Best Hearing Aids in 2024, Tested and Reviewed by Audiologists
Jabra Enhance is our top pick for hearing aids. With prices starting at $995 per pair, excellent follow-up care, and solid sound quality, it’s hard to beat these OTC hearing aids.
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- Prices starting at $995 per pair
- Solutions for mild to moderate hearing loss
- Over-the-counter hearing aids
- Prices starting at $799 per pair
- Solutions for mild to moderate hearing loss
- Over-the-counter hearing aids
- Prices starting at $2,000 per pair (estimated)
- Solutions for mild to profound hearing loss
- Prescription hearing aids
- Prices starting at $297 per pair
- Solutions for mild to moderate hearing loss
- Over-the-counter hearing aids
- Options for all levels of hearing loss
- State-of-the-art devices and features
- Custom hearing aids
- Notch Therapy (NT) for tonal tinnitus
- Excellent styles and aesthetic appeal
- In-ear and BTE models
Our audiologists have researched 20 hearing aid companies and recommend our top picks for seniors
Our audiologists have researched 20 hearing aid companies and recommend our top picks for seniors
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Key Takeaways
- Jabra Enhance is our top pick for its excellent value, optional follow-up care, and intuitive mobile app.
- The hearing aids on this list were approved by our resident audiologists, Dr. Ruth Reisman and Dr. Brad Ingrao, who also provided their hands-on experiences with Phonak, ReSound, and Signia.
- We included several OTC hearing aids on our list, as the high price of prescription hearing aids and difficulty accessing a doctor are two of the main reasons why roughly 20 million Americans with hearing loss don’t seek out treatment.
- Though OTC hearing aids are typically less expensive, prescription hearing aids from quality providers like Phonak offer more options for a wider range of hearing loss — from mild to profound.
Finding the right hearing aid can improve your quality of life and help you join in on the conversation more easily! Our team of experts, including audiologists and senior tech authorities, have tested and reviewed the industry’s best hearing aids to help you find the one that’s right for you.
There are two types of hearing aids: over-the-counter (OTC) hearing aids and prescription hearing aids that must be purchased in the office. It’s important to understand the differences between the two so you can find the device that’s right for your hearing loss. We evaluated the top OTC and prescription hearing aid providers on the market based on price, value, sound quality tech, follow-up care, mobile apps, and more. Our resident audiologists, Dr. Ruth Reisman and Dr. Brad Ingrao, worked with us to develop this list and have personally tested or prescribed every model below.
The SeniorLiving.org Verdict: Let’s get straight to the point: If you’re looking for the best OTC hearing aids for mild to moderate hearing loss, Jabra Enhance is our top pick for value. You can easily purchase them online, and they come with excellent follow-up care.
Why You Should Trust Us
All of the hearing aids on our list were either tested by our tech experts, dispensed by audiologist Dr. Ruth Reisman and Dr. Brad Ingrao, or both. As a doctor of audiology, Dr. Reisman, AuD MBA CCC-A has been prescribing and fitting hearing aids for over a decade. Dr. Brad Ingrao has been prescribing hearing aids from dozens of providers since the 1990s. They reviewed and approved all of our top picks. We’ve included their recommendations and opinions throughout this guide.
Along with our audiologists’ expertise, our tech experts have a decade of experience testing and reviewing dozens of hearing aids. We evaluated all of the hearing aids on our list for important factors like:
- Price and value
- Technology
- Customer support and follow-up care
- Add-on features and mobile apps
Jump to our full methodology section to learn more.
Hearing Aids Compared Side by Side
Jabra Enhance
|
Eargo
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Phonak
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MDHearing
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ReSound
|
Signia
|
|
---|---|---|---|---|---|---|
Rating | 4.8 | 4.3 | 4.4 | 4.7 | 4.4 | 4.6 |
Hearing loss | Mild to moderate | Mild to moderate | Mild to profound | Mild to moderate | Mild to profound | Mild to profound |
Price | $995 to $1,995 per pair | $799 to $2,950 per pair | $1,000 to $3,750 per device | $297 to $397 per pair | $1,000 to $3,750 per device | $1,000 to $3,750 per device |
Purchasing options | Online | Online | In-office, insurance | Online | In-office, insurance | In-office, insurance |
Financing | Yes | Yes | Varies by office | Yes | Varies by office | Varies by office |
Return option | 100 days | 45 days | 45-90 days | 45 days | 45-90 days | 45-90 days |
Remote support | Yes | Yes | Yes | Yes | Yes | Yes |
Mobile app | Yes | Yes | Yes | Yes | Yes | Yes |
Tinnitus features | Yes | No | Yes | No | Yes | Yes |
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1. Jabra Enhance - Best Value
What we like most
- Prices starting at $995 per pair
- Solutions for mild to moderate hearing loss
- Over-the-counter hearing aids
Jabra EnhanceOverview:Price: $995 to $1,995 per pair
Best for: Mild to moderate hearing loss
Purchasing options: Online
Why They Made Our List
When it comes to OTC hearing aids, Jabra Enhance, formerly known as Lively, offers the most bang for your buck, thanks to its many features and stellar support. It has behind-the-ear (BTE) models for multiple budgets and on-the-go adjustments with the Jabra Enhance Select mobile app (with Premium packages).
