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No Doctor's Visit and 100 Day Returns
- Bluetooth enabled and rechargeable
- 100-day risk-free trial
- Nearly invisible with a sleek design
If you’re on the lookout for the best hearing aids in 2024, you’ve come to the right place. As an audiologist with in-clinic experience at Mayo Clinic and Michigan Ear Institute, I’ve had the pleasure of helping countless individuals find the perfect hearing aids to fit their unique lifestyles and needs. Over the years, I’ve seen the incredible advancements in hearing technology and how life-changing the right device can be.
As Soundly's lead audiologist I’ve also tested and reviewed dozens of over-the-counter hearing aids and compared them to traditional offerings on the market.
In this guide, I’ll break down everything you need to know about the latest and greatest hearing aids on the market. Whether you’re a first-time user or looking to upgrade your current device, From cutting-edge features to user-friendly designs, I’ll help you navigate through the options to find the hearing aid that’s just right for you. Let’s dive into the world of hearing technology and unlock a better listening experience together!
If you are searching for a specific type of hearing aid, click one of the guides below. If you need help figuring out where to start, check out our beginner's guide here.
Best Invisible Hearing Aids | Best Affordable Hearing Aids | Best Bluetooth Hearing Aids | Best OTC Hearing Aids | Best Hearing Aids for Tinnitus
Quick Links
Best Overall Value: Jabra Enhance Select
Best Sound Quality Under $1,000: Sennheiser All Day Clear
Best Custom Mold In-Ear: Starkey Genesis AI
Best All Around In-Clinic: Signia Pure Charge&Go IX
What Has Changed in the Last Five Years?
If you're thinking about upgrading your hearing technology (or getting your first pair), you'd probably love to know what's changed in the last five years. So much has happened, and we'll break it down for you. The advancements in hearing aids have become more accessible, smarter, more comfortable, and more user-friendly.
Over-The-Counter Hearing Aids
The biggest news in the hearing health landscape in the last few years is the FDA's creation of a new class of devices that can be safely sold over the counter. The move gave consumers a new access point for quality hearing aids (if you know what you are looking for) that costs thousands less per pair. New entrants like Sennheiser and Sony are bringing much needed innovation at under $1,000 per pair. See those products on the full list below.
Artificial Intelligence
One of the most remarkable advancements in hearing aids over the past five years is the integration of artificial intelligence. Each manufacturer has developed unique concepts to provide enhanced, automatic environmental support, significantly reducing the listening effort required by the user. For instance, brands like Starkey and Oticon have incorporated AI technology with Deep Neural Networks to adapt swiftly and accurately to various auditory environments. Other manufacturers utilize multiple-beamforming technology, motion sensors, or strategically placed microphones, all designed to improve hearing in noisy situations. The bottom line - sound quality and background noise is far superior across all leading products than it was just 5 years ago.
Size and Design
The look and size of hearing aids have also shifted in the last five years. Modern hearing aids are now smaller than ever. Take, for example, the NEXIA microRIE from ReSound, which has cut off nearly 50% of its size in just the last two product iterations. These advancements not only enhance the aesthetic appeal of hearing aids but also ensure comfort and more ease of use with glasses.
Rechargeability
Another area where hearing aids have seen significant improvement over the past few years is rechargeability. Modern hearing aids now offer more hours of battery life on a single charge - Signia Pure Charge&Go IX hearing aids last 35+ hours on a single charge. Several years ago, hearing aid batteries would drain quickly, especially when streaming or using Bluetooth for phone calls. Fortunately, that has changed dramatically. Today's rechargeable hearing aids provide a full day of use, even with extensive streaming, without the concern of battery drain. Several in-ear hearing aids like Starkey, Eargo, and Sony CRE-E10 now also come with rechargeable batteries.
Bluetooth Streaming
Based on our research, around 75% of the leading hearing aids (including OTC and prescription) now offer Bluetooth streaming via iPhone and Android. That means your hearing aids can double as a pair of headphones for phone calls, podcasts and music streaming. Compared to hearing aids from five or more years ago, hearing aids have become much better with streaming on less battery life. For example, the Phonak Audeo B devices could only stream to one ear, rather than to both, and the battery drain wasn’t too stellar. In today’s technology it’s not a problem to listen to music, stream phone calls, podcasts to both ears without worrying about running out of battery life.
Auracast (Coming Soon)
Auracast is poised to become a game-changer in the world of hearing aids. Set to enter the mainstream market in the near future, this innovative technology promises to enhance the Bluetooth experience even further by allowing any Auracast-ready technology to pick up on Bluetooth LE Audio so that you can hear airport announcements, listen to the game in your local sports bar, or other public settings.
It will work as easily as connecting to a Wifi network with an Auracast-enabled device. Some hearing aid manufacturers like ReSound and Jabra are already incorporating Auracast-ready technology into their latest hearing aids. Expect a lot more of this in the years to come. More on the state of Bluetooth streaming here. 👇
How to Choose Your Hearing Aids?
There are dozens of options across various styles, features, and brands when it comes to hearing aids. So, how do you choose the best one for you? The selection process can feel overwhelming, but breaking it down into specific criteria can make it more manageable.
We suggest that new users follow this process to decide:
Start by Understanding Your Hearing Loss.
A hearing test is key to determining the type and severity of your hearing loss. A hearing evaluation shows how well you can hear sounds at different frequencies in addition to your speech clarity. The results will show the degree of loss: mild, moderate, severe, or profound in each ear.
A comprehensive hearing evaluation can determine what type of hearing loss you have: conductive, sensorineural, or mixed hearing loss. Individuals with asymmetric or unilateral hearing loss—where one ear has significantly more hearing impairment than the other—will want to consider prescription hearing care.
