Captioned telephones let a person listen to the other party and read captions of what they are saying, using a dedicated captioned phone or connected device. Photo courtesy of CaptionCall.
Captioned telephones let a person listen to the other party and read captions of what they are saying, using a dedicated captioned phone or connected device. Photo courtesy of CaptionCall.

For many, particularly seniors, the ability to stay connected with family, friends, doctors, and others is not just a convenience—it is a necessity for safety and mental well-being.

You may have heard that you can get a “free” captioned telephone for yourself or someone who is hard-of-hearing. When people search online for a “free phone for seniors” or "free phone for hearing loss,” they are often lumping together three different kinds of help:

  1. Captioned calling services for eligible users with hearing loss,
  2. Amplified or captioned phones provided by state-funded equipment programs, and
  3. Low-income service discounts, such as Lifeline.

These are different things from various programs that follow specific rules and eligibility criteria. This guide explains the different types of specialized telephones available, who is eligible, and how to navigate the application process for 2026.

Captioned Phones vs. Amplified Phones

Captioned phones and amplified phones are designed for different communication needs.

Amplified phones make voices louder and often add tone control, loud ringers, or visual alerts, so they are usually best for people who can still manage a phone conversation if the sound is boosted enough.

Captioned phones, by contrast, display near-real-time text of what the other person is saying and are intended for people whose hearing loss makes captions necessary to use the phone effectively—not just louder volume.

While both captioned phones and amplified phones may offer volume or frequency-response (pitch) adjustments to customize the sound for your unique hearing loss, captioned phones also provide a screen on which near-real-time captions appear so you can also "read" the conversation. The audio is processed via Automated Speech Recognition (ASR) or by a live Captioning Agent (CA) who transcribes the speech into text and sends it to your phone's high-resolution screen in near real time.

Captioned phones are provided through a “no-cost” program administered by the Federal Communications Commission (FCC). Although there is no age limit or specific hearing loss threshold (severity) required, users must register with a captioned phone provider and certify that they meet the hearing loss and eligibility requirements. While self-certification is sometimes allowed, an audiologist, hearing aid specialist, or doctor may also certify that the user needs the captioned telephone.

In contrast, for amplified phones, the funding path is usually different: most are purchased privately, but some may be available through state or other telecommunications equipment programs (see below).

Here is a quick comparison of the two types of devices:

Feature

Amplified Phones

Captioned Phones (IP CTS)

Primary Function

Makes speech louder / easier to hear

Displays text of what the other person says

Best For

Mild to Moderate Loss

Mild to Severe Loss

Technology

Acoustic Amplification

Internet-based Transcription

Funding Source

State Programs / Out-of-Pocket

Federal TRS Fund (FCC)

Connectivity

Standard Phone Line

Internet or Smartphone Required

A comparison of amplified phones versus IP CTS captioned phones.

In other words, amplified phones are designed for those who just need things to be louder. Captioned phones—like those from CaptionCall, ClearCaptions, or Hamilton Captel—are for those who need to read the words to ensure they don’t miss anything.

Smartphone users who want captioning may opt for dedicated captioning apps from these companies, as well. We’ll also note that both Apple and Android phones offer a variety of accessibility features related to hearing.

Frequently Asked Questions

For eligible users, the captioning service and even the captioned phone itself may be provided at no direct monthly charge through the federally supported Telecommunications Relay Service (TRS) system. But “no cost” does not always mean no other costs at all: depending on the device and provider, you may still need (and pay for) your own internet service, smartphone and/or mobile plan, or telephone service to make the system work.

Captioned phone providers prefer the phrase “no cost” over “free” for this reason and also because the service is publicly supported through the TRS Fund, which is financed by required contributions from telecommunications and VoIP providers.

Yes, but they'll have to use it with the captions turned off. Only registered, eligible users may use the IP CTS phone with captions enabled; other household members may use the device only as a regular telephone with captions turned off.

IP CTS is voice calling with captions added. With captioned telephone service, the user generally speaks for themselves and can often listen with their residual hearing or hearing device, while simultaneously reading captions of what the other party says on a screen. In IP CTS, the caption stream between the provider and the user travels over the internet (even if the audio part of the call may still use a traditional phone line on some setups).

TTY is text-first (often text-only). A TTY user types messages that travel over the phone network using a special kind of TTY signaling (historically Baudot). If the other person also has a TTY, it can be a direct text-to-text call. If the other person is a voice user, the call typically goes through a relay, where a communications assistant (CA) facilitates between typed text and spoken voice.

Both IP CTS (Internet Protocol Captioned Telephone Service) and VRS (Video Relay Service) are FCC-regulated forms of Telecommunications Relay Service (TRS), but they’re built for different users and different communication styles:

IP CTS is for voice users who need captions. The user speaks for themselves, and the service provides real-time captions of what the other party says (typically via ASR and/or a captioning assistant), delivered over the internet to a phone/app screen.

VRS is for sign language users. A deaf/hard-of-hearing person who uses ASL connects by video to a sign language interpreter, who relays the conversation between the ASL user and a hearing person on a voice phone call. 

IP CTS Captioned Telephones and What "No Cost" Really Means

The main option for people whose hearing loss makes captions necessary for effective phone communication is the Internet Protocol Captioned Telephone Service (IP CTS). The FCC describes IP CTS as a type of telecommunications relay service that lets a person “simultaneously listen to the other party and read captions of what the other party is saying,” using a dedicated captioned phone or another connected device such as a tablet, computer, or smartphone. This service is part of the broader accessibility framework created under Title IV of the Americans with Disabilities Act and administered by the FCC.

