1. What’s the difference between prescription and over-the-counter (OTC) hearing aids?
You’ve probably heard about two major categories for hearing aids: prescription and over-the-counter, or OTC. OTC hearing aids are intended for adults (18+) with perceived mild to moderate hearing loss. They can be purchased online or in stores without a prescription, and are typically self-fit and adjusted through the use of a smartphone app. Customization of OTC hearing aids is limited and based on user input rather than a clinical hearing test.
Prescription hearing aids are designed for patients of all ages with mild through profound hearing loss. These devices are programmed by a licensed hearing care professional, such as an audiologist, using results from a comprehensive hearing evaluation. Prescription hearing aids are highly customizable and can be adjusted based on your hearing needs, lifestyle, listening environments, and communication goals.
2. Are OTC hearing aids as effective as prescription hearing aids?
OTC hearing aids can be effective for some individuals with mild to moderate hearing loss, particularly in quiet environments. However, prescription hearing aids offer more advanced technology, especially for understanding speech and managing background noise.
For individuals with moderate-to-severe or greater hearing loss, OTC hearing aids generally do not provide enough amplification to adequately treat the hearing loss and may lead to ongoing communication difficulties.
3. Why does professional hearing testing matter?
Hearing tests can provide complex information about the auditory system within the ears. At Physical Therapy at St. Luke’s, our audiologists perform a comprehensive series of tests to evaluate the health of the auditory system and determine whether hearing loss is present, as well as its degree and type.
Hearing loss can have many causes, and not all hearing loss requires a hearing aid! A professional hearing evaluation helps identify the most appropriate treatment option for each individual. This might involve a medical referral, prescription hearing aids, or even an OTC option if appropriate.
4. Can OTC hearing aids damage my hearing?
Yes, OTC hearing aids can potentially cause harm if used improperly! Most OTC devices rely on an at-home hearing test, which is less accurate than a professional evaluation. If hearing loss is incorrectly identified or volume levels are set too high, there is a risk of over-amplification, which can contribute to further or accelerated hearing damage over time.
5. What if my hearing loss changes over time?
Hearing loss often changes gradually. For a patient fitted with prescription hearing aids, it’s recommended that hearing be monitored annually. If changes in hearing are identified, the hearing aids can be reprogrammed to ensure they continue to provide appropriate and comfortable amplification as your needs evolve.
6. What kind of support comes with prescription hearing aids?
Prescription hearing aids require ongoing care, including cleaning, software and firmware updates, and performance checks.
At Physical Therapy at St. Luke’s, prescription hearing aids include a service plan that provides:
- Professional cleaning and maintenance
- Necessary supplies
- Follow-up and adjustment appointments
- Continued support to ensure your hearing aids are working as efficiently and effectively as possible
We’re here to help! Learn more about our audiology services and find an audiology site near you here.