If you haven’t yet taken a hearing test in-clinic you can start by grabbing a pair of headphones and trying our free hearing tests here - the test takes about 5 minutes.
Next, Consider Your Preferred Care Model.
Next, think about the type of care model that fits your hearing loss, lifestyle, and preferences. Do you want the convenience and affordability of OTC hearing aids, or do you prefer the personalized, professional fitting process of prescription hearing aids? Your choice will affect not only the initial cost but also the level of ongoing support and professional customization available to you.
Over-the-Counter (OTC) Hearing Aids
OTC hearing aids are designed for individuals with mild to moderate hearing loss and offer a straightforward, cost-effective solution. These devices can be purchased directly from retail stores or online, without the need for an audiologist's intervention. This model provides the advantage of easy accessibility and lower upfront costs. OTC hearing aids do require some degree of comfort with technology, as users need to manage the fitting process themselves using a smartphone app. If you value independence and are comfortable with do-it-yourself solutions, OTC hearing aids might be suitable for you.
Prescription Hearing Aids
On the other hand, prescription hearing aids are programmed to your hearing loss by a healthcare professional, typically in-person. This process typically involves a comprehensive hearing evaluation, followed by a fitting appointment to ensure optimal performance and comfort. Although prescription hearing aids tend to be more expensive, they offer a higher level of personalization and ongoing support. Regular follow-up appointments allow for adjustments and fine-tuning, ensuring your hearing aids continue to meet your evolving needs. If you prefer a more supported, hands-on approach and need advanced customization, prescription hearing aids may be the better option.
Telehealth Hearing Aids - A Middle Ground
Two of the brands listed below, Audicus and Jabra offer prescription-grade devices programmed by a professional and then shipped to your home. This care model represents a middle ground (at a mid-point price). Jabra is one of our top value choices across the market for their blend of service, price and convenience.
Ultimately, your choice of care model should reflect your hearing loss, lifestyle, budget and individual preferences. Both options have their own set of benefits, aimed at providing a better hearing experience tailored to your specific needs.
Finally, Choose Your Style and Features.
Once you have a clearer idea of your hearing loss and care model, it's time to look at the styles and features that matter most to you.
Available Hearing Aid Styles
Hearing aids come in two main styles: behind-the-ear and in-the-ear. Receiver-In-Canal (RIC) devices sit behind the ear and are highly popular for their discreet design, all-day comfort and flexible fitting rang. Around 80% of wearers choose RIC-style hearing aids.
Some wearers prefer a device that sits inside the ear for discretion of comfort. In the ear devices come in a range of sizes. Some are custom molded to your ear and others come with swappable sleeves to fit various ear canals.
We typically counsel first time wearers to start with a RIC device since they offer the easiest adjustment to regular hearing aid wear. For those with mild-moderate loss, Eargo is a good choice for first time wearers given its strong occlusion management (reduces the boominess of your voice).
Features to Consider.
When selecting a hearing aid, it's important to consider both essential and desirable features:
Must-Have Features.
- Good and Comfortable Fit: Ensure the hearing aid fits well and is comfortable for long-term wear.
- Appropriate for Your Hearing Loss: The device should meet your specific hearing loss requirements. Discuss with your hearing healthcare professional to determine if the device is suitable for you.
- Easy to Use: The device should come with a user-friendly interface and easy-to-use controls.
Nice-To-Have Features.
- Connectivity: Bluetooth connectivity allows for seamless integration with other devices, such as smartphones or TVs.
- Rechargeable Batteries: Rechargeable batteries eliminate the need to purchase and replace disposable batteries.
- Waterproof rating: Most leaders have an IP rating of IP54 or higher (protects against rain and splashes)
- Advanced app features: Some hearing aids include fitness trackers and "find my hearing aid features"
Putting The Research Pieces Together.
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Ultimately, there are great products across care models and styles. The essential question is which one is best for you. Take a few minutes to think through your priorities and jot down some notes.
- What is your level and type of hearing loss?
- Mild and moderate losses can choose between OTC, Telehealth or prescription channels
- Which care model will fit your budget, location and appetite for hands-on support?
- Determine your preference for support, trouble shooting and professional involvement. First-time wearers may benefit from a more hands on process and can later switch to OTC if desired.
- Do you want in-the-ear or behind the ear devices and which features do you care most about?
- Most folks end up with RIC devices, but there are valid reasons to explore the full range of styles and features.
With these notes in hand, let's dig into our list of the best hearing aids on the market in 2024. We've organized the list by price starting with some of the more expensive prescription products on the market and working our way towards newer OTC entrants that have a lower price-tag.
Let's dig into the top-rated hearing aids in 2024.
Group 1 - Locally Prescribed
Local audiologists prescribe this first group of hearing aids. They are typically more expensive ($3,000-$8,000 for a pair) and come with top-tier technology.
A few big hearing aid brands manufacture nearly all locally-prescribed hearing aids. The "Big 5" spend millions in R&D and typically lead the way on tech.
There are style and philosophy differences between these traditional options, but they offer the same features and generally the same prices. Think of them as BMW, Mercedes, and Lexus. Different, but also a lot the same.
Signia Pure Charge&Go hearing aids were released in October 2023. They are among the smallest behind-the-ear devices on the market in 2023 and amazingly hold nearly 40 hours per charge (second only to Starkey Genesis AI). Signia is known for limiting background noise by using motion detection to gather information about your surroundings as you move from one space to the next. Their new IX line of devices uses updated beam-forming to track multiple conversations at once. The hearing aids automatically sense when you start walking or sit down and make intelligent decisions about where to focus.