» Related Reading: Best OTC Hearing Aids
The provider lends a long-term helping hand with three years of loss and damage coverage and virtual follow-up care with Premium packages. Plus, you’ll get an industry-leading 100-day risk-free trial. Purchasing a hearing aid is a major investment, so we appreciate this extra time to make a decision. For comparison, Eargo and MDHearing, two other OTC providers on our list, offer a 45-day free trial.
Pros & Cons:Pros About Jabra Enhance
- 100-day risk-free trial
- Mobile app to control and customize settings
- Three years of follow-up care with Jabra Enhance’s audiology team with Premium packages
- Up to three-year loss and damage protection
- Basic and Premium package options for different budgets
Cons About Jabra Enhance
- Must have a compatible smartphone or tablet to use
- Not suitable for severe or profound hearing loss
- Only BTE models available
Our Hands-on Experience:Our Experience With Jabra Enhance
Tested by: Corey Whelan
We tested the Enhance Select 300 model with a Premium package. We were impressed with the Jabra Enhance Audiology Team and the mobile app’s on-demand care and adjustments.
We made a Zoom appointment with Dr. Dena Franciotti, Au.D., from the Audiology Team to set up our devices. Dr. Franciotti asked us to put on the hearing aids so she could evaluate the fit. We found that the devices fit very comfortably.
Quick Tip: Check out our hearing aid comparison guide, which walks you through common features and important questions to consider as you shop for hearing aids.
The only drawback is that there is no in-person assistance available. When we tried to change out the wires on our hearing aids per Dr. Franciotti’s recommendation, we realized the process could be challenging for those with dexterity issues or shaking hands. Prescription hearing aids like Phonak and ReSound have a major leg up on OTC brands here, as they offer in-person support and adjustments.
» Related Reading: Jabra Enhance review
We put on our hearing aids for a walk and noticed that the sound quality on a busy city street was very clear and natural. There was no whiny feedback noise or humming sounds. We could quickly change the program using a button on the hearing aids or in the mobile app. We appreciate this useful mobile app, as some OTC providers like MDHearing don’t offer a companion app for their current models.
Jabra Enhance is for you if you:
- Have mild to moderate hearing loss
- Are looking for a BTE hearing aid
- Are comfortable using a mobile app to make adjustments
- Want virtual follow-up care with audiologists
Jabra Enhance is not for you if you:
- Have severe to profound hearing loss
- Would prefer in-person support and adjustments
- Want more discrete in-ear hearing aids
- Don’t have a smartphone
Pricing
- Enhance Select 50R: $995-$1,195 per pair
- Enhance Select 300: $1,495-$1,695 per pair
- Enhance Select 500: $1,795-$1,995 per pair
Jabra Enhance hearing aids cost $995 to $1,995 per pair. All models are available in a Basic and Premium package. The Premium package costs $200 more than the Basic option. It comes with three years of follow-up care and loss and damage protection. Premium devices are custom-programmed to your individual hearing needs, while Basic packages come preprogrammed. We believe the support and customization of the Premium package is worth the extra $200.
Current Deal: Score the Enhance Select 500 at $300 off, and get $100 off your purchase by subscribing to Jabra Enhance promotional emails.
When compared to leading providers like Phonak and Resound that require in-person purchases and follow-up care, these prices are very affordable. There are a few cheaper OTC providers, including MDHearing, which has prices starting at $297 per pair. However, Jabra Enhance’s quality, follow-up care, and mobile app are well worth the cost.
The Verdict From an Audiologist
Dr. Reisman’s favorite model: The Jabra Enhance Select 500 Premium package
Why she picked it: These devices offer the highest level of technology and professional support, which means patients are more likely to be successful in their hearing journey.
“Jabra Enhance devices provide an array of benefits, including tinnitus management and hearing loss treatment. With superior sound quality, seamless connectivity, innovative design, advanced noise cancellation, and versatile applications, Jabra consistently delivers exceptional audio solutions that enhance productivity, entertainment, and communication clarity.
It can also be a great solution for someone who is independently tech-savvy and wants an affordable and flexible solution to manage their hearing loss and tinnitus. However, those who require additional support may need to consider alternate options since the hearing aids are locked and cannot be programmed by an alternate professional.” — Dr. Reisman
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2. Eargo - Most Discreet
What we like most
- Prices starting at $799 per pair
- Solutions for mild to moderate hearing loss
- Over-the-counter hearing aids
EargoOverview:Price: $799 to $2,950 per pair
Best for: Mild to moderate hearing loss
Purchasing options: Online
Why They Made Our List
Eargo offers discreet, completely-in-canal (CIC) devices. Compared to a BTE hearing aid’s noticeable hard plastic case fitted behind the wearer’s ear, CIC devices fit inside the ear and are nearly invisible to others.
