Office: 423.521.3277 | Hearing Hotline: 423.531.5394 | Fax: 423.541.5395


Blog Layout

Budgeting for Your Hearing Aids: Weighing Over-the-Counter Devices vs. Prescription Hearing Aids

January 6, 2023

Trying to budget and save money in the new year is an extremely popular goal. Most of us are looking for ways to cut costs, especially now. If this is something you’ve been thinking about — and you’re someone who will need to purchase hearing aids this year — you might be wondering if switching to an over-the-counter device is a viable option.


Now, we are not against over-the-counter hearing aids. They’re a great option for certain people with certain needs. However, they are not going to be the best choice for everyone. When you are looking at options, your budget matters (of course), but so does your quality of life. If an over-the-counter option isn’t going to address your specific hearing issues, it isn’t a good option, plain and simple. So, let’s go over each option together so you can start planning!


Over-the-Counter Hearing Aids


As you probably heard, hearing aids are now being offered over the counter at places like Walmart, Costco, Walgreens, and Best Buy to name a few. This is great news for a lot of people, but we still like to educate our patients about some of the potential drawbacks, as well as the benefits!


Over-the-Counter Pros: 


  • There is typically a cost savings when purchasing an over-the-counter hearing aid, as long as you are someone with mild to moderate hearing loss.
  • There’s no appointment needed; you can set up your hearing aids at home after watching a tutorial or hopping on a video call with customer support.
  • For many of these over-the-counter options, there is an app you can download that will help you adjust the devices as needed.


Over-the-Counter Cons:


  • Most of these devices will require the use of a smartphone to program and adjust the devices as needed. 
  • Over-the-counter hearing aids are not going to work with all types of hearing loss. Additionally, they do not come with programs for tinnitus therapy.
  • Many of these devices only come with a 1-year repair warranty and do not have a loss or damage warranty. If you want to make a return, you will likely have to cover the shipping costs out of pocket. The companies also carry a very strict return policy and are not willing to budge if the devices are returned after the 45-day trial period. 
  • Remember that these are electronic devices that are exposed to ear wax, humidity, moisture, and sweat among other elements. They will require maintenance and repairs that the user is not able to perform without sending them in for a repair. This can take up to a week to complete by the time you mail them off and receive them back. 
  • It can take three to four weeks to properly adjust a hearing aid, and this can be a confusing process to go through without the help of an audiologist.
  • Most over-the-counter devices are going to be in-the-ear devices (like many Bluetooth devices or earbuds). Depending on the hearing loss in the low frequency region, in-the-ear devices can create an occlusion effect, or barrel-like sound quality, which does not necessarily improve hearing ability and understanding.


Prescription Pros:


  • Most audiologists will include a three-year repair warranty and a three-year loss or damage warranty with every hearing aid purchase, which is great for added peace of mind.
  • During your routine hearing evaluation, you will also be screened for any middle ear diseases that would warrant medical attention before the fitting of a hearing aid.
  • The lifespan of prescription hearing aids is longer. Your hearing aid, with proper care, can last 5-7 years, which is an important consideration when budgeting. 
  • Most prescription fit hearing aid technology comes with tinnitus retraining therapy, which isn’t something that is currently offered over-the-counter devices. 
  • The audiologist DOES THE WORK FOR YOU! There is no need to figure out how to program or adjust the device on your own. Your audiologist will teach you how to use and care for the device to get the maximum benefit for many years. 
  • YOUR INSURANCE MAY COVER THE COST OF A HEARING DEVICE IN FULL! But you may not even know it. Even if a device is only $300, if your insurance covers it wouldn’t you want to take advantage of those savings?!?! 


Prescription Cons:


  • The cost of prescription hearing aids will almost always be more than over-the-counter devices. 
  • You must schedule an appointment for a routine hearing evaluation, and then come back in for follow-up appointments to make sure you have a good fit.
  • Most of the time, you may not be able to leave with a hearing aid the same day as your hearing test.


Payment Options


Over-the-Counter Devices

  • Payment is due in full upon ordering. Most of these companies do not offer payment plan options unless put on a credit card already owned by the user. 


Prescription Hearing Aids

  • Insurance may cover the cost of the devices or services in-part or in-full. If you do not know what your insurance will cover, call them to find out what benefits you have for prescription hearing aids. 
  • Most offices will offer financing options, such as CareCredit to help with the cost of the hearing aids. 


As you can see, there is a lot to consider when budgeting for hearing aids. If you have mild to moderate hearing loss (no tinnitus) and you feel confident going through the steps to set it up and adjust it as needed, the over-the-counter options might be great for you.