- Overall notes: Signia Charge&Go IX is a hearing aid for someone on the go. It's the smallest, has the most extended battery life, and offers best-in-class motion-based adjustments.
- Price: The national average price for Signia 7IX hearing aids is around $7,400 per pair. We've found some national providers with prices as low as $3,198/pair. Click here for more on prices.
- Features: Rechargeable, Bluetooth, Behind The Ear Style
- What audiologists say: “Signia offers hands-free streaming (for iOS) and connectivity with their app. It is a solid device with impressive specs and design." - Garrett Thompson, AuD
Among the smallest body size on the market
Second longest battery with 40 hours per charge
Fully customizable with premium sound processing
Only sold through local clinics at $3,198 - $7,000 a pair
Does not include a Find My Hearing Aids feature
ReSound unveiled NEXIA in October 2023. If you’ve read our past reviews, you might know that ReSound is a regular innovator in the hearing category.
The brand was the first to partner with Apple for Bluetooth streaming back in 2013. In 2022, ReSound released an impressive algorithm update with improved beam-forming tech that boasted a 150% improvement in background noise.
ReSound is also the only manufacturer that places a microphone inside the ear to use the natural shape of the pinna to sort out background noise. Those popular features will remain with ReSound NEXIA with some exciting additions.
The first is a visible reduction in size. Impressively, NEXIA maintains a 30-hour battery life while cutting 25% off the overall size—big thumbs up from us.
The second big announcement is that NEXIA has an updated Bluetooth capability that allows Auracast streaming in public places. If you aren’t familiar with Auracast, check out our guide to the topic here.
ReSound is among the best in the industry at separating speech and noise in a background situation. Our lead audiologist recently put NEXIA in a test box and found the hearing aids could consistently provide up to 8-10 dB of background noise reduction.
ReSound NEXIA is on most of our shortlists for the best premium, receiver-in-canal hearing aids on the market.
- Overall notes: ReSound NEXIA is an all around excellent product with an innovative approach to microphones and one of the smallest form factors in the industry. ReSound NEXIA has strong Bluetooth connection that now boasts Auracast compatibility.
- Price: The national average price for ReSound NEXIA is $7,410 per pair. In our price research we've found some national providers with prices as low as $3,198/pair. Click here for more on prices.
- Features: Rechargeable, Bluetooth with hands-free calling for iPhone and iPad, Small behind the ear style
- What audiologists say: “ReSound offers elegant design and good (if not elite) sound quality. These hearing aids are high quality and reliable.” - Garrett Thompson, AuD
Great for background noise management
Auracast compatible
Small form factor and an optional 3rd microphone in the ear
More expensive compared to direct to consumer and OTC options
NEXIA's in-ear M&RIE microphone is a bit larger and can be uncomfortable for some
Group 2 - Telehealth Prescribed
This second group of hearing aids come with professional programming through Telehealth.
The brands below sell direct to consumers and use their scale and efficiency to cut costs. The average cost of the products below starts at $1,500 instead of $4,000. For that reason, we are big fans of this category for anyone who is relatively tech savvy or prefers remote care.
Jabra Enhance Select hearing aids are made by the world's 4th largest hearing aid manufacturer (ReSound). Jabra Enhance (originally called Lively) made a name for itself by recreating the full-service audiology service online.
Instead of requiring you to come into their office, Jabra reduces the cost by programming remotely and shipping to your home.
All Jabra products come with a 100-day return policy and 3 years of unlimited remote care. You can find the same product for sale at a local clinic for around $4,500.
Get started by filling out Jabra's online survey via the right-hand corner of their website.
- Overall notes: If you have mild to moderate hearing loss, are on a budget, and want a hearing professional to program your hearing aids to match your hearing loss, this is one of the most compelling products on the market.
- Price: $1,395 for a pair of battery-powered - $1,695 for a pair of rechargeable, $1,995 for enhanced sound quality
- Features: Rechargeable, Bluetooth (not hands-free), Behind The Ear Style
- What audiologists say: “Their audiologists can personalize and program Jabra hearing aids in real-time; highlighting the benefits of telehealth and competent professionals.” - Garrett Thompson, AuD
One of the most affordable and convenient ways to purchase online while maintaining professional care
Comes with a 100 day free-return period
Offers rechargeable batteries and Bluetooth streaming
Remote care requires users to be somewhat tech savvy
Jabra only offers styles that sit behind the ear
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Audicus was one of the first brands to program hearing aids remotely and ship them to your door. When the brand launched nearly 10 years ago, Audicus was dubbed the Warby Parker of hearing aids. They make their service simple to use and offer a range of simple but effective products.
Unlike other over-the-counter style devices like Eargo and Lexie, you do not need to program your own hearing aids. The Audicus team of hearing specialists walks you through an online test or accepts an existing audiogram.
With the results in hand, they program your hearing aids before shipping. This streamlined process saves you time and cuts the cost by about 50%-70% compared to traditional options.
- Overall notes: Audicus has more than 7,000 reviews with an impressive average of 4.7 stars. Their customer service and lifetime specialist support are unique to the industry. If you are on a budget and want fully customized hearing aids, Audicus is among the best options available.
- Price: Models available, ranging from $699-$1,299 per ear.
- Features: Full range of styles (invisible and behind the ear) and features (Bluetooth and rechargeable)
- What audiologists say: “Audicus is a fair option for anyone looking for remote care. The Telehealth model helps reduce the final price.” - Garrett Thompson, AuD
Audicus hearing aids are programmed remotely which leads to lower prices and more convenience
Audicus offers a diverse range of styles and pricing including an affordable in-the-canal product
Audicus offers their products with a monthly subscription starting at $99
Audicus offers a 100-day trial
Audicus hearing aids do not come with hands-on support at a local clinic.
