Over-the-counter (OTC) hearing aids have gone from “What even is that?” to
“I picked mine up with my groceries” in just a couple of years. Since the
FDA’s new OTC hearing aid category took effect in late 2022, adults with
mild to moderate hearing loss can now buy hearing aids directlyno
prescription, no in-person fitting required, and a lot less sticker
shock compared to traditional devices.

But the downside of more choice is, well, more confusion. 2024 brought a
wave of new OTC hearing aids and upgraded models. Expert reviews, lab
tests, and thousands of user comments tell us one thing clearly: not all
devices are created equal. Some offer excellent speech clarity, smart
apps, and generous trial periods. Others… belong in the junk drawer with
old TV remotes.

Below, we break down 7 of the best OTC hearing aids of 2024, drawing on
audiologist-guided testing, independent review sites, and consumer
surveys from reputable U.S.–based sources.
We’ll walk through who each device is best for, what you actually get for
your money, and how to decide if an OTC option is right for your ears (and
your wallet).

What Are OTC Hearing Aids, Exactly?

OTC hearing aids are FDA-regulated medical devices for adults 18 and older
with perceived mild to moderate hearing loss. They amplify sound using a
microphone, amplifier, and speaker, just like prescription hearing aids,
but they’re designed to be “self-service”: you buy them directly online or
in stores and set them up yourself using on-device controls or a
smartphone app.

OTC hearing aids are:

• Sold directly to consumers without a hearing test or prescription.
• Intended for adults (18+) with mild to moderate hearing loss.
• Typically one-size-fits-most designs, often with multiple ear tips.
• Often rechargeable and app-connected in newer 2024 models.

They are not ideal if you:

• Have severe or sudden hearing loss.
• Notice pain, drainage, or dizziness.
• Have hearing loss in just one ear or very asymmetrical hearing.

In those cases, hearing health organizations and the FDA strongly
recommend seeing an audiologist or ENT before trying OTC devices.

How We Chose the Best OTC Hearing Aids

To narrow down the crowded OTC field to 7 standouts, we looked at products
repeatedly recommended by:

• Audiologist-led review sites and product testing organizations that
  evaluate sound quality, fit, and ease of use.
• Independent consumer testing outlets that buy and test devices in-house.

• Major health and wellness publishers covering OTC hearing aids since the
  rule change.
• Hearing loss advocacy organizations that keep an eye on safety and
  accessibility.

Across those sources, we prioritized OTC hearing aids that offer:

• Consistently good speech clarity in everyday situations.
• Rechargeable batteries or strong battery life.
• Simple, user-friendly controls and/or intuitive apps.
• Reasonable pricing for the feature set.
• Trial periods and return policies that allow real-world testing.
• Evidence of expert input (audiologist design, review, or support).

The 7 Best OTC Hearing Aids of 2024

1. Jabra Enhance Select 700 – Best Overall OTC Hearing Aid

If OTC hearing aids had a “flagship” model in 2024, Jabra Enhance Select
700 would be near the front of the parade. Multiple expert guides name it
the top OTC option thanks to a strong blend of sound quality, features,
and professional support, all wrapped in a sleek behind-the-ear design.

Why experts like it:

• Excellent speech-in-noise performance for conversations
  in restaurants and busy environments.
• Robust app with customizable programs, remote fine-tuning,
  and firmware updates.
• Professional support often included, with remote
  audiologist check-ins and adjustments in many packages.
• Up to around a full day of battery life per charge.

The Select 700 tends to be priced in the premium OTC range, but it’s still
often cheaper than mid-tier prescription devices. It’s a good fit if
you’re tech-comfortable, listen to a lot of speech (meetings, calls,
TV), and want something that feels “serious” without going full
prescription.

Best for: Tech-savvy users who want top-tier sound, app control, and expert backup.

2. Eargo 8 – Best Nearly Invisible OTC Hearing Aid

If your dream device is “powerful but basically invisible,” Eargo 8 is one
of the leaders in that niche. These tiny, in-the-ear devices sit deep in
the ear canal with soft “petal” tips that help keep them comfortable yet
discreet. Expert and consumer reports consistently highlight Eargo’s
design and low profile.

What stands out:

• Ultra-discreet fit – hard to see unless someone’s staring
  straight into your ear.
• Rechargeable with portable case, making them easy for
  travelers and commuters.
• App-based adjustments and personalized tuning via remote support in many
  bundles.

They do cost more than many OTC competitors and are best for people who
value aesthetics and discreetness as much as raw tech specs.

Best for: Professionals and social butterflies who want help hearing, not a visible gadget.

3. Sony CRE-E10 – Best App-Connected Earbud-Style OTC Hearing Aid

Sony’s CRE-E10 looks more like a pair of true wireless earbuds than a
traditional hearing aid, and that’s part of the appeal. Major tech and
audio reviewers praise it for blending consumer-grade design with
medical-grade amplification, including strong app-based personalization
and streaming.

