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Overwhelmed by all the hearing aid choices? You’re not alone. After my own difficult search for hearing aids, I created this guide to simplify the process.
Whether you’re upgrading from an older model or just beginning your research, navigating this process can feel daunting. With prices ranging from $500 to $6,500 and every product claiming to be "the best," it’s hard to know where to start.
I got my first pair of hearing aids in 2020 when mask-wearing made lip reading impossible. That personal experience sparked the creation of Soundly. We've crafted this guide to help you navigate the many options. At Soundly, we engage with over 2 million people with hearing loss each year and have reviewed more than 50 hearing aids across different care models, making it easier for you to make an informed choice.
Our insights come from my personal experience as a hearing aid wearer (read more about me here) and the clinical expertise of our lead audiologist, Amy Sarow AuD, CCC-A (read more about her here).
We’ve also gathered input from our hearing loss editorial panel—25 individuals with hearing loss who weigh in on key topics. Throughout this guide, you’ll hear directly from us and them, sharing real-world experiences with different devices.
In this guide, we’ll cover three main categories of hearing aids:
- Over-the-Counter (OTC) options, which can be purchased without a prescription.
- Telehealth models, where a licensed professional programs your hearing aids remotely before shipping them to you.
- Prescription hearing aids, which require an in-person visit to a local clinic for a custom fitting and ongoing care.
Here’s what we look for in great hearing aids:
- Reputable brands: Every brand we feature is serious about hearing health, with proven experience in manufacturing, warranties, and long-term care—qualities that matter over time.
- Sound quality: We test products in a variety of settings, including challenging environments with background noise. Sound quality is crucial, and we factor that heavily into our analysis.
- Physical comfort: Even the best sound quality won’t matter if the device isn’t comfortable to wear. We’ve selected hearing aids that offer both comfort and performance.
- Various price points: Finding the "best" hearing aid means something different for everyone, so we’ve included options across a range of price points.
Whether you’re seeking simplicity, affordability, or a fully personalized solution, this guide will help you make sense of it all. By the end, you’ll have a clearer understanding of the best hearing aids available and feel confident in choosing the right one for your needs. Let’s jump in!
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
Product Group 1 - Locally Prescribed
This group of hearing aids is prescribed by local audiologists. They tend to be on the higher end of the price range, costing between $3,000 and $8,000 per pair, and offer top-tier technology.
Nearly all locally prescribed hearing aids are produced by a handful of major brands, known as the "Big 5." These companies invest millions in research and development, often leading the industry in innovation and technology.
While there are some style and philosophy differences between brands, they generally offer the same advanced features and similar price points.
These are our favorite prescription products. 👇
Group 2 - Telehealth Prescribed
This group of hearing aids is professionally programmed through Telehealth. These brands sell directly to consumers, leveraging their scale and efficiency to offer significant cost savings.
The average price of the hearing aids in this group starts at around $1,500, compared to the $4,000 typical for traditional models. For those who are relatively tech-savvy or prefer the convenience of remote care, this category offers an excellent balance of affordability and personalized support.
These are our favorite Telehealth products. 👇
Group 3 - Over-The-Counter
This final group of hearing aids gives you control over the tuning process. Using a smartphone app, you can customize these devices to match your hearing loss. This model not only saves money, but studies from The Journal of the American Medical Association have shown that OTC hearing aids deliver clinical outcomes nearly identical to prescription devices.
However, unlike the first two categories where quality is fairly consistent, the quality of OTC hearing aid brands can vary widely, making upfront research crucial. The brands we’ve included below are the ones we trust for their reliability, ease of use, and quality of customization.
These are our favorite over-the-counter hearing aids. 👇
Product Group 1 - Locally Prescribed
This group of hearing aids is prescribed by local audiologists. They tend to be on the higher end of the price range, costing between $3,000 and $8,000 per pair, and offer top-tier technology.
Nearly all locally prescribed hearing aids are produced by a handful of major brands, known as the "Big 5." These companies invest millions in research and development, often leading the industry in innovation and technology.
