PSAPs are hearing amplifiers that look just like hearing aids, however, they are not created with the same standards or features as medical-grade hearing aids. While some people may use these devices like hearing aids, they are designed for normal hearing people to enhance their hearing in specific situations (bird-watching, hunting, listening at a distance, etc). PSAPs are not intended to compensate for hearing loss and should not be marketed as such.

OTCs typically look similar and have the same fundamental technology as traditional hearing aids, however, traditional hearing aids will have technology not available in OTC devices.

Some of the features only available in traditional hearing aids might include things like additional volume, soft speech enhancement, increased dynamic range, more extensive noise cancellation, wind noise suppression, echo suppression, own voice processing, custom music settings, and accessory options.

The real difference is how the device is fit and programmed. OTC are self-fit using mostly with the assistance of a cellphone application. Traditional hearing aids are fit using a diagnostic hearing test and Real Ear Measurements. Real Ear measurements involve a microphone probe that is placed in the ear canal along with the hearing aid so that the device can be programmed to the patient’s exact volume and frequency requirements. Self-fit methods are considered to be based on general estimates.

We recommend that everyone start by obtaining a formal hearing test. It is important to identify hearing disorders that can be treated medically without hearing aids. Some disorders can even be made worse with the use of hearing aids by not addressing the underlying medical problem. A hearing test will provide you with information regarding the type and degree of hearing loss and whether you are a candidate for an OTC, traditional hearing aid or medical treatment.