» Related Reading: 2024 Eargo review
The Eargo 7 features the company’s most advanced noise reduction and a self-fitting feature for a personalized listening experience. Eargo also recently launched the LINK, an earbud-style hearing aid for those who want something different from traditional hearing aid styles. The company offers a 45-day trial period, so you can see if these devices are right for you.
Pros & Cons:Pros About Eargo
- Virtually invisible design
- Financing for 12, 24, or 36 months
- Sound Adjust feature automatically optimizes soundscape
- Warranty includes one-time loss/damage coverage per unit
- Lifetime remote support from a team of 30-plus hearing professionals
Cons About Eargo
- Not designed for severe to profound hearing loss
- Must have a smartphone to use
- May not fit everyone due to ear canal shape and anatomy
Our Hands-on Experience:Our Experience With Eargo
Tested by: Sarah Goldy-Brown
We tested out the Eargo 6 and Eargo 7. The first thing we noticed when wearing both devices was that they felt uncomfortable, even a bit painful, in our small ears. While Eargo devices come with a few different petal sizes to accommodate different ear shapes, the company does note that its devices aren’t right for everyone’s ear shape.
» Related Reading: Eargo 6 review and Eargo 7 review
However, one of our testers had her mom try out Eargo’s devices, and she didn’t experience any pain. They fit like a glove! Luckily, Eargo offers a free fit-and-feel sample, which includes a nonfunctioning replica of its hearing aids to test out.
Unlike MDHearing, Eargo has a mobile app for adjusting and fine-tuning your hearing aid. The mobile app has Sound Match, an in-depth hearing assessment that adjusts your hearing aid settings to fit your individual hearing loss. We found the sound quality was much better after using Sound Match. We appreciate this customization, as it isn’t available with all OTC hearing aids.
Eargo is for you if you:
- Have mild to moderate hearing loss
- Are looking for discreet hearing aids
- Are comfortable using smartphone to adjust settings
- Have wiggle room in your budget
Eargo is not for you if:
- You have very small or uniquely shaped ears
- Want BTE hearing aids
- Don’t have a smartphone
- Have severe to profound hearing loss
Pricing
- LINK by Eargo: $799
- Eargo SE: $1,650
- Eargo 6: $2,250
- Eargo 7: $2,950
Current Deal: Save up to $951 on eligible Eargo purchases while sales last!
Eargo’s prices range from $799 per pair to $2,950 per pair. These starting prices are comparable to Jabra Enhance, but they are around $500 more than MDHearing’s cheapest models. On the other hand, Eargo’s prices for premium products, like the Eargo 7, are much higher than similar options from other OTC brands.
» You Might Like: Discounts for seniors
The Verdict From an Audiologist
Dr. Reisman’s favorite model: Eargo 7
Why she picked it: This model offers an extended two-year warranty, enhanced clarity, and moisture resistance, which is a necessity with a CIC device.
“Eargo hearing aids are certainly an innovation in the hearing aid arena. Its unique design, features, and customer service model have allowed for true evolution in the fitting of direct-to-consumer hearing aids. Just like most devices for those who are candidates, it seems performance and satisfaction are very high for Eargo hearing aids. However, those who are not ideal candidates still tend to struggle. If discretion is very important to you, Eargo hearing aids are certainly worth a try.” — Dr. Reisman
Dr. Reisman highly recommends a medical evaluation before fully inserting CIC devices into the ear.
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3. Phonak - Best for Severe to Profound Hearing Loss
What we like most
- Prices starting at $2,000 per pair (estimated)
- Solutions for mild to profound hearing loss
- Prescription hearing aids
PhonakOverview:Price: $1,000 to $3,750 per device
Best for: Mild to profound hearing loss
Purchasing options: In-office, insurance, prescription required
Why They Made Our List
While OTC hearing aid companies focus on mild to moderate hearing loss, Phonak offers prescription solutions for all levels of hearing loss, from mild to profound. Phonak is often one of the only solutions available for those with very significant loss, making it our top pick for severe to profound hearing loss.
Did You Know? More than half of workers regularly exposed to noise at their jobs do not wear hearing protection, potentially worsening or accelerating1 their hearing loss.
These advanced hearing aids are durable and reliable. Another standout feature is Phonak’s integrated microphone, which offers Bluetooth streaming for completely hands-free phone calls. Phonak’s prices may put a dent in your wallet when compared to OTC brands, but if you have room in your budget, it’s certainly worth considering.
