This research investigates the relationship between otological factors and hearing healthcare utilization among the elderly in India. Age-related hearing loss, or presbycusis, is a growing concern globally, especially in countries with aging populations like India. The prevalence of hearing loss increases significantly with age, impacting various aspects of well-being. Despite its prevalence, a substantial number of elderly individuals do not seek professional help due to barriers such as stigma, lack of awareness, and financial constraints. Otological factors, including the severity and type of hearing loss, coexisting conditions, and psychological aspects, play a pivotal role in shaping healthcare-seeking behavior. The study involved 400 participants aged 55 and above, representing diverse demographics in urban and rural areas. The findings reveal a progressive increase in hearing loss prevalence with advancing age, emphasizing the vulnerability of the elderly population, particularly in the 80-84 and 85-89 age groups. Barriers to healthcare utilization, identified through a comprehensive survey, include stigma, lack of awareness, financial constraints, and attitudinal barriers. Statistical analyses indicate significant differences in hearing loss prevalence among age groups, underlining the impact of aging on auditory acuity. Collaborative efforts are essential to address these disparities, with tailored interventions required to destigmatize hearing loss, raise awareness, and improve the affordability of assistive devices. This research contributes valuable insights for healthcare professionals, policymakers, and researchers, guiding the development of effective interventions to enhance accessibility and promote proactive engagement with hearing healthcare services.