While there are some style and philosophy differences between brands, they generally offer the same advanced features and similar price points.
These are our favorite prescription products. 👇
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
Phonak Audéo Sphere Infinio hearing aids are new in 2024 and build on the success of the Audéo Lumity series. The Sphere Infinio is Phonak’s most advanced hearing aid, featuring a first-to-market dual-chip architecture and onboard AI technology for real-time sound processing. This device promises more robust background noise management, Bluetooth connectivity, and durability. Think of this hearing aid as the cutting edge of modern hearing technology, designed by one of the world’s most trusted hearing aid companies.
Overall Notes: Audéo Sphere Infinio stands out for its powerful AI-driven sound management, enhanced Bluetooth range, and improved durability. If you’re looking for a premium clinic-prescribed hearing aid that adapts to complex auditory environments, this device will meet your needs with ease. The real-time AI processing and robust Bluetooth streaming capabilities make it a top contender in the market.
Price: The national average price for Phonak Audéo Sphere Infinio is $6,500 per pair. Some providers offer lower prices starting at $4,598/pair. Click here for more on prices.
Features: Rechargeable, Bluetooth with hands-free calling via iPhone and Android, behind-the-ear style, dual-chip architecture, real-time AI processing.
Top of the line customization, Bluetooth connection and rechargeable batteries
Enhanced background noise reduction using artificial intelligence
Highly water-resistant option available for active lifestyles
Sphere is a premium product with an average price of $4,598 per pair.
Phonak products are not sold directly to consumers and require a visit to a local audiologist.
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Starkey Genesis AI Custom
Starkey Genesis AI Custom
Starkey is a U.S.-based manufacturer with a full line of hearing aids that includes behind the ear and in-the-ear styles. They make the list for their elite status in custom molded (nearly invisible products). If you can afford to pay medical-grade prices and want an invisible style, you won’t be disappointed by Starkey.
Starkey is known for intelligent features like fitness tracking, a virtual assistant, and the smallest Bluetooth hearing aid on the market.
- Overall Notes: Starkey Genesis AI is broadly considered the best for custom mold hearing aids. If you want a custom mold, and lead an active lifestyle, this product is a great choice.
- Price: The national average price for Starkey Genesis Custom hearing aids is $6,443 per pair. Our research indicates that you can get Starkey Custom devices for as low as $3,198 for a pair. Click here for more on prices.
- Features: Full range of styles and features including Bluetooth, rechargeability, and fitness tracking for larger devices.
- What audiologists say: “Starkey has been making the smallest and best custom hearing aids for decades. Genesis AI is currently the smallest custom device on the market with Bluetooth streaming capabilities.” - Ramsay Poindexter, AuD
Smallest models are almost entirely invisible
Starkey is a leader in comfortable custom molded products
Larger sizes come with Bluetooth streaming and rechargeable batteries
This is a premium device which costs $3,000-$7,000 per pair
Custom molds require additional lead time and replacement time
The smallest version of Starkey Genesis AI customs are not Bluetooth enabled or rechargeable
Group 2 - Telehealth Prescribed
This group of hearing aids is professionally programmed through Telehealth. These brands sell directly to consumers, leveraging their scale and efficiency to offer significant cost savings.
The average price of the hearing aids in this group starts at around $1,500, compared to the $4,000 typical for traditional models. For those who are relatively tech-savvy or prefer the convenience of remote care, this category offers an excellent balance of affordability and personalized support.
These are our favorite Telehealth products. 👇
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
This final group of hearing aids gives you control over the tuning process. Using a smartphone app, you can customize these devices to match your hearing loss. This model not only saves money, but studies from The Journal of the American Medical Association have shown that OTC hearing aids deliver clinical outcomes nearly identical to prescription devices.
However, unlike the first two categories where quality is fairly consistent, the quality of OTC hearing aid brands can vary widely, making upfront research crucial. The brands we’ve included below are the ones we trust for their reliability, ease of use, and quality of customization.