» You Might Like: Best BTE hearing aids
Pros & Cons:Pros About Phonak
- Best in class for severe to profound hearing loss
- Dynamic noise cancelation
- Motion sensor and built-in microphone for hands-free calling
- Long-lasting battery with quick charge
- Direct streaming devices to improve communication in very challenging environments
Cons About Phonak
- Higher price point
- Model pricing not provided on website
- Can be bought only through a local provider
Our Hands-on Experience:Our Experience With Phonak
Tested by: Dr. Reisman and Dr. Ingrao
Our resident audiologists, Dr. Reisman and Dr. Brad Ingrao, have been prescribing Phonak hearing aids for decades. In fact, Dr. Ingrao estimates that he fits at least 75 percent of his patients with Phonak hearing aids.
From the Experts: Want to learn more about Dr. Ingrao’s experience with Phonak? Visit our full Phonak review.
The company’s lineup includes powerful BTE hearing aids like the NaĂda Lumity line, along with unique options like the Lyric, which is a completely invisible, extended-wear device. Another one of our favorite models, the AudĂ©o Lumity, uses AI technology to automatically adjust to your sound environment. Most OTC hearing aids from brands like Jabra Enhance and MDHearing require you to manually adjust your hearing aid program, and they have a limited number of programs. This makes the AudĂ©o Lumity very versatile and advanced. Plus, it requires fewer manual adjustments.
» Related Reading: Best Hearing Aids for Severe Hearing Loss
Another one of our favorite models, the Audéo Lumity, uses AI technology to automatically identify and adjust to your sound environment, no matter where you are. Most OTC hearing aids from brands like Jabra Enhance and MDHearing require you to manually adjust your hearing aid program when you enter a different sound environment, and they have a limited number of programs. This makes the Audéo Lumity very versatile and advanced. Plus, it requires fewer manual adjustments.
» Related Reading: Best hearing aids for severe hearing loss
Just remember: Phonak hearing aids must be prescribed, so you can’t purchase them online. You’ll need to visit a hearing care professional in person for a hearing assessment and fitting. This may be a hassle for some older adults, but these in-person visits allow for a much higher level of customization. Hearing professionals have specialized equipment they use to test and adjust hearing aids, which you can see in Dr. Reisman’s photo below.
Phonak is for you if you:
- Have severe to profound hearing loss
- Want advanced hearing aids
- Would like in-person support from an audiologist
Phonak is not for you if you:
- Don’t want to purchase hearing aids in person
- Are on a tight budget
- Have mild hearing loss and just want a simple hearing aid
Pricing
Similar to other prescription hearing aids, Phonak does not list its prices online. This is one of the potential drawbacks of medical-grade hearing aids. To get pricing information, you’ll need to visit a local hearing care provider that sells Phonak devices. Prices are not standard and will vary by location.
FYI: You’ll need to ask your hearing care provider about specific deals they offer, but you may be able to get $200 off (or more) by searching for a participating provider online.
Dr. Reisman estimates that Phonak hearing aids cost anywhere from $1,000 to $3,750 per ear on average. These prices are typical for prescription hearing aids, but they are much higher than OTC hearing aids. For example, Jabra Enhance’s most expensive model, the Enhance Select 500, costs $1,995 per pair, while Phonak hearing aids could cost even more than that per ear. However, Phonak hearing aids, along with other prescription brands, are more advanced, can be better customized to your hearing loss, and are suitable for severe to profound hearing loss.
» Also Check Out: Best hearing aids for single-sided hearing loss
The Verdict From an Audiologist
Dr. Reisman’s favorite model: Phonak Naida Lumity BTE
Why she picked it: This model offers great support and audibility for individuals with severe to profound hearing loss.
“These devices are often the only option for individuals with very significant hearing loss. Not only is there sufficient gain, but it also has all the advanced options of other Phonak hearing aids, including Bluetooth, hands-free calls, and Roger wireless microphone compatibility for supporting seamless communication in all environments. For individuals with severe losses, this can significantly improve their quality of life.” — Dr. Reisman
» Learn More: Best Bluetooth hearing aids of 2024
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4. MDHearing - Most Affordable
What we like most
- Prices starting at $297 per pair
- Solutions for mild to moderate hearing loss
- Over-the-counter hearing aids
MDHearingOverview:Price: $297 to $397 per pair
Best for: Mild to moderate hearing loss
Purchasing options: Online
Why They Made Our List
If you’re on a tight budget, MDHearing is our top pick. This company offers the most affordable hearing aids on our list, starting at just $297 per pair, after sales and discounts. MDHearing devices can be purchased online, similar to Eargo and Jabra Enhance. Their lineup includes two BTE options and two discreet in-the-ear (ITE) models for mild to moderate hearing loss. The company's devices are designed to be simple, and they include the most important features like noise reduction, feedback cancellation, and adjustable settings. You won’t find any advanced features here like you would with prescription hearing aids.
» Learn More: MDHearing review
MDHearing’s 24/7 support by phone or email assists customers throughout their hearing aid experience. You can connect with MDHearing’s in-house audiologists for customized recommendations based on your online hearing test results. Unlike Jabra Enhance, which limits its follow-up care to three years, MDHearing provides lifetime support. We appreciate this extended care.
