable for adults with perceived mild to moderate hearing loss.

OTC hearing aids are designed to be purchased directly by consumers without requiring a hearing evaluation or prescription. They typically come pre-programmed or with basic self-adjustment options through smartphone apps. While they offer convenience and lower costs, they also come with limitations that consumers should understand.

As noted on our website: "The goal is that OTC hearing aids will offer technology that will meet the expectations of consumers who seek low-cost, accessible devices. And while affordability is very important, you still need to be an educated consumer."

The Critical Role of Hearing Evaluations

Before considering any hearing device, it's essential to understand your specific hearing condition. A comprehensive hearing evaluation provides crucial information that goes beyond simply confirming hearing loss.

During a professional hearing evaluation at Audiologic Solutions, we:

  • Discuss your medical history
  • Talk about your lifestyle to understand how hearing loss impacts your daily activities
  • Use advanced equipment to determine your current hearing ability
  • Measure how well you understand speech in various conditions

This evaluation helps identify the type, degree, and configuration of your hearing loss. Not all hearing loss is the same, and different types of hearing loss require different solutions. Without this knowledge, you might select a device that doesn't address your specific needs.

As our audiologists emphasize, "Hearing problems can only be correctly treated when they've been accurately evaluated and diagnosed." A proper diagnosis ensures that the solution matches your specific needs rather than applying a one-size-fits-all approach.

Benefits of Professional Hearing Aid Fittings

Professional hearing aid fittings offer several advantages that OTC devices cannot match:

Personalized Programming and Real Ear Measurement

At Audiologic Solutions, we use Real Ear Measurement (REM) technology to verify that hearing aids are programmed correctly for your specific ear canal acoustics. This scientific verification ensures that sounds are amplified to the exact levels needed at different frequencies.

During a fitting, we calibrate devices to your specific hearing profile and make adjustments based on your feedback about comfort and sound quality. This personalized approach accounts for the unique shape of your ear canal and your individual hearing needs.

Access to Advanced Technology

Professionally fitted hearing aids often incorporate more sophisticated technology than OTC devices. The latest models we offer, including Oticon Intent, ReSound Vivia, Signia IX, and Starkey Edge AI, feature advanced innovations:

The Oticon Intent uses 4D Sensor technology with user-intent sensors that monitor conversation activity, head movement, body movement, and the acoustic environment. This allows the device to recognize when your needs change and adapt accordingly.

ReSound Vivia includes Auracast compatibility and AI-powered technology. It excels at managing background noise with its DNN chip that analyzes and manages noise in complex situations.

Signia IX features RealTime Conversation Enhancement technology that ensures you never miss out on conversations, even if you aren't directly facing the speaker.

Starkey Edge AI incorporates a G2 Neuro Processor that works with Neuro Sound Technology 2.0, mirroring the functioning of the human brain's auditory cortex to process sound signals with exceptional speed.

Widex Allure offers W1 chip technology with Speech Enhancer Pro that reduces the gap between when sound enters the microphone and when it's amplified, helping to reduce echo.

Ongoing Support and Adjustments

Professional services don't end after the initial fitting. With professionally fitted hearing aids from Audiologic Solutions, you receive ongoing care including:

  • Regular follow-up appointments to fine-tune your devices
  • Cleaning and maintenance services
  • Troubleshooting assistance
  • Adjustment of settings as your hearing needs change
  • Repair services when needed

As your hearing or lifestyle changes, we can reprogram your devices to ensure continued optimal performance. Our team is always available to provide support, answer questions, and help you get the most from your investment.

Considerations for OTC Hearing Aids

If you're considering OTC hearing aids, here are important factors to consider:

Self-Assessment Limitations

Without a professional evaluation, it's difficult to accurately determine the type and degree of your hearing loss. Many people underestimate their hearing difficulties, and some hearing loss can be caused by medical conditions that require treatment beyond amplification.

Device Fitting and Adjustment

OTC devices typically offer limited customization options. Without professional fitting, it's challenging to ensure the device performs optimally for your specific hearing profile. An improperly fitted device may not provide adequate amplification or could potentially cause discomfort.

Long-term Outcomes

Consider these questions when evaluating OTC options:

  • If your device doesn't work properly, do you know how to troubleshoot it?
  • Do you know how to fit your device so it's comfortable in your ear?
  • Is the OTC device you're considering right for your lifestyle?

Making the Right Choice for Your Hearing Health

The best choice depends on your specific situation, preferences, and needs. Here are some guidelines to help with your decision:

When OTC Might Be Appropriate

OTC hearing aids might be a reasonable starting point if:

  • You have mild hearing loss confirmed by a professional evaluation
  • You're comfortable with technology and can manage self-adjustments
  • Cost is a significant concern
  • You're looking for a temporary solution while considering professional options

When Professional Fitting Is Recommended

Professional fitting is generally advisable if:

  • You have moderate to severe hearing loss
  • You experience difficulty hearing in complex environments like restaurants or group settings
  • You have medical issues that may contribute to hearing loss
  • You want access to advanced features and technology
  • You value ongoing support and adjustments
  • You have dexterity or vision challenges that make managing small devices difficult

Our Approach at Audiologic Solutions

At Audiologic Solutions, we believe in providing compassionate care with cutting-edge technology. Our audiologists are committed to helping you find the best solution for your unique hearing needs, whether that involves professionally fitted devices or guidance on OTC options.

We understand that hearing technology is an investment in your quality of life. That's why we take time to thoroughly evaluate your hearing, discuss your lifestyle needs, and present options that align with your goals and budget.

Our audiologists "are committed to the ethical guidelines of their profession and never try to 'sell' to our patients, but instead aim to educate them on their situation and best options for their hearing health."

Schedule Your Hearing Evaluation Today

The journey to better hearing begins with understanding your specific hearing profile. We invite you to schedule a comprehensive hearing evaluation at one of our conveniently located offices in Rensselaer, Hudson, Queensbury, or Saratoga.

During your visit, our experienced audiologists will assess your hearing, discuss your lifestyle needs, and help you navigate the options available, including both professional and OTC devices. We'll provide the information you need to make an informed decision about your hearing health.

Don't let untreated hearing loss affect your quality of life. Contact Audiologic Solutions today to take the first step toward better hearing. Our team of audiologists, including Dr. Stefan Fosco, Dr. Erin Walborn, Dr. Karen DeJoy, Dr. Angela Lalla, Dr. Lyndsay Cunningham, and Dr. Tammy Monroe, are ready to help you on your hearing journey.

Written By
Reviewed By
Angela Lalla, Au.D.
Audiologist

Angela Lalla, Au.D. brings over 30 years of experience in the field of audiology, including 12 years working at a local hospital and many years as a marketing and training specialist, account representative and trainer for a hearing device manufacturing company.

Our Locations

We have 3 hearing care clinics in Rensselaer, Hudson and Queensbury.

Rensselaer

2 Empire Dr #204, Rensselaer, NY 12144

518-283-6111

Hudson

351 Fairview Ave #350, Hudson, NY 12534

518-828-7700

Queensbury

118 Quaker Rd, Queensbury, NY 12804

518-798-6428

Saratoga

125 High Rock Avenue, Suite 205, Saratoga NY 12866

518-360-2144