By severity

Moderate hearing loss

PTA 41–55 dB HL (Pure Tone Average at 500, 1000, 2000 Hz)

OTC self-fit hearing aids remain appropriate at the upper end of FDA OTC scope. Costco prescription fitting may provide better speech-in-noise performance.

US prevalence

10.7M

Americans with moderate hearing loss

Source: NIDCD

What you typically experience

Trouble even in quiet conversations
Cannot follow group conversations without concentrated effort
TV volume notably louder than family

Recommended device classes

✓ OTC self-fit (FDA OTC scope, 21 CFR 800.30)
✓ Costco prescription fitting

This severity falls within the FDA OTC scope (PTA ≤ 55 dB). Self-fit hearing aids are appropriate, and Costco prescription fitting is also a strong option.

Matched products for this severity

From our verified product database — every entry has an FDA regulatory pathway label (see badge on each card).

FDA OTC + ride-on + QDD-self-cert pathway

Lexie

Lumen

FDA-cleared OTC self-fit

Severity range: 26–60 dB HL
Form factor: BTE
Battery: Disposable
Bluetooth: App control only — no audio streaming
Trial: 45 days
Warranty: 12 months

Affiliate disclosure: we may earn a commission if you purchase through these links, at no extra cost to you.

Nuheara

IQbuds 2 PRO

FDA-cleared OTC self-fit

Severity range: 26–60 dB HL
Form factor: earbud-style
Battery: Rechargeable (9 hr)
Bluetooth: BT 5.x audio streaming
Trial: 30 days
Warranty: 12 months

Affiliate disclosure: we may earn a commission if you purchase through these links, at no extra cost to you.

Eargo

Eargo 5/6

Discontinued

FDA-cleared OTC self-fit

Severity range: 26–60 dB HL
Form factor: CIC
Battery: Rechargeable (16 hr)
Bluetooth: No
Trial: 45 days
Warranty: 12 months

Original Eargo 5/6 — parent clearance for Eargo 7/8/SE ride-on variants

Affiliate disclosure: we may earn a commission if you purchase through these links, at no extra cost to you.

Sennheiser

All-Day Clear ADC1

FDA-cleared OTC self-fit

Severity range: 26–60 dB HL
Form factor: RIC
Battery: Rechargeable (16 hr)
Bluetooth: MFi + Android audio streaming
Trial: 45 days
Warranty: 24 months

Filed under Sonova AG (parent of Phonak) — manufacturer is Sonova, brand is Sennheiser-licensed

Affiliate disclosure: we may earn a commission if you purchase through these links, at no extra cost to you.

Sennheiser

All-Day Clear Slim ADCS1

FDA-cleared OTC self-fit

Severity range: 26–60 dB HL
Form factor: RIC-slim
Battery: Rechargeable (16 hr)
Bluetooth: MFi + Android audio streaming
Trial: 45 days
Warranty: 24 months

Affiliate disclosure: we may earn a commission if you purchase through these links, at no extra cost to you.

Sony

CRE-C20

Discontinued

FDA-cleared OTC self-fit

Severity range: 26–60 dB HL
Form factor: CIC
Battery: Rechargeable (28 hr)
Bluetooth: App control
Trial: 45 days
Warranty: 12 months

Sony exited the OTC hearing aid market in April 2026 (WSA + Sony mutually ended their 2022 agreement). Warranty/service still honored by WSA. Residual inventory only.

Affiliate disclosure: we may earn a commission if you purchase through these links, at no extra cost to you.

Also at Costco (prescription line)

Costco-exclusive prescription aids. Not affiliate-eligible. Compare via ZipHearing for independent audiologist alternatives.

Tuned

Intrisound Tuned Lumen 155

Costco only

FDA-cleared OTC self-fit

Jabra Enhance

Pro 30 (Costco)

Costco only

Traditional prescription hearing aid

Sennheiser (Sonova)

Sonite R (Costco)

Costco only

Traditional prescription hearing aid

Rexton (WSA)

Reach R-Li T80 (Costco)

Costco only

Traditional prescription hearing aid

Adjacent severities

Mild hearing loss Mild-to-moderate hearing loss Moderately severe hearing loss Severe hearing loss Profound hearing loss

Next step

For a personalized device-class recommendation with matched products, run your audiogram through the interpreter. If you already have a Costco Kirkland aid and want to know who made it, use the Translator.