Pros & Cons:Pros About MDHearing
- 24/7 lifetime support by phone or email
- Affordable financing options
- Available individually or as a pair
- Four sound environment settings
- Feedback cancellation
Cons About MDHearing
- Beige is the only color available
- Not suitable for severe to profound hearing loss
- No companion mobile app
Our Hands-on Experience:Our Experience With MDHearing
Tested by: Corey Whelan
We tested out MDHearing’s NEO XS, which is an in-ear model designed for more discretion than its two BTE models. When we first placed the devices in our ears, we experienced some whistling in one ear, but that went away completely once it was fully inserted. We have small ear canals and were surprised by how much of the hearing aid stuck out, since it is designed to be more discreet. After speaking with customer service, we tried smaller-sized domes. We struggled to get the domes off and on, even after Stephanie provided advice.
Again, this is a drawback with OTC hearing aids. There’s no in-person support, so you have to figure things out on your own. Luckily, after a few tries, we were able to get the smaller domes on. We found that sound was clear and crisp across all channels.
Expert InsightsFrom Audiologist Dr. Ruth Reisman,Sound quality can change depending on the ear dome used. If you feel you would like to retain more sound- and noise-management benefits, you may want to try more closed domes.» You Might Like: Best invisible hearing aids
We wish that MDHearing had a mobile app for remote adjustments, similar to Jabra Enhance. An app can make changing hearing aid settings easier for those with dexterity issues like arthritis. However, we found that the settings were simple to adjust using the device’s buttons.
MDHearing is for you if you:
- Have mild to moderate hearing loss
- Want lifetime support
- Are on a tight budget
- Want simple hearing aids without bells and whistles
MDHearing is not for you if you:
- Have severe to profound hearing loss
- Want a mobile app for remote adjustments and follow-up care
- Are looking for high-tech features
Pricing
- AIR: $297 per pair
- NEO: $297 per pair
- VOLT: $397 per pair
- NEO XS: $397 per pair
MDHearing’s four models are always on sale, with prices ranging from $297 to $397 per pair. That makes them the cheapest option on our list. Though the company lists higher “standard” prices before discounts, we’ve never actually found a time when the devices weren’t on sale.
» Related Reading: Hearing aid cost guide
These starting prices are around $700 less than Jabra Enhance’s starting prices for a Basic package. Just keep in mind that MDHearing keeps things very simple. It doesn’t offer a companion mobile app for adjustments and follow-up care like Jabra Enhance does. While it advertises lifetime support, this is mostly over the phone or email. Still, if you want to keep things simple and affordable, MDHearing is a great choice.
The Verdict From an Audiologist
Dr. Reisman’s favorite model: MDHearing VOLT
Why she picked it: A few of Dr. Ruth’s patients have reported success and improved hearing with these devices.
“Patients report that this model is easy to set up and get started, but they cannot get support readily, especially if they are outside of the U.S. If the volume feels too loud or you're experiencing feedback with your MDHearing devices, this may be due to overamplification. Reducing the volume with the manual buttons may relieve both issues and help preserve your residual hearing.” — Dr. Reisman
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5. ReSound - Best Rechargeable Device and Telehealth Support
What we like most
- Options for all levels of hearing loss
- State-of-the-art devices and features
- Custom hearing aids
ReSoundOverview:Price: $1,000 to $3,750 per device
Best for: Mild to profound hearing loss
Purchasing options: In-office, insurance, prescription required
Why They Made Our List
ReSound offers innovative and durable hearing aids for all levels of hearing loss. ReSound’s rechargeable models eliminate the need to replace batteries, perfect for those with dexterity issues. The ReSound Nexia style delivers a full day of use (up to 24 hours on just one charge). ReSound is also the only hearing aid manufacturer with a three-microphone system (on select models). This helps restore natural hearing by using the outer ear.
ReSound’s customer service, including telehealth support, is also noteworthy. Through the ReSound Assist Live mobile app, your hearing care professional can make real-time adjustments and fine-tune while you remain in the comfort of your home. While you’ll need an in-person hearing assessment and fitting, this telehealth support can help reduce your office visits over time.
Pros & Cons:Pros About ReSound
- State-of-the-art devices, accessories, and smartphone apps
- Remote care via Assist Live app
- 360-degree surround sound
- Three-microphone system to restore natural hearing
- Hands-free calls
Cons About ReSound
- Telehealth sessions may be challenging for non-tech-savvy users
- Not available for online purchase
- Pricing not listed on the website
Our Hands-on Experience:Our Experience With ReSound
Tested by: Dr. Reisman and Dr. Ingrao
Our audiologists often recommend ReSound hearing aids to their patients. Dr. Ingrao says that ReSound is one of his go-to brands. He often recommends the brand for those who want Android- or iPhone-compatible hearing aids or accessories to enhance hearing aids, including remote microphones and media streamers. ReSound has several styles of hearing aids, including a variety of BTE, ITE, and custom models.
Pro Tip: To learn more about Dr. Ingrao’s experience with this brand, read our latest ReSound review.
Similar to Phonak, ReSound has advanced features that OTC brands like Jabra Enhance don’t offer. For instance, the inclusion of a third microphone on select models, like Nexia, enhances natural sound quality. ReSound’s technology also reduces listening effort in areas with lots of background noise. These hearing aids can be customized to your unique hearing loss. In the image below, you can see Dr. Reisman testing and fine-tuning a pair of ReSound hearing aids.
ReSound is for you if you:
- Have severe to profound hearing loss
- Want a bimodal solution with cochlear implants
- Want powerful rechargeable hearing aids
- Want best-in-class Bluetooth connectivity
- Are looking for advanced telehealth support
ReSound is not for you if you:
- Are on a tight budget
- Don’t need smartphone-compatible devices
- Just want a pair of basic hearing aids
Pricing
Similar to Phonak, ReSound doesn’t list its prices online. Prices will vary based on location and the hearing aid you choose. Dr. Reisman estimates that ReSound hearing aids cost $1,000 to $3,750 per ear, placing them in the same ballpark as Phonak.
Again, there are budget-friendly OTC options that are a few thousand dollars cheaper than Phonak’s, including MDHearing and Eargo. However, OTC hearing aids aren’t suitable for severe to profound hearing loss, and they don’t offer the same level of customization or advanced features that prescription devices like ReSound do.
» Related Reading: Best cheap hearing aids
The Verdict From an Audiologist
Dr. Reisman’s favorite model: ReSound Nexia, rechargeable receiver-in-canal
Why she picked it: This is one of ReSound’s newest models that offers many advantages for those with hearing loss, including a third microphone in the ear to enhance natural sound quality, better hearing in noisy environments, and enhanced connectivity options with Auracast.
“ReSound is a great device, particularly for patients with a cochlear implant in the opposite ear. Its connectivity options for Android devices, for Apple devices, and in various public places are the most expansive of all hearing aid technology.” — Dr. Reisman
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6. Signia - Best for Tinnitus and Most Innovative Styles
What we like most
- Notch Therapy (NT) for tonal tinnitus
- Excellent styles and aesthetic appeal
- In-ear and BTE models
SigniaOverview:Price: $1,000 to $3,750 per device
Best for: Mild to profound hearing loss
Purchasing options: In-office, insurance, prescription required
Why They Made Our List
Like ReSound, Signia is well known in the industry for its wide selection of hearing aids, ranging from CIC to BTE models. While we love that Signia gives older adults plenty of options to fit their needs and budget, there are two specific reasons that Signia made our list of top hearing aids: tinnitus relief and innovative styles.
» Learn More: Best hearing aids for tinnitus in 2024
Many Signia hearing aid models, including the sleek Signia Silk Charge&Go IX, come with built-in tinnitus Notch Therapy (NT). This type of sound therapy has proven especially beneficial for people struggling with tonal tinnitus, a form of tinnitus that affects as much as 10 percent of the adult population.1 Signia also offers therapies for non-tonal tinnitus, including relaxing ocean waves and other customizable sounds, that can help distract from tinnitus symptoms. With time, Signia’s tinnitus therapy features can even eliminate tinnitus entirely. Even if you don’t struggle with tinnitus, Signia’s hearing aids offer sleek, modern, and discreet hearing aid models.
Expert InsightsFrom Audiologist Dr. Ruth Reisman,Combining Signia's Notched Therapy and a frequency-shaped masker has been shown to show greater success at reducing tinnitus symptoms than either therapeutic option independently.Pros & Cons:Pros About Signia
- Suitable for mild to profound hearing loss
- Multiple tinnitus management features, including Notch Therapy (NT)
- More than a dozen styles and models
- Mimics natural hearing via Own Voice Processing
- Easy connectivity and settings customization via the Signia app
- Direct streaming of phone calls, music, and TV audio via Bluetooth
- Remote telehealth support available
Cons About Signia
- Requires a consultation
- Higher price point
- Can’t be purchased online
- Not all models come with Notch Therapy (NT)
Our Hands-on Experience:Our Experience With Signia
Tested by: Dr. Reisman and Dr. Ingrao
Both Dr. Reisman and Dr. Ingrao have years of experience prescribing Signia hearing aids, and they agree that it offers some of the best all-around options for people who struggle with hearing loss and tinnitus. Signia’s Integrated Xperience (IX) product line features enhanced adaptability for conversations, ensuring that sound levels stay consistent, even as people move around or turn their heads as they speak. This can make it much easier for seniors with hearing loss to stay engaged and socially connected in group settings. This is the kind of advanced feature you simply can’t get with an OTC hearing aid from providers like Jabra Enhance or MDHearing.
The Silk Charge&Go IX is Dr. Reisman’s top pick from Signia, and Dr. Ingrao agrees that the instant-fit domes are a huge plus for seniors who want a CIC model but don’t want to wait weeks just to get the perfect fit. And since the Silk Charge&Go IX is rechargeable, it’s great for seniors who just want to wear their hearing aids during the day and put them to charge at night.
Signia is for you if you:
- Suffer from tinnitus
- Don’t mind paying more for advanced features
- Want a mobile app for on-the-go adjustments
- Have any level of hearing loss
- Want rechargeable hearing aids
Signia is not for you if you:Â
- Are shopping on a budget
- Don’t want to see an audiologist in person
- Are just looking for something basic
Pricing
Signia is a prescription-only hearing aid provider that doesn’t advertise its prices online. Instead, you’ll need to make a consultation with an audiologist to learn about the company’s prices, and the exact costs may vary based on your location. Dr. Reisman estimates that Signia hearing aids cost $1,000 to $3,750 per ear, which is similar to providers like Phonak and ReSound.
If budget is your top concern, you might be better off with an OTC brand like MDHearing. However, keep in mind that you won’t get the same selection of modern styles and advanced hearing technology.
The Verdict From an Audiologist
Dr. Reisman’s favorite model: Signia Silk Charge&Go IX
Why she picked it: The Silk is a highly successful instant-fit invisible-in-the-canal hearing aid with all the features of an advanced hearing aid that is now rechargeable. Patients love this device because of the cosmetic appeal and the sound quality.
“Signia is one of my favorite hearing aid brands due to their innovative styles, the tools they offer to patients for hearing loss and tinnitus, and the ability to control the hearing aid microphones, which is ideal for my patient base of individuals with auditory processing disorders and normal hearing.” — Dr. Reisman
Our Methodology: How We Tested and Chose the Best Hearing Aids in 2024
How We Tested the Hearing Aids
Our team of tech experts selected the top-reviewed hearing aids on the market and spent over 100 hours testing them. We focused on all aspects of daily use — from ease of use and comfort to price and battery life.
Here’s what our testing process looked like for OTC hearing aids that could be ordered online:
- We took the online hearing tests offered by each brand, comparing our experiences to in-person evaluations from an audiologist.
- Then, we selected and purchased our hearing aids, taking note of the purchasing process. We considered important factors like the price and overall value of each hearing aid, including seasonal promotions, extra fees, and upfront costs.
- Once our devices arrived in the mail, we followed the instructions to get them up and running. If the brand had a mobile app, we set it up as well. We compared each hearing aid based on its ease of use and the number of steps required to get them charged and ready to go.
- Our team spoke with customer service on multiple occasions to evaluate the quality of care. We tried various methods to see if our experience varied with different mediums, including over the phone, through the mobile app (if applicable), and using online chat features.
- We tested each hearing aid for a week. This process involved using the hearing aids at home, in busy and loud environments like restaurants, and in one-on-one conversational settings (indoors and outdoors). We evaluated the hearing aid’s features, sound quality, and ease of use in each locale.
Since prescription hearing aids can’t be ordered online, we turned to our resident expert on the subject, Dr. Ruth Reisman, to learn about her firsthand experience with each brand. We used her experience prescribing and testing each brand, along with feedback from her patients, to evaluate and rank the providers and individual models.
How We Chose the Best Hearing Aids
Throughout our testing process, we consulted with audiologist Dr. Ruth Reisman, who has been prescribing and fitting hearing aids for over a decade. Dr. Reisman provided insights on her personal experience with the industry’s leading hearing aids to help us build our list. Below are the main factors we evaluated:
- Price and value: Hearing aids are available at many different price points. We included a mix of affordable hearing aids and premium devices that offer excellent value. OTC hearing aids are more affordable and accessible (you can order them online without a doctor’s appointment), while prescription hearing aids are more expensive and require in-person fittings. OTC hearing aids are not suitable for severe or profound hearing loss, so we always aim to balance cost with the functionality. That said, whether it is OTC or prescription, every hearing aid provider on this list offers excellent quality and competitive pricing.
- Follow-up care: There is a learning curve when it comes to using hearing aids. Plus, everyone’s hearing changes over time. We prioritized brands that offer follow-up care with audiologists and hearing experts to ensure you get the most out of your hearing experience for years to come. Every provider on our list offers follow-up care; some providers limit support to “premium” packages only lasting a few years, while others offer lifetime support without extra cost.
- Technology: We prioritized brands that offer technology to support the best listening experience. This includes features like background noise reduction, speech enhancement, media streaming, invisible designs, rechargeable batteries, and programs designed for different environments. Not every provider on this list will be suitable for everyone, which is why we included hearing aids with varied technological capabilities, designs, and features.
- Add-on equipment and mobile apps: We evaluated each provider's add-on equipment, like microphones and media streamers, along with mobile apps. These extra features can enhance the listening experience and add value to your purchase. Some hearing aids may not be sufficient on their own. But, with the right add-on, they can completely transform the way patients hear and communicate.