These are our favorite over-the-counter hearing aids. 👇
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, 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 here at Soundly
✔️ 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. remote programming
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 an impressive range of hearing aids. Our favorite is Sony CRE-C20. Sony's CRE-C20 devices are nearly invisible and offer prescription-grade sound quality controlled through your smartphone.
Sony CRE-C20 is our favorite in-ear hearing aid under $1,000. The newly released product is packed with prescription-grade technology, boasts a 28-hour battery life, and comes with a recharge case that provides an additional 60 hours of charge. If you have mild-moderate hearing loss and are relatively tech-savvy, CRE-C20 is a very compelling option.
- 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, C20 is nearly invisible in most ear canals, audiology-grade sound from WS Audiology
C20 is Nearly invisible in most ear canals
High quality sound for a lower price
Self-fit at home
Rechargeable with 28 hours of battery life
Does not allow Bluetooth streaming
Requires some tech-savvy for setup
Only for mild-moderate hearing loss
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 2024 they added Bluetooth streaming capabilities an 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.
- 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: $749 for a pair of B1 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
Only comes in one color
Not right for those with severe hearing loss
If we could sit down with each reader to help them find the perfect hearing aid, these are the steps we would follow.
Step 1: Understand Your Hearing Loss
The first and most crucial step in choosing a hearing aid is understanding your individual hearing loss. You can do this at a local clinic or by taking our online hearing test. There are two key factors you need to know about your hearing loss: its severity and its shape.
Severity of Hearing Loss
Hearing loss is typically categorized as mild, moderate, severe, or profound. In some cases, you might have mild hearing loss in certain frequencies and moderate loss in others, which is often referred to as mild-moderate hearing loss.
Why does this matter? OTC and telehealth hearing aids (like Sennheiser and Sony listed above) are generally best suited for mild to moderate hearing loss. If you have severe or profound hearing loss, the "best" hearing aid for you will likely come from the locally prescribed category, as these devices can be better customized to meet more complex needs.
Shape of Hearing Loss
The shape of your hearing loss is another important factor. The most common type of hearing loss follows a downward slope from left to right on an audiogram, meaning your ability to hear higher frequencies is more affected than lower ones. If your hearing loss resembles this pattern, you're in the majority and could be a good candidate for self-fitting options.
However, if your hearing loss varies significantly between ears or has a less typical shape—like a reverse slope, where high frequencies are better than low frequencies—consulting with our team or visiting a local clinic is the best path forward.
Step 2: Choose a Care Method
Once you understand your hearing loss, the next step is to decide on the best care model.
Telehealth and OTC options are often more convenient and can cost anywhere from 25% to 100% less than traditional in-clinic care. These care models rely on you being comfortable using a smartphone and setting up the devices yourself, so if you're someone who prefers face-to-face support or needs assistance with the setup, a locally prescribed option might be the better choice. That said, most people adapt well to telehealth and OTC models, especially with the support offered through Soundly. See our full video comparing RX Vs. OTC hearing aids below. 👇
Phase 3: Select Features and Styles
Finally, you’ll want to think about the style of hearing aid and the features that are most important to you. Here’s a quick breakdown:
Styles
- In-ear: These are often easier to handle (especially models like the Sony CRE-C20 with rechargeable batteries). However, in-ear hearing aids may not always include Bluetooth streaming.
- Behind-the-ear (BTE): This style typically includes Bluetooth streaming and offers more space for microphones, which can improve sound processing. About 80% of hearing aid wearers choose behind-the-ear models, but there are good reasons to consider both styles.
Key Features to Consider
- Bluetooth: Allows for streaming audio directly from your smartphone.
- Rechargeable batteries: No more fiddling with small batteries—just plug in at night.
- Smartphone app controls: Adjust settings like volume, EQ, or even customize how your hearing aids respond in different environments.
- Tinnitus masking: Some hearing aids can play white noise to help mask tinnitus.