Key perks:

• Earbud-like design that feels familiar if you already
  wear wireless earbuds daily.
• Streaming audio from phones for music, podcasts, and
  calls (depending on your setup).
• Self-fitting via app with hearing tests and environment-specific tuning.

The CRE-E10 isn’t the smallest device on this list, but it’s one of the
most tech-forward. Think of it as a bridge between hearables and full
hearing aids, with FDA-regulated amplification for mild to moderate loss.

Best for: People who love gadgets, already wear earbuds, and want an “all-in-one” device.

4. Lexie B2 / B2 Plus Powered by Bose – Best for Speech Clarity and Value

Lexie’s partnership with Bose helped put OTC hearing aids on the map, and
their B2 and updated B2 Plus models remain top recommendations in many
expert lists. Health and consumer outlets consistently highlight Lexie
B2-series devices for speech clarity, adjustable sound profiles, and solid
value compared with similarly equipped competitors.

Why they’re popular:

• Strong speech enhancement that helps voices stand out
  from background noise.
• Customizable presets and environment modes via the app.
• Transparent pricing, often with reasonable financing options.
• Frequently recommended by audiologists as a “good first OTC” if you’re
  not sure where to start.

Best for: First-time OTC users who want solid performance without paying top-of-the-line prices.

5. Audien Atom Pro 2 – Best Budget OTC Hearing Aid

Not everyone wants to drop four figures on their first pair of hearing
aids. Several expert guides and consumer-focused outlets point to Audien’s
Atom lineespecially the Atom Pro 2as one of the best low-cost OTC
options that still offers meaningful amplification for everyday use.

What you get at this price:

• Small in-ear design that’s more subtle than basic “sound amplifier”
  gadgets.
• Rechargeable charging case and simple on-device volume controls (no app
  to fuss with).
• Basic noise reduction and multiple ear tips to improve comfort and seal.

You won’t get advanced app tuning, Bluetooth streaming, or deep
personalization. But as a starter option or backup pair, the Atom Pro 2
can make a noticeable difference for many people with mild losswithout
wrecking your budget.

Best for: Budget-conscious buyers who want amplification that’s better than “amplifiers,” but cheaper than premium brands.

6. Elehear Beyond (Alpha / Next Family) – Best Value for Feature-Rich OTC

Elehear isn’t as universally recognized as Jabra or Sony, but several
audiologist-review sites list models like Elehear Beyond or the brand’s
Alpha/Next lines among the “best value” OTC hearing aids.
These devices tend to pack in a lot of featuresdirectional microphones,
app control, rechargeable casesat a mid-range price.

Highlights include:

• Multiple listening programs for quiet rooms, TV watching,
  and noisy environments.
• Self-fitting tools within the app to fine-tune bass,
  treble, and volume.
• Remote support or chat in many packages, plus clear online tutorials.

Elehear’s sweet spot is users who want more control and better sound than
ultra-budget brandsbut don’t necessarily need the premium polish of
top-tier names.

Best for: Users who want a feature-rich device at a mid-range price point.

7. MDHearing (VOLT / AIR Series) – Best Simple, No-Fuss OTC Option

MDHearing’s OTC devices, like the VOLT and AIR series, show up frequently
in roundups as reliable, no-frills options from a long-standing hearing
brand. Consumer reviewers and advocacy groups often mention MDHearing as
one of a small handful of OTC names that balance affordability with
medical-device standards.

What makes them stand out:

• Simple controlsusually physical buttons for volume and
  mode switching.
• Multiple sound environments (e.g., quiet, noisy, social).
• Pricing often undercuts many app-connected competitors.

MDHearing is a good option if you’re not interested in apps, Bluetooth, or
cloud-anything. You just want a small, straightforward hearing tool you
can put on, adjust, and forget about.

Best for: People who want “set it and don’t overthink it” devices at a manageable price.

OTC vs. Prescription Hearing Aids: Which Is Right for You?

OTC hearing aids can be life-changing for the right personbut they don’t
replace professional care in every situation. Experts generally suggest a
quick self-check:

• You’re a good OTC candidate if: your hearing loss is
  gradual, affects both ears, and you mainly struggle in noisy places or
  with softer voices.
• You should see an audiologist if: hearing loss came on
  suddenly, is much worse in one ear, or is paired with pain, fullness,
  dizziness, or ringing (tinnitus) that worries you.

Even if you’re using OTC devices, many hearing organizations recommend at
least one professional hearing evaluation at some point. It helps rule out
medical issues and gives you a baseline to track changes over time.

How to Choose the Best OTC Hearing Aid for Your Needs

Picking a hearing aid is a bit like picking a new phone: “best” depends on
how you live, not just the specs on the box. Here’s how to narrow things
down:

1. Think About Your Typical Day

If your main challenge is conversations in restaurants and family
gatherings, prioritize speech-in-noise performance (Jabra Enhance Select
700, Lexie B2/B2 Plus). If you’re constantly on calls and streaming
content, look for Bluetooth and Audiostreaming features (Sony CRE-E10,
Jabra Enhance).