IP CTS is designed for people who are hard of hearing, are able to speak (using their own voice), and have a:

  1. Documented hearing loss that affects phone communication: The person has hearing loss that makes it difficult to understand phone calls by hearing alone.
  2. Necessity for captions: The person needs captions to use the phone effectively and in a functionally equivalent way.

IP CTS telephones and captioning are not paid for through a direct user fee. Instead, the captioned phone providers are reimbursed through the federal TRS Fund, which is supported by mandatory contributions from telecommunications carriers and interconnected VoIP companies, with FCC-set reimbursement rates generally tied to captioned minutes of use. That means the service may be offered at no direct charge to eligible users, but it is still publicly supported through the relay system, including small fees often built into phone bills.

At the same time, “no cost” does not necessarily mean zero other expenses. Depending on the phone model and setup, a user may still need internet/mobile phone service or a landline. And because IP CTS is a regulated accessibility service, the captioning can only be used by those who are officially registered and have certified or self-certified their eligibility. Other (non-registered) household members may use these phones, but only with the captions turned off.

ClearCaptions telephone.
ClearCaptions telephone.

Government Assistance Programs for Amplified and Specialized Phones

Beyond the ADA-mandated program for captioned phones described above, there are other ways for low-income seniors or those with dual sensory loss to receive amplified and special telephones at discounts or at no cost.

iCanConnect (National Deaf-Blind Equipment Distribution Program)

For seniors with both significant vision and hearing loss, the iCanConnect program provides specialized equipment, including braille devices, specialized software, and modified telephones, at no cost to those who meet income and disability requirements.

TEDP and State-funded Agencies

There are other state-funded agencies, like the Telecommunications Equipment Distribution Program Association (TEDPA), that provide free, specialized phones. You can find these by searching online using terms like "[Your State] Equipment Distribution Program," "Hard of hearing phone program [State]," or "Deaf and Hard of Hearing services [State]".

The Lifeline Program

Lifeline is a federal program that provides a monthly discount on phone or internet service. In many states, participating Lifeline providers also offer a basic smartphone or landline device at no cost to households that fall below 135% of the Federal Poverty Guidelines or participate in programs like SNAP, Medicaid, or SSI.

How to Apply for a No-Cost Captioned Phone

If you believe you qualify for a captioned phone under the ADA, the registration process is straightforward:

  1. Select a Certified Provider: Choose an FCC-certified provider like CaptionCall or ClearCaptions.
  2. Professional Certification: In some cases, you may need a hearing healthcare professional (e.g., an audiologist or hearing aid specialist) to sign a form confirming your necessity for the service.
  3. Self-Certification: Most providers allow you to “self-certify” during the registration process, where you acknowledge that you have a functional need for the captions.
  4. Professional Installation: Some major providers, like CaptionCall and ClearCaptions, offer no-cost in-home installation and orientation. A representative will come to your home, set up the device, and teach you how to use it.
Companies like CaptionCall and ClearCaptions offer in-home setup and orientation, ensuring the system works well and you understand its functions and capabilities.
Companies like CaptionCall and ClearCaptions offer in-home setup and orientation, ensuring the system works well and you understand its functions and capabilities.

Privacy and Security

Seniors and others considering a captioned telephone are often concerned about who is "listening" to their calls. Federal law mandates strict privacy protections for these services:

  • No Recording: Calls are never recorded by the provider.
  • Strict Confidentiality: If a Captioning Agent (CA) is involved in transcribing your call, they are legally prohibited from disclosing or remembering any part of your conversation.
  • Encryption: The data sent to your screen is encrypted to prevent unauthorized access.

Getting Started…

To learn more about captioned telephones and the certification process, you can get started by visiting the online website of a captioned phone provider like CaptionCall or ClearCaptions. If you wear a prescription hearing aid and prefer to go through your provider, it’s likely your audiologist or hearing aid specialist can also refer you via their office management software (OMS) system.

Disclosure: This content is brought to you in partnership with CaptionCall.

Mandatory Compliance & Funding Disclosure

  • Funding: This service is part of a federal program administered by the FCC. The equipment and captioning service are provided at no cost to eligible registered users.
  • Agent Disclosure: Captions for these services may be generated by a live Captioning Agent (CA) or via Automated Speech Recognition (ASR) technology.
  • Confidentiality: Every conversation is private. Agents are prohibited from disclosing call content, and calls are not recorded.
  • Incentives: In accordance with federal regulations, no gift cards, rewards, or financial incentives are provided for signing up or using this service.
  • Complementary Tech: Captioned phones are complementary tools intended to work alongside hearing aids and other assistive devices to ensure functional equivalence.
  • Karl Strom

    Karl Strom

    Editor in Chief

    Karl Strom is the editor-in-chief of HearingTracker. He was a founding editor of The Hearing Review and has covered the hearing aid industry for over 30 years.

  • Abram Bailey, AuD

    Abram Bailey, AuD

    Founder and President

    Dr. Bailey is a leading expert on consumer technology in the audiology industry. He is a staunch advocate for patient-centered hearing care and audiological best practices, and welcomes any technological innovation that improves access to quality hearing outcomes. Dr. Bailey holds an Au.D. from Vanderbilt University Medical Center.