- Step tracking: Certain models track your daily steps for added health insights.
- Waterproofing: Most hearing aids on this list are water-resistant to some degree, which is great for daily use and sweat protection.
Hearing Aid Shopping Advice for Caregivers
If you’re researching hearing aids for someone else, there are a few additional factors to consider to make sure the device suits both their needs and yours as a caretaker.
- Easy Setup and Maintenance: You may want a device that’s simple to set up on your phone and continues to function seamlessly, even after you leave. The Sennheiser All Day Clear is particularly well-suited for this scenario. It’s comfortable, rechargeable (which is helpful for those with dexterity issues), and features an intuitive setup process.
- One of the standout features of Sennheiser’s device is the onboard hearing test. Instead of responding to beeps or using external sounds like a TV to test the hearing aids, the wearer simply listens to a conversation between two people. They select the version of the conversation that sounds the clearest to them, which makes the process more user-friendly for those who might struggle with more traditional methods of hearing testing.
- Reputable Brands with Simple Interfaces: The most important factor for caretakers is choosing a hearing aid from a trusted brand with a straightforward interface. You want a device that’s reliable and won’t require constant troubleshooting, making your role as a caretaker easier.
- In-Person Care: For individuals who may have more complex needs or require additional assistance, you might opt for in-person care at a local audiology clinic. While it may require transportation, having face-to-face support can be invaluable for ensuring the hearing aids are correctly fitted and properly maintained.
By keeping these factors in mind, you’ll be able to choose a product that works well for both the wearer and you as a caretaker.
Hearing Aid Prices
Hearing aid prices vary widely depending on the type of hearing aid and care model. Prices typically range from around $500 to $6,500 per pair, with over-the-counter (OTC) devices generally costing less (closer to the lower end) and prescription hearing aids at the higher end.
- Over-the-Counter (OTC) hearing aids: These are typically available for $500 to $2,000 per pair and do not require a prescription. OTC hearing aids are best suited for those with mild to moderate hearing loss and those comfortable with self-fitting via a smartphone app.
- Telehealth or remote programming hearing aids: These options offer professional programming but at a more affordable cost compared to in-clinic models. Prices generally start at $1,500 per pair and go up depending on the features included.
- Prescription hearing aids: These are often more expensive, ranging from $3,000 to $6,500 per pair. This cost includes the in-person fitting, testing, and ongoing support from a licensed audiologist.
Striking a Balance on Price
Based on our experience, $900 / pair seems to be the threshold for devices that deliver good sound quality and long-term reliability. Products for just a few hundred dollars generally don’t perform well in our real-world tests or break down more quickly.
Hearing Aids and Insurance
Most insurance plans do not cover hearing aids, though some states require certain insurance policies to offer hearing aid coverage for children, and Medicare does not cover hearing aids. However, some Medicare Advantage plans (Part C) and private insurers may provide limited coverage for hearing aids and hearing exams. Veterans may also be eligible for hearing aids through the Department of Veterans Affairs (VA), depending on their level of service and hearing loss.
It's important to check with your insurance provider to understand what coverage, if any, is available. Some providers offer reimbursement for hearing tests, fittings, or a portion of the device cost, but these benefits vary widely.
For those paying out of pocket, financing plans and payment programs are often available through hearing aid manufacturers or retailers, allowing you to spread the cost over several months or years. Additionally, flexible spending accounts (FSA) or health savings accounts (HSA) can be used to cover hearing aid costs, which can help reduce the financial burden.
Wisdom from Our Hearing Loss Editorial Panel
At Soundly, we believe that real-world experiences are invaluable when choosing the best hearing aids. We’re proud to work with an editorial panel of 25 individuals who are either currently using or have tested hearing aids across various categories. Here, we’ve gathered some of their insights to help guide you on your journey.
Why Get Hearing Aids
Many of our panel members shared stories of how hearing loss began to affect their daily lives, from missing important conversations to struggling with background noise.