2. Decide How Much Tech You Actually Want

Some people love apps, hearing tests, and fine-tuning. Others just want a
volume wheel. App-heavy models like Jabra, Elehear, Sony, and Lexie let
you tweak almost everything. Simpler devices like MDHearing and Audien
Atom Pro 2 focus on “put it in and go.”

3. Set a Realistic Budget

OTC devices typically run from under $300 per pair for basic models to
well over $1,000 for premium options with streaming and expert support.
Remember: trial periods and return policies are key. Paying a bit more for
a 45- to 60-day trial can be worth it if you’re not sure what will work.

4. Check Trial Periods, Warranties, and Support

Look for:

• At least 45 days to try the device in real-world
  situations (work, home, restaurants).
• 1–3 years of warranty on repairs and defects.
• Clear access to customer support or remote audiology if you’re new to
  hearing aids.

Safety Tips and When to Get Help

OTC hearing aids are generally considered safe when used as directed, but
there are a few important safety tips:

• Start at a comfortable volume and increase graduallytoo much gain too
  fast can be fatiguing.
• If sound is painfully loud, distorted, or makes you dizzy, stop using
  the device and talk to a professional.
• If you see signs like ear pain, drainage, or sudden hearing changes, skip
  OTC and contact an ENT or audiologist.

And remember: this article is for informational purposes only and isn’t a
substitute for personal medical advice or diagnosis.

Real-World Experiences with 2024’s Best OTC Hearing Aids

Reading spec sheets is helpful, but living with a hearing aid is something
else entirely. While everyone’s experience is unique, real-world stories
from users and clinicians reveal some consistent themes when it comes to
2024’s best OTC devices.

Many first-time users start in the same place: “I hear fine, I just can’t
catch people in restaurants or on TV.” They order a pair of OTC aidsoften
something like a Lexie B2 Plus or Jabra Enhance Selectput them in, and
are surprised by just how much sound they’ve been missing. The clank of
dishes, the hum of the fridge, the neighbor’s dog… everything comes back
at once. The first week can feel a bit like switching from standard
definition to 4K.

Then reality sets in: hearing aids are tools, not magic wands. People often
report needing a couple of weeks to get comfortable with the sensation of
something in their ears, especially with in-canal styles like Eargo 8 or
smaller Audien models. There’s a learning curve: figuring out which ear
tips seal best, how to clean wax guards, when to use different sound
programs, and how to keep them from becoming very expensive laundry
accidents in your jeans pocket.

Users who do best with OTC hearing aids usually have one thing in common:
they stick with the process. Instead of wearing them “just for special
occasions,” they commit to a few hours every day. The brain needs time to
re-adjust to hearing softer sounds and higher pitches again. Audiologists
often describe it as “retraining” your hearing systemyour ears and brain
learn to filter out unimportant noise again and focus on speech.

Another recurring pattern: support matters more than people expect. A
well-designed app with clear instructions, or the ability to schedule
remote tuning sessions, can make the difference between a pair of hearing
aids that ends up at the back of a drawer and one that becomes part of
daily life. That’s one reason premium OTC options like Jabra Enhance
Select 700, Elehear’s more advanced models, and Sony CRE-E10 often get
high marksusers feel like they’re not on their own.

Meanwhile, budget-focused buyers who choose something like Audien Atom Pro
2 or MDHearing VOLT tend to praise the “just works” simplicity. They may
not have every bell and whistle, but they’re easy to put in, easy to
charge, and good enough to follow conversations again. For some people,
that’s worth more than perfect tuning or endless settings.

A common piece of advice from both users and professionals: don’t give up
too early. If one pair feels wrong, use the trial periodsend it back and
try another style or brand. Over-the-counter hearing aids aren’t one-size
fits all emotionally, even if they’re one-size fits all physically. It may
take a bit of experimenting to find the right match for your ears, your
tech comfort level, and your lifestyle.

Finally, people who combine OTC hearing aids with some level of
professional inputwhether it’s a one-time hearing test, a telehealth
consult, or ongoing remote fine-tuningoften report the best long-term
satisfaction. OTC hearing aids give you access and affordability; expert
guidance helps you squeeze every bit of benefit from that investment.

The Bottom Line

The best OTC hearing aids of 2024 prove that you don’t always need a
prescription and a multi-thousand-dollar bill to hear better. From
premium, app-connected devices like Jabra Enhance Select 700 and Sony
CRE-E10 to budget-friendly options like Audien Atom Pro 2 and MDHearing,
there’s likely a device that fits both your ears and your budget.

Start by being honest about your hearing challenges, your tech comfort
level, and how much you’re willing to spend. Use trial periods. Ask
questions. And if anything about your hearing feels “off” or worrying,
loop in a professional. OTC hearing aids can open the doorbut your
hearing health deserves a full, thoughtful approach.

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