If you’re someone with more severe hearing loss or tinnitus, you may want to work with an audiologist to ensure you end up with a device that is truly going to work for you. Even if you save money up front, it’s not a good investment if you aren't getting the desired outcome.


Of course, we are here to help you decide! You might think that we’re always going to tell you to come in and work with us, but that isn’t the case. If we think an over-the-counter hearing aid will meet all your needs, we will tell you that. We even sell some of these devices in our office. We just want you to feel your best, and if we can save you a little bit of money at the same time, we’re happy to do that. Feel free to contact us at 423-521-3277 if you would like to discuss your options!

February 12, 2025
Hearing loss isn’t just about missing out on conversations or not hearing your favorite shows—it could actually be affecting your balance, too. If you didn’t know that you’re not alone. Many people don’t realize that untreated hearing loss can increase the risk of falls, especially as we get older.
By Dr. Notaro October 9, 2024
Dana Notaro, Au.D., CCC-A, F-AAA As we celebrate Audiology Awareness Month, it's essential to focus not only on hearing health but also on the often-overlooked aspect of balance: the vestibular system. Many people are unaware that dizziness can be related to issues in this system, which is crucial for maintaining our balance and spatial orientation. Let’s dive into what vestibular testing involves and why awareness of dizziness is so important for your overall health. What Is the Vestibular System? The vestibular system, located in the inner ear, plays a vital role in helping us maintain our balance and navigate our environment. It works closely with our visual and proprioceptive systems to keep us oriented. When this system is functioning properly, we can move around confidently. However, issues in the vestibular system can lead to dizziness, vertigo, and balance problems. Common Causes of Dizziness Dizziness can arise from various factors, including: Vestibular Disorders: Conditions like Benign Paroxysmal Positional Vertigo (BPPV), Meniere’s disease, and vestibular neuritis. Inner Ear Infections: These can disrupt balance and cause feelings of dizziness. Medication Side Effects: Certain medications can impact your balance and cause dizziness. Neurological Disorders: Conditions such as migraines or multiple sclerosis can also affect the vestibular system. Why Is Dizziness Awareness Important? Being aware of dizziness is crucial for several reasons: Quality of Life: Chronic dizziness can severely impact your daily activities, work, and social interactions. Safety: Dizziness can increase the risk of falls, particularly in older adults. Recognizing and addressing these symptoms can help prevent injuries. Underlying Conditions: Dizziness can be a symptom of underlying health issues that may require treatment. Early detection can lead to better management. What to Expect During Vestibular Testing If you're experiencing dizziness, your audiologist may recommend vestibular testing to evaluate your balance system. Here’s what you can expect: Comprehensive Assessment: Your audiologist will take a detailed history of your symptoms, including when they occur and their severity. Balance Tests: You may undergo various tests, such as: Electrophysiology Testing: This involves measuring the electrical activity in the vestibular system to assess how well each pathway is functioning, helping to identify any abnormalities. Videonystagmography (VNG): This test measures eye movements to assess the vestibular system's function in different scenarios. Rotary Chair Testing: This evaluates how your vestibular system responds to rotational movements, providing insight into how well your balance system is functioning. Caloric Testing: This test uses warm and cold air in your ears to see how well your vestibular system is working in each ear separately. Vestibular Head Impulse Test (vHIT): This checks how well your eyes and head work together during quick movements by isolating each of your 6 semicircular canals. Results and Recommendations: Based on the tests, your audiologist will discuss the results and develop a tailored plan to address your symptoms. This may include vestibular rehabilitation therapy, lifestyle changes, or referral to a specialist. Tips for Managing Dizziness If you’re experiencing dizziness, here are a few tips to help manage it: Stay Hydrated: Dehydration can exacerbate dizziness, so drink plenty of water. Limit Sudden Movements: Stand up slowly and avoid rapid head movements to minimize dizziness. Practice Balance Exercises: Simple exercises can strengthen your balance and coordination. Seek Support: Don’t hesitate to reach out to your audiologist if you have concerns about dizziness. This Audiology Awareness Month let’s not overlook the significance of our vestibular system. Awareness of dizziness and understanding the importance of vestibular testing can empower you to take control of your balance and overall health. If you or someone you know is experiencing dizziness, schedule an appointment with your audiologist to discuss your symptoms and explore your options. Together, we can work towards a safer, more balanced future!
March 12, 2024
Are you planning to take a vacation soon? Traveling with hearing aids can present a few unique challenges, but with proper preparation and a few handy tips from me, your favorite audiologist, you’ll have no problem enjoying your trip to the fullest.
Show More
Share by: