As an audiologist with experience fitting a wide range of hearing aids, open fit hearing aids are one tool in the toolbox. These hearing aids are very popular among patients with normal low frequency hearing and patients on the lower end of the hearing loss spectrum.
However, they're not the right option for everyone and come with their own list of pros and cons. In this article, I will explain what open-fit hearing aids are, their pros and cons, and the different styles that exist.
What is an Open Fit Hearing Aid?
An open-fit hearing aid is a type of receiver-in-the-canal (RIC) or behind-the-ear hearing aid that is fit with an open-style dome tip.
The difference is in where the speaker (or receiver) is located. A RIC hearing aid places the receiver directly in the ear, while a BTE attaches to the hearing aid and funnels the sound through a slim tube and dome tip. What sets it apart is its unique design that permits a certain amount of low-frequency sound to leak out. This feature minimizes the occlusion effect, a common problem associated with more closed-fit hearing aids where users with normal low-frequency hearing may hear their own voice as overly loud or distorted. Primarily, this style of hearing aid caters to individuals with normal low-frequency hearing but require some degree of amplification in the high frequencies. Thus, open-fit hearing aids offer a more natural listening experience, especially for those whose hearing loss is predominantly in the higher frequency range.
Open dome tips will look slightly different depending on the manufacturer but have vents or holds in the dome that allow sound through. Read more about earmolds and domes here.
Pros of Open Fit Hearing Aids
- Natural sound quality: As mentioned before, open-fit hearing aids allow for a more natural listening experience by reducing the occlusion effect.
- Discreet design: Open-fit hearing aids are usually small in size and have a sleek design that makes them less noticeable when worn.
- Comfortable fit: The open dome tip provides good ventilation and prevents the feeling of fullness in the ear, making it more comfortable for extended wear.
- Immediate fit: There is no need to wait for a custom earmold to come back, as dome tips offer an immediate fit and come in a range of sizes.
- Cost savings: some clinics may charge an additional fee for an earmold.
Cons of Open Fit Hearing Aids
Despite their many advantages, open-fit hearing aids are not suitable for everyone. Here are some of the reasons why:
- Insufficient Amplification: Patients with a steep sloping loss, flat hearing loss, or more than a mild hearing loss may find that open-fit hearing aids do not provide enough amplification. This means that they might struggle to hear clearly, especially in environments with a lot of background noise.
- Limited Directional Microphone Control: Open fit hearing aids naturally allow more outside sound into your ear canal which gives the device less control over what you hear.
- Less Comfort and Retention: An earmold will always provide a more customized fit than a dome tip. An earmold has the best retention options and can be comfortably fit to the shape of your ear. While the different size dome tips work for most ears, they aren't the right fit for everyone.
Consult a Hearing Care Professional
If you're unsure whether open-fit hearing aids are the right solution for your hearing loss, consulting with a hearing care professional can be of immense help. They have the expertise to assess your hearing condition and lifestyle, and can provide more detailed information on the suitability of open-fit hearing aids based on your specific needs.
They can also guide you through other potential hearing aid options and assist in making an informed decision about your hearing care. Always remember, the best hearing aid for you is the one that meets your hearing needs, fits your lifestyle, and is comfortable to wear.
Best Hearing Aids With Open Fit Options
Open-fit hearing aids are available in different styles to suit the aesthetic preferences of the wearer. Let's look at some of the most popular options today:
1) ReSound Nexia: Provides a sleek, modern design with wireless connectivity to Smartphones and other devices. ReSound's Auracast-compatible device offers the latest technology and can be set up with an open fit.
2) Phonak Audeo Lumity: Offers improved speech understanding in noise and allows for hands-free phone calls through Bluetooth technology.
3) Widex Moment SHEER: Utilizes AI and machine learning to provide a personalized listening experience in real-time. It also offers the option for wireless streaming and hands-free calling.
4) Oticon Real: Uses a deep neural network algorithm to constantly monitor and adapt to the environment, providing natural sound quality and speech understanding.
1) ReSound Nexia: Provides a sleek, modern design with wireless connectivity to Smartphones and other devices. ReSound's Auracast-compatible device offers the latest technology and can be set up with an open fit.
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
2) Phonak Audeo Lumity: Offers improved speech understanding in noise and allows for hands-free phone calls through Bluetooth technology.
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.
3) Widex Moment SHEER: Utilizes AI and machine learning to provide a personalized listening experience in real-time. It also offers the option for wireless streaming and hands-free calling.
Widex hearing aids are popular among musicians, those with tinnitus, and anyone who appreciate natural sound quality. The Widex SmartRIC integrates the performance of the Widex Moment chip, known for its ability to produce incredibly natural sound, with a discreet and stylish design that appeals to today's fashion-conscious users. While other brands offer a similar slim design, such as Phonak and Signia, Widex has a slight advantage in design. The stylish, L-design is the shortest of its kind on the market, according to Widex.
The Widex SmartRIC distinguishes itself with a unique microphone placement that differs from traditional Receiver-in-Canal (RIC) devices, offering wearers more effective support in background noise. This thoughtful design means that the directional microphones are more in the horizontal plane, and better able to pick up on your conversation partner thanks to the L-shaped 20 degree curve at the top of the hearing aid.
Widex Moment Sheer is also often considered the leader among receiver-in-canal hearing aids for tinnitus. The brand's SoundRelax program streams fractal sounds into your hearing aids to reduce buzzing and ringing.
- Overall notes: Widex SmartRIC goes toe-to-toe with prescription leaders in the category. The perfect candidate for Widex wants care through a local hearing professional, natural external music quality, tinnitus masking and natural sound.
- Price: The national average price for Widex hearing aids is around $7,200 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
Focused on sound quality, delivering clear sound with the lowest delay in the industry.
Includes industry leading tinnitus features.
Widex Moment Sheer hearing aids come with rechargeable batteries and Bluetooth streaming capabilities.
Only sold through local clinics.
Remote adjustments require an additional accessory.
Widex offers a premium product at a premium price that may be out of budget for some.
4) Oticon Real: Uses a deep neural network algorithm to constantly monitor and adapt to the environment, providing natural sound quality and speech understanding.
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Oticon is the second most popular hearing aid brand (after Phonak). The brand has built a fanbase around its “open” sound philosophy by using advanced methods to support natural sound. Their newest device, the Oticon Intent, goes a step further, offering open sound quality customized to the user’s intent.
The newly designed devices continuously adapt based on four built-in sensors. Together, the brand calls this MoreSound Intelligence 3.0.
- Conversation sensors: Search your soundscape for speech sounds.
- Head sensors: Track your movement to gather information about where you are focused.
- Body sensors: Track your movement through the room and open the field of sound when you walk
- Acoustic sensors: Analyze background noises, echo and room dimensions
None of these sensors are brand new to the world of hearing aids, but Oticon claims to be the first brand to use all four together in one connected system. Add in Oticon's already impressive Deep Neural Network and you get what might be the smartest hearing aid in the industry.
- Overall notes: Oticon Real is an undisputed leader among top-tier hearing aids. If you are attracted to the idea of hearing more of the sounds around you vs. solely focusing on voices, this product is a great choice.
- Price: The national average price for Oticon Intent is $6,330 per pair. In my price research I found some national providers with prices as low as $2,898/pair. Click here for more on prices.
- Features: Rechargeable, Bluetooth LE Audio, Behind The Ear Style
- What audiologists say: “Oticon is among the best. If you are looking for all-around, top-of-the-line technology, this is an excellent choice.” - Ramsay Poindexter, AuD
Open sound quality that many users prefer
Bluetooth streaming from Android and Apple devices
Offered with both rechargeable and disposable batteries
Oticon Real hearing aids start at $2,898 and can cost as much as $7,000 with walk in care
Oticon Real hearing aids require a visit to an in person audiologist and are not sold online
Final Thoughts
In conclusion, finding the right hearing aid can feel like navigating a labyrinth, especially with the array of options available. Open-fit hearing aids stand out for their unique design and the natural sound quality they offer, making them a popular choice among individuals with normal low-frequency hearing but require some degree of amplification in the high frequencies. However, these devices are certainly not a one-size-fits-all solution.
They come with their limitations, making them unsuitable for some people. Hence, it's crucial to consult with a hearing care professional who can provide expert advice tailored to your specific hearing situation and lifestyle needs. Remember, the goal is to find a hearing aid that not only enhances your hearing but also aligns with your lifestyle and comfort.
Various styles of open fit hearing aids are available in the market, each with their unique features catering to different preferences. Whether you need an immediate fit, a discreet design, or a device capable of connecting to your Smartphone, there is something for everyone.