Group 3 - Over-The-Counter
The final group of hearing aids puts the power of tuning in your hands. Each of the brands below use a smartphone app to customize your devices to match your hearing loss. This model saves you money, and some studies have found that self customization leads to more wearer comfort and satisfaction.
Unlike the first two categories, which generally have standard quality across brands, the quality of OTC hearing aids varies widely across devices and models. The brands below are the OTC hearing aids we trust for quality and customization.
Eargo is the disruptor in hearing health. Their product is rechargeable, invisible, and designed with a patented tip that allows your ears to breathe.
Eargo 7 was released in 2023 with new features that adapt to your environment as you move through your day. The company released Eargo SE and Eargo LINK in 2024 to expand their price range and features.
Think of this product as the Tesla of hearing health. Eargo is best for those with mild to moderate hearing loss. If you want to try something new, this is a great option.
- How it works:
✔️ You can purchase Eargo products here on Soundly.com or through retailers like Best Buy.
✔️ Once the product arrives at your home, you’ll receive instructions to download the app and self-program the hearing aids to match your hearing loss.
✔️ If you purchase through Soundly.com a member of our team will join you for a complimentary setup call.
- Overall notes: Eargo stands out for its design, innovation, size, rechargeable batteries. The price is a bit higher than other OTC options but still lower than the national average.
- Price: $2,950 for Eargo’s newest product
- Features: Invisible, self-programmed, rechargeable
- What audiologists say: “If you are looking for invisible devices Eargo is one of the best options on the market.” - Ramsay Poindexter
Eargo is a tiny device that sits entirely inside the ear
Eargo is more affordable then custom mold hearing aids
Eargo is self fit using an app
Only appropriate for those with mild to moderate hearing loss
Requires some tinkering to fine tune the product
Eargo is not Bluetooth enabled due to the tiny size
In August 2023, Sennheiser unveiled a new OTC hearing aid expected to compete with industry leaders like Bose, Sony, and Jabra. Sennheiser All-Day Clear is a full-featured hearing aid with Bluetooth streaming, hands-free calls (both Android and iPhone, an onboard hearing test, and easy to use app.
Our team tested All-Day Clear and compared it with Sonova's flagship brands - Phonak and Unitron. Our verdict? All-Day Clear has a few missing bells and whistles (more on that below), but the differences are not dealbreakers. The perfect candidate for All-Day Clear has mild-to-moderate hearing loss, is comfortable using a smartphone, and wants Sonova-made technology for a budget price.
- How it works:
✔️ Start by purchasing Sennheiser online or at a local retailer
✔️ Once the product arrives at your home, you'll download the app and self-program the hearing aids to match your hearing loss.
✔️ If you need further adjustments, Sennheiser's technical team and give you some technical advice, but is not highly trained in hearing health matters.
- Overall notes: Based on our reviews, this hearing aid is the most complete offering in the over-the-counter market so far.
- Price: $999 for All-Day Clear with complimentary setup care through Soundly
- Features: Rechargeable batteries, Bluetooth Streaming for iPhone and Android users, Excellent Programming app, Behind-The-Ear Style
Underlying technology and sound-processing from Sonova (top global manufacturer)
Self-fitting using the Sennheiser app
Bluetooth streaming for iPhone and Android
Customer support is limited to tech troubleshooting Vs. health advice
Only comes in one color scheme
More expensive than some other OTC competitors
Sony teamed up with WS Audiology (the second-largest hearing company in the world) to co-create its products. Sony's CRE-C10 devices are nearly invisible and offer prescription-grade sound quality controlled through your smartphone. CRE-C10 does not offer Bluetooth streaming or rechargeable batteries.
CRE-C10 uses a size 10 disposable battery that offers over 70 hours of continuous wear. Size 10 batteries are widely available and commonly used in small devices. Sony's hearing aids were released in mid-October, so there are few reviews of the product, but it's safe to say this will be a leading consideration for those who want an in-the-ear style device.
- How it works:
✔️ Start by purchasing Sony hearing aids online (likely coming to brick-and-mortar stores soon)
✔️ Once the product arrives at your home, you'll download the Sony Hearing Control app and self-program the hearing aids to match your hearing loss.
✔️ Use the app to make real-time volume and sound quality adjustments.
✔️ Soundly customers get a complimentary guided set up session with an expert - Price: $999
- Features: Self-fit using an app, nearly invisible in most ear canals, audiology-grade sound
Nearly invisible
High quality sound for a lower price
Self-fit at home
Not quite as small as OTC competitors like Eargo
Not rechargeable
Does not allow Bluetooth streaming
In July 2022 Bose formed a strategic partnership with Lexie (a well respected hearing healthcare company) to release Lexie B1 hearing aids. In October they released a second model with rechargeable batteries. Then in May 2023 they added Bluetooth streaming capabilities for iPhone users. In January 2024 Lexie released a new and improved charger. Constant improvement on an already great product - we love to see it.
Lexie B1 and Lexie B2+ hearing aids are self-fit using an innovative app that allows hearing aid wearers to fit, program, and control their hearing aids with clinically proven, audiologist-quality results. Purchase B1 hearing aids for $849 or rechargeable B2+ hearing aids for $999 (compare models here).
- How it works:
✔️ Start by purchasing Bose online or at a local retailer
✔️ Once the product arrives at your home, you'll download the app and self-program the hearing aids to match your hearing loss.
✔️ If you need further adjustments, Lexie has a team of licensed professionals who can make remote updates or provide technical advice.
- Overall notes: If you have mild to moderate hearing loss, are comfortable with smartphone tech, and are on a budget, Bose is one of the most compelling products available.
- Price: $849 for a pair of B1 hearing aids, $849 for a pair of B2 hearing aids or $999 for a pair of B2+ hearing aids
- Features: Rechargeable batteries, Bluetooth Streaming for iPhone users, Programming app, Behind The Ear Style
- What audiologists say: “One of the simplest to use OTC hearing aids, at a very competitive price. A solid option for those who want to self-manage their mild to moderate hearing loss.” - Garrett Thompson, AuD
Strong underlying technology
Self-fitting using the Lexie app
Affordable and rechargeable
Bluetooth for iPhone only
Only comes in one color
Costs $150 more than disposable battery version
Our Review Process
Hands on: We physically review the leading hearing aids on the market for sound quality, comfort, durability, and more. We recently recorded live sound from over 20 hearing aids using a calibrated binaural microphone. You can listen to various products throughout the site and on this guide.
Hearing aid wearers and audiologists: Our editorial team is made up of hearing aid wearers and audiologists. We spend days, weeks or months wearing every product that we review and comparing it to the best-in-class. We look for all the quirks, pros, cons. Our goal is to blend expert opinion and real consumer experience to inform our users.
Soundly Scorecard: We compare all hearing aids across a standard set of features using our Soundly Scorecard. You can review each product's Soundly Scorecard or compare products side-by-side using the "compare" section of the site.
Hearing Aid Brand Leaders
Today there are two categories of devices: OTC and prescription hearing aids. Within the prescription category, you can’t go wrong with selecting from the top six manufacturers. These brands have spent years of research and development to create high quality, top notch hearing aids for individuals with mild to profound hearing loss. Within these manufacturers, they each have their unique features. To help you get a lay of the land, here are the brands and what they’re most known for:
- Phonak - Known for their robust connectivity options and reliable performance. Read more about Phonak Lumity here.
- Signia - Offers a stylish slim RIC and advanced Smartphone app features like AI-based sound adjustments. Read more about the Signia Pure Charge&Go here.
- Oticon - Excels in natural sound processing thanks to a Deep Neural Network. Read more about Oticon Intent here.
- Starkey - Pioneers in integrating AI health tracking, fall detection, and other Smart AI features. Read more about the Genesis AI here.
- ReSound - Renowned for their user-friendly Smartphone app and barely-their microRIE. Read more about the ReSound NEXIA here.
- Widex - Specializes in pure, clear sound quality and tinnitus Zen therapy. Read more about the Widex SmartRIC here.
Another option are OTC devices. Over-the-counter (OTC) hearing aids have emerged as an accessible and budget-friendly option. OTC devices are designed for adults with mild to moderate hearing loss and can be purchased directly from retail stores or online, eliminating the need for professional fitting or audiological assessment. In contrast, prescription hearing aids are professionally fit to an individual's hearing loss by an audiologist or dispenser. While OTC hearing aids offer accessibility and affordability, they are self-fit by the user and require some degree of comfort with the do-it-yourself fitting process via Smartphone app.
- Sony - Sony devices are known for exceptional sound quality and the app features are borrowed from WSAudiology' Signia devices. Read more here.
- Sennheiser - A trusted name in the audio industry, Sennheiser hearing aids offer the same quality Sonova hearing aid technology as Phonak devices with similar app features. Read more about Sennheiser All-Day Clear here.
- Eargo - Eargo is renowned for its innovative, virtually invisible hearing aids designed for both functionality and aesthetics. Read more about Eargo 7 here.
- Lexie Powered by Bose - Lexie, in collaboration with Bose, offers very user-friendly hearing solutions with their customer-centric approach, providing high-quality sound and customizable settings at accessible prices. Read more about the Lexie B2 Plus here.
- MDHearing - MDHearing specializes in affordable, direct-to-consumer hearing aids and are designed to be user-friendly and accessible to a broader audience. Read more about MDHearing devices here.
More on hearing aid brands 👇
Hearing Aid Pricing Explained
Understanding insurance and pricing for hearing aids can be complex, but it’s an important aspect to consider for potential buyers. Let's take a closer look at what drives hearing aid prices.
Care Models
The type of care model you choose significantly impacts the price of hearing aids. OTC (Over-the-Counter) hearing aids come with a lower cost compared to prescription hearing aids but don't offer the in-person service and support. Conversely, prescription hearing aids tend to be more expensive due to the in-person services they include in 'bundled' plans, such as custom fittings, clean and check appointments, and follow-up adjustments. Weighing the benefits of each care model in relation to their costs will help you determine the best value for your investment.
Model #1 - Over-the-Counter Hearing Aids (new but growing quickly)
In October 2022, the FDA opened a new category of hearing aids sold over the counter. OTC hearing aids typically range from $199 to $2,500 per pair.
Model #2 - Prescription Hearing Aids With Telehealth (5 years old but still less common)
The post-pandemic move to remote healthcare increased the popularity of Telehealth hearing aid programming and care. Brands like Jabra and Audicus sell online and provide care through video calls and SMS. Prices for this category range from $1,000 - $3,500 per pair.
Model #3 - Face-to-Face Prescription Care (most common)
Most hearing aid wearers visit a local audiologist, take a hearing test and purchase hearing aids through that local clinic. This option offers hands-on support with significantly higher prices. Most locally prescribed hearing aids come with 1-3 years of unlimited support and adjustments from a hearing professional. You're paying for the technology + the time. Additionally, clinic owners have lots of overhead from rent to receptionists and internet bills. Those costs gets passed on to the consumer. Prices for prescription devices range from $3,000 - $6,000 per pair.
Differences Between Standard, Advanced, and Premium Technology
If you opt for in-clinic care you will have a choice between standard, advanced, and premium technology levels, it's important to understand the key differences.
Standard - basic background noise reduction technology and fine tuning
Advanced - mid-level background noise support with more customization available than standard
Premium - maximum background noise support and more channels for finely adjusting to your hearing loss
Standard technology provides basic functionality and is suitable for quieter environments, offering essential features like good amplification and basic noise reduction. Advanced technology steps up with enhanced sound quality and more sophisticated noise reduction, catering to a variety of listening environments. Premium technology represents the pinnacle, boasting high-definition sound, superior noise management, and extensive connectivity options, perfect for those needing top-tier performance in challenging and diverse listening situations.
Choosing a level of technology will also determine the price point, with standard being more reasonable and premium the most pricey. Standard technology often comes at a lower cost, making it an attractive option for those on a budget or those who primarily find themselves in quieter environments. It provides the essential features and reliable performance necessary for everyday use. On the other hand, investing in premium technology means higher upfront costs but offers unparalleled performance, especially in diverse and challenging auditory settings. These top-tier devices come with advanced features such as high-definition sound, superior noise management, and extensive connectivity options, ensuring the best possible hearing experience. Advanced technology falls somewhere in between, offering a balance of enhanced features and moderate pricing to accommodate a wide range of needs and budgets.
Hearing Aids and Insurance / Medicare Advantage
Insurance coverage for hearing aids can vary widely. Traditional Medicare does not cover hearing aids, but some Medicare Advantage plans offer additional benefits that may include hearing aid coverage. On average, Medicare Advantage plans offer approximately $960 per year for hearing care, though individual plans vary from $60 to $4,000 per year.
It's essential to review the specifics of your insurance plan to understand what is covered, including potential co-pays or deductibles. Consulting with your insurance provider can give you a clearer picture of how much financial assistance you can expect and what out-of-pocket expenses you might incur.
Read more about hearing care through different insurance plans here:
Free Hearing Aids
For those who find the cost of hearing aids prohibitive, there are options for obtaining free hearing aids through various programs and charitable organizations. Some government programs, such as Medicaid, may provide hearing aids for eligible individuals. Vocational rehabilitation programs may offer assistance for working adults in your state. Additionally, non-profit organizations and foundations offer assistance programs to help those in need access hearing devices at no cost. Researching these opportunities and understanding the eligibility requirements can provide valuable resources for acquiring hearing aids with reduced financial burden.
Considering these areas will help you navigate the financial aspects of purchasing hearing aids, ensuring you find the best balance between cost and functionality for your specific needs.
Read more about free and low cost hearing aids here.
For Current Users: Should You Upgrade?
The biggest question I ask patients when they come in wondering whether it's time to get a new hearing aid is: how are you doing with your current technology? If it's still meeting your needs, perhaps you don't need to purchase just yet. However, if your current hearing aids are out of warranty, aren't functioning well, or you're looking to take advantage of some of these new features, now might be the right time to go ahead.
Here are some examples based on patient-experiences I’ve encountered in-clinic.
Mr. Smith’s hearing aids are two years out of warranty and the right hearing aid has been intermittent and the battery drains very quickly. It works sometimes, but then it seems to work intermittently at times and needs to charge more frequently. He’s wondering whether it will be worth it to send his device in for a $400 out-of-warranty repair. Unfortunately, if it happens again (or on the other side), it will become costly. Mr. Smith would prefer to have devices that work reliably with better battery life and an active warranty, so he’s decided it’s time to get a new pair of hearing aids.
Upgrading to a newer model can provide a boost in performance, comfort, and user experience. Enhanced features like artificial intelligence, sleek designs, and better battery life could make a substantial difference in your daily life. Additionally, advancements in Bluetooth connectivity and app customization mean more seamless integration with other devices and a highly personalized hearing experience. If any of these improvements sound appealing to you, it might be worth considering an upgrade.
Ms. Jones also has hearing aids that are just a year past their warranty. She takes good care of her hearing aids, cleaning them regularly, and even uses a hearing aid dehumidifier since she lives in a humid climate. She hasn’t had any concerns about how her hearing aids are working, and a recent hearing test shows that her hearing has not changed in the last few years. Even though her devices are not under warranty at the moment, Ms. Jones is very happy with them and has no concerns. She decides that there’s no reason to consider newer devices at the moment and plans to keep her current hearing aids.
New technology can be great, but I like to remind patients that just because Apple releases a new iPhone every year does not mean that you need to replace your cell phone each year. If your hearing aids are working well for you, it’s ok to delay buying a new pair and revisit in a year or two.
Understanding Hearing Loss
Mild hearing loss typically ranges from 26 to 40 decibels (dB). Individuals with mild hearing loss may struggle to hear soft sounds or have difficulty understanding speech in noisy environments. Words can sound muffled, and background noise can easily overpower conversational speech. On the other hand, moderate hearing loss ranges from 41 to 55 dB, while moderately severe hearing loss falls between 56 to 70 dB. People in these categories often find it very challenging to follow conversations without lipreading. Everyday interactions can become a significant strain, particularly over the phone or when multiple people are speaking at once.
Configuration
While high frequency or sloping hearing loss is most common, there are several different configurations when it comes to hearing loss. Here are some common configurations:
- Sloping Hearing Loss: This configuration is characterized by relatively better hearing at lower frequencies and progressively worse hearing at higher frequencies. People with sloping hearing loss often struggle with high-pitched sounds and speech understanding in noisy environments.
- High-Frequency Hearing Loss: In this pattern, hearing loss predominantly affects high frequencies, while lower frequencies remain relatively intact. This type often results in difficulties understanding speech, particularly consonants, which can affect clarity.
- Low-Frequency Hearing Loss: This pattern is less common and involves greater hearing loss at lower frequencies while higher frequencies are better preserved. This configuration can cause challenges in detecting deeper voices or background sounds.
- Notching: Notching is a specific type of hearing loss where one particular frequency range is affected more than others. Commonly seen in individuals exposed to loud noises, this configuration can severely impact one's ability to hear sounds within the notched frequency range.
- Asymmetric Hearing Loss: Occurs when there is a significant difference in hearing ability between the two ears. This condition can make it difficult to pinpoint where sounds are coming from and may require special consideration for hearing aids and treatment plans.
- Unilateral Hearing Loss: This configuration involves hearing loss in one ear only while the other ear maintains normal hearing. It can pose unique challenges in situations requiring sound localization and understanding speech from the side of the impaired ear.
Recognizing these configurations helps tailor solutions to individual needs, ensuring that hearing aids or other devices provide the most effective and comfortable listening experience.
Take our online test here. It’s free and takes only five minutes!
Specific Hearing Aid Use Cases
Hearing aids for tinnitus relief - read more about hearing aids for tinnitus here.
Hearing aids for musicians - Read more about hearing aids for music here.
Hearing Aids for Seniors - read more about the best hearing aids for seniors here.
Where to buy hearing aids
Today there are more options than ever when it comes to hearing aids. OTC hearing aids are available in a variety of channels. However, not all devices you see on Amazon or on TV are customizable, high-quality devices.
With few exceptions, most devices under $300 are not true hearing aids, but rather are PSAPs (Personal Sound Amplification Products) that amplify all sounds. While PSAPs can provide some limited benefit in quiet, they lack the advanced technology to customize sounds for individual hearing loss, making them less effective for many users and sound quality will be less than optimal.
We suggest that users purchase hearing aids through trusted retailers or directly through the brand. Soundly currently sells 4 brands of OTC devices (Sony, Eargo, Bose, and Sennheiser). When you purchase through Soundly you get complimentary price protection and follow up care.
Final Thoughts
In summary, selecting the right hearing aid requires careful consideration of various features and technology levels that can significantly impact your overall experience. From essential functions provided by standard technology to the advanced capabilities of premium devices, there's a hearing aid tailored to meet almost any auditory need and budget.
Highlight features such as Auracast and smartphone app integration enhance convenience and enrich daily life, transforming hearing aids into indispensable companions. Our top picks for 2024 showcase a range of options, whether you prioritize sound clarity, adaptive features, or ease of use. By understanding your specific needs and the technical advancements available, you can make an informed choice that offers both satisfaction and exceptional hearing performance.
Questions? Feel free to reach out to our team.
Frequently asked questions
Phonak Lumity is the clear leader among Bluetooth options. Read our full Bluetooth hearing aid guide here.
Starkey is the leader in custom-molded products and Eargo is a clear favorite for ready-to-wear products. Full invisible hearing aid guide here.
We like Eargo and Sennheiser All Day Clear. You can see our full OTC guide here.
Starkey Genesis and Signia Pure Charge&Go have the longest-lasting batteries. Read more about rechargeable hearing aids here.
Hearing aids come in two main styles with some sub-categories within each. Let’s break it down:
Style #1 - Sits behind the ear with a wire or tube that reaches into the ear canal.
Around 80% of hearing aid wearers choose a behind-the-ear style device due to the style’s comfort and advanced technology. Two popular form factors sit behind the ear.
Receiver-in-canal (RIC) is the most popular. This style has a wire that sends a digital signal from the body of the hearing aid to a tiny speaker that sits inside your ear.
Behind-the-ear (BTE) is prescribed for severe or profound loss. This style has a larger tube reaching the ear and is typically coupled with a custom earmold.
Style #2 - sits inside the ear canal
Some users prefer in-the-ear hearing aids for aesthetics (this style can be invisible) or comfort (out of the way of masks and glasses.
In-the-ear devices can be invisible or fill the visible space outside your ear like headphones. Audiologists typically refer to the available sizes with the following terms:
In the ear (ITE) - Usually visible and files the outer ear.
In the canal (ITC) - Still visible but sits mostly in the ear canal instead of spilling out
Completely in the canal (CIC) - These devices are nearly invisible but might still be seen from the side.
Invisible in the canal (IIC) - The smallest versions sit entirely inside the ear canal and are not visible to the people around you.
Ultimately the decision between in-the-ear and behind-the-ear depends on many personal factors. Most people choose behind-the-ear styles, but others swear by in-the-ear styles.
Learn more about hearing styles here.
This question warrants a blog post of its own (you can read that here).
Here’s a quick answer. There are six big manufacturers that make up about 90% of all hearing aids. Hearing aid makers sometimes white-label their technology under various names, confusing things. All that said, here’s a short list of the most trusted brands in hearing health:
Leading prescription brands include: Phonak, Oticon, Starkey, Widex, Signia, ReSound
Leading telehealth brands include: Jabra Enhance Select, Audicus
Leading OTC brands include: Lexie/Bose, Sony, Eargo, and Lucid
If you have severe hearing loss, you’ll need higher volume levels, often requiring a custom earmold and/or a collaborative customization process with a doctor. Said another way, you are looking for a luxury car, and you’ll want to customize it to your specific needs.
OTC devices have limited volume outputs (typically best for mild-moderate hearing loss), and Telehealth solutions are limited in their ability to customize your earmold.
Both in-the-ear and behind-the-ear style devices can work well for severe hearing loss (depending on your specific type).
Good hearing aids are a significant investment, and prices can vary widely based on the brand and model of care.
Prescription devices purchased at a local office are typically the most expensive because they often include 2-3 years of bundled service and follow-up appointments. Your purchase includes overhead and time. Most prescription hearing aids come with three years of follow-up appointments, cleanings, and support.
Telehealth options like Jabra Enhance Select still include three years of bundled services but are less expensive because Telehealth overhead is lower.
OTC devices are the least expensive because they do not involve bundled services. Quality OTC hearing aids come with free customer service but less built-in time from a doctor.
Each of the leading six manufacturers has a flagship hearing aid that offers similar levels of technology. There’s no runaway winner, but these are the flagship products.
People with mild-moderate hearing loss can fit into a wide range of products, including OTC products, prescription products, and every style of hearing aid.
If you hear well in the lower-frequencies, you’ll likely enjoy a more open-fit hearing aid vs. one that completely plugs up your ear.
Try Eargo, Jabra Enhance Select, or Signia Charge&Go
If you choose an OTC hearing aid, you’ll be prompted to program your hearing aids using an app.
Most leading prescription devices allow wearers to make some adjustments in their smartphone app, but major adjustments require a remote in-person visit to a hearing professional.
The short answer is yes. OTC hearing aids and Telehealth brands can be a good way to save money.
The slightly longer answer is that if you have severe hearing loss, you’ll likely need to visit a local doctor. Certain hearing aid brands like Phonak, Signia, Starkey, Oticon, Widex, and ReSound are primarily only sold through local doctors.
You can find some websites that sell and program those brands remotely, but they are typically off the radar and less of a known entity.
If you want to buy online, look at a known Telehealth company like Jabra or Audicus or purchase an OTC product.
Auracast is an exciting Bluetooth protocol that will likely replace standard Bluetooth over the next several years. Right now, ReSound NEXIA is the only hearing aid with Auracast. It will take 2-5 years for phones, TVs, and public spaces to build in Auracast broadcast capability. You can read more about Auracast here.
A few decades ago, many people opted for one hearing aid instead of two. Over time this trend has reversed due to advances in technology. Most hearing aid manufacturers now link both left and right sides together to make sound quality decisions.
It is possible to wear one hearing aid, but you might miss out on some tech. One option is to try two hearing aids during your 45 trial and return one if you don’t receive the benefit.
What is the best CROS hearing aid for single-sided hearing loss?
CROS hearing aids are specially designed for those with significant hearing loss or deafness on one side. CROS devices look like standard hearing aids, but one side acts as a microphone and sends sound from the poor-hearing side to the better-hearing ear.
Phonak, Oticon, and Signia have the leading CROS hearing aids on the market at this time.
Read more about CROS hearing aids here.
The short answer is probably not. There are exceptions that you can read about here. Here’s to hoping that congress adds hearing health to medicare in the future, but we aren’t there yet.
What are the big differences between prescription and OTC devices?
OTC hearing aids and prescription hearing aids have similar underlying technology. In general, the biggest difference is that OTC hearing aids are self-fit using an app, while prescription devices are programmed by a hearing professional.
In general, prescription-level hearing aids are still more advanced than most OTC devices. This might change over time.
This is a great question. Streaming sound quality will rely less on your hearing aids and more on the style of dome or earmold that you wear. Sound is typically richer when your ear is fully sealed. Open-fit hearing aids (with a small rubber dome) typically sound clear but somewhat tinny. Streaming through custom earmolds will sound more like a pair of traditional headphones.
Every person’s hearing loss is a bit different. You can get a quick hearing chart for free here.
Instead of making all sounds louder, hearing aids boost the frequencies you cannot hear well. There are three main ways to customize your hearing aids to match your specific hearing loss:
If you go to an audiologist, your doctor will use advanced software to program your devices to match your hearing test results.
If you purchase through telehealth (through a brand like Jabra), a remote professional will customize your device based on the hearing test you take online or upload.
If you choose OTC devices, you’ll likely use an app to customize your own hearing aids using an onboard hearing test or frequency controls.
Regardless of the option you choose, beware of products that have one-size-fits-all approaches to programming. Many products on Amazon offer 3-4 presets and no further opportunity for personalization.
Used hearing aids can save money, but it can be difficult to find an audiologist that will program your used devices. In some cases hearing aids that have been claimed as “lost or stolen” are resold on Ebay. If you send that second-hand hearing aid in for repairs, it could be held by the manufacturer.
Buying used hearing aids is a wild card with some real opportunities for complications.
If you are looking for budget options, I’d suggest you start with a lower technology level or OTC device with a trackable history.
To use the Made for iPhone hearing devices, you need one of these models:
- iPhone 5 or later
- iPad Pro (all models)
- iPad Air (all models)
- iPad (4th generation) or later
- iPad mini (all models)
To use Android for Bluetooth streaming it is recommended that your phone use OS 11 or later. You can find out your version number through the following steps.
- Open your phone's Settings app.
- Near the bottom, tap About phone. Android version.
- Find your "Android version," "Android security update," and "Build number."
Use the pages below to double check your phone compatibility by brand.
Here’s a quick list to get you started:
Sound quality and customization
Form factor and comfort
Bluetooth streaming capability
Rechargeable batteries
Easy-to-use app
Remote adjustment capability after the first appointment
Find my hearing aids feature (helps track down lost devices)
CROS functionality (for single-sided hearing loss)