Andy C., Maryland
"Not being able to hear as well as I once did impacted me in both my personal and professional life, especially in situations where there's background noise. Missing important things became frustrating."
Jennifer M., Pennsylvania
"I teach at the college level and realized I had trouble hearing students in the back of the room. I thought they were mumbling, but it was my hearing!"
What to Consider When Choosing Hearing Aids
Our panel members highlighted several key factors that shaped their hearing aid decisions:
Sound Quality
Across the board, sound quality ranked as the most critical factor.
As Rob N., Nebraska, noted:
"Whether the hearing aids simply magnify sound or adjust for various frequencies is a key difference."
Willo O., Oregon, added:
"I had a hope they might restore my hearing of music, but not all aids are perfect for that. It’s something to consider depending on your lifestyle."
Cost vs. Care Model
Our panel had mixed experiences with over-the-counter (OTC) vs. in-clinic care. Many appreciated the convenience and affordability of OTC models but acknowledged that it might not be for everyone.
Jacques B., California, shared his journey:
"In my case, OTCs chosen through trial and error worked better than in-clinic options."
Brenda G., Indiana, noted:
"I was happy with my OTC device until my hearing loss progressed. I eventually needed something more sophisticated."
Comfort and Fit
Susan S., New York, emphasized the importance of physical comfort:
"The hearing aids I ordered were too big for my ears, or the charge didn’t last long, or they whistled. I returned them. It’s important to find the right fit."
Ease of Setup
For caretakers or those less tech-savvy, ease of setup was a priority.
Brian M., Massachusetts, pointed out:
"Hearing aids like Lexie are more hands-off, so you’ll need to be somewhat tech-savvy. But even with hands-off vendors, they provide excellent support during the free trial period."
Advice for First-Time Hearing Aid Buyers
The members of our panel have some encouraging words for anyone considering their first pair of hearing aids:
Andy C., Maryland
"Let’s do this together. It doesn’t have to be difficult or embarrassing. There are so many resources to help you figure out where to begin."
Willo O., Oregon
"Ask questions everywhere: online, from doctors, friends, and even stores. But take advice from sellers with a grain of salt."
Common Questions During Research
One of the most difficult questions for new buyers is figuring out what specific features they need. As Ivan C., Texas, put it:
"Today, there are so many styles to choose from, whether in-the-ear, behind-the-ear, or something in between. Take your time to figure out what works best for you."
Samuel G., Connecticut, also added:
"A hearing test is essential to gauge your hearing loss, whether you go for an OTC or in-clinic option. Start with an online evaluation if you're unsure."
Final Thoughts from the Panel
Choosing a hearing aid is a personal decision, and the best choice for you will depend on your hearing needs, budget, and lifestyle. Our panel offers their final advice:
Randy S., Wisconsin
"The options are there. If you’re looking to save money, there are great quality hearing aids out there. Just make sure you get the right product for your specific needs."
Brenda G., Indiana
"Research online, get your hearing evaluated, and try different types of hearing aids. The right one is out there for you."
Final Thoughts
We’ve covered a lot of ground in this guide, from understanding the different styles of hearing aids and care models to finding the right balance of sound quality, comfort, and price. Whether you’re just beginning your journey or are ready to replace an old pair of hearing aids, we hope this guide has given you the clarity and confidence to move forward.
At Soundly, we’ve had the privilege of helping millions of people navigate these decisions, and we’re here to support you every step of the way. If you still have questions or need more personalized guidance, feel free to take our hearing test to get a tailored recommendation based on your hearing needs.
And if you’d rather chat with us directly, we’d love to hear from you! Just send us an email at [email protected], and we’ll be happy to help you on your journey to better hearing.
You don’t have to navigate this process alone—let us help you find the best solution for your unique needs!
Frequently asked questions
Phonak Inifio and Sennheiser All Day Clear are 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 Sony CRE-C20 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: Sennheiser, Sony, and Lexie B2 Plus
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 Sony, 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)