The Runners-Up
Below is a quick look at runners-up that didn’t make the cut but still offer solid options for many users:
- Lexie: Lexie, an OTC brand, has simple BTE and receiver-in-canal models backed by Bose technology. Read our Lexie review to learn more.
- Starkey: Starkey offers prescription hearing aids for mild to profound hearing loss with unique features like fall detection. However, it’s one of the most expensive brands on the market. Read our full Starkey review for a closer look.
- Widex: Dr. Reisman notes that Widex hearing aids are often recognized as the best solutions for musicians due to their wide frequency response range. Our Widex review has all the details.
- Oticon: Oticon offers prescription hearing aids for mild to profound hearing loss. Dr. Reisman likes the company’s BrainHearing technology, which improves speech understanding in noisy environments. Visit our Oticon review to learn more.
How Does a Hearing Aid Work?
A hearing aid amplifies sounds using three components: a microphone, an amplifier, and a speaker. Here’s how it works:
- The hearing aid’s microphone picks up sounds from the environment. Using a microchip, it converts it to a digital signal.
- The amplifier increases (or amplifies) the signal’s power and sends it to the speaker.
- Then, the speaker sends the sounds to your ear.
Here is an illustration that breaks down this process:
Types of Hearing Aids
There are three styles of hearing aids: those that sit behind the ear, in the ear, and in the ear canal.
- Behind-the-ear (BTE): BTE hearing aids have a plastic case that sits behind the ear, making them one of the more visible styles. They are larger, so they can pack in more features. This is one of the most popular styles, as it’s suitable for any level of hearing loss, from mild to profound.
- In-the-ear (ITE): ITE hearing aids sit completely in the outer ear. These devices are usually less visible behind the ear. However, ITE hearing aids are more likely to get clogged due to earwax buildup. These devices are best for mild to severe hearing loss.
- In-the-canal (ITC): ITC hearing aids are the most discreet option, as they are almost fully hidden within the ear canal. They also have smaller batteries, which means they may have a shorter battery life than other styles. ITC hearing aids are suitable for mild to moderate hearing loss.
Below is a closer look at some of the most popular hearing aid types for each style and how they sit in the ear.
Hearing Aid Costs
Hearing aids can cost anywhere from a few hundred dollars for a basic OTC model to several thousand dollars for prescription hearing aids. The price will depend on the company and model, along with where you purchase them. The hearing aids on our list range from around $300 to $7,500 per pair.
OTC hearing aids are more affordable, though they are less customizable and suitable only for mild to moderate hearing loss. Prescription hearing aids are more expensive, but they are available for all levels of hearing loss and can be fine-tuned to your individual hearing needs.
If you’re worried about the cost of hearing aids and how to pay for them, watch our video below. Audiologist Dr. Brad Ingrao discusses how you can find free or discounted hearing aids
Choosing the Right Hearing Aid for Your Needs
When choosing a hearing aid, Dr. Reisman notes, “In my opinion, it’s best to make a decision based on the device that will address most, if not all, of your hearing health goals.”
The chart below will guide you through some of the best hearing aid options that match each goal.
I want to | Best hearing aid option |
---|---|
Enhance speech understanding | Once amplified appropriately, speech understanding should improve with all hearing aids.
Best OTC option: Eargo |
Benefit from Bluetooth connectivity and an app for adjustments | Many hearing aids have Bluetooth direct audio streaming. Some also include remote adjustments through an app.
Best OTC option: Jabra Enhance |
Hear better in background noise and social settings | Almost all hearing aids will use some form of noise management or have directional microphones to help decrease background noise.
Best OTC option: MDHearing |
Hear soft voices | All hearing aids have digital processing to help enhance soft sounds. To ensure proper amplification, it’s best to do some form of formal verification with an audiologist.
Best OTC option: Eargo |
Improve tinnitus | Tinnitus and hearing loss often go hand in hand. Several hearing aids include tinnitus management features.
Best OTC option: Jabra Enhance |
Enjoy music again | Hearing aids with a sound adjust feature or intelligent sound automation combat music distortion and create an enjoyable listening experience.
Best OTC option: Eargo |
Reduce waste with rechargeable batteries | Rechargeable hearing aids provide all-day use, with some aids lasting up to 30 hours.
Best OTC option: Jabra Enhance |
Have a cosmetic appeal | CIC custom hearing aids deliver discreet hearing support.
Best OTC option: Eargo invisible CIC |
Get a great value for investment | Key features in value include affordability, warranty, and professional support.
Best OTC option: Jabra Enhance |
Receive continuous hearing loss support | All hearing aids have some form of support.
Best OTC option: Jabra Enhance |
Hearing Tests
As you begin shopping for a hearing aid, you’ll likely complete a Client Oriented Scale of Improvement (COSI). The COSI is a standardized questionnaire created by the National Acoustic Laboratories. Clinicians use the answers to document a patient’s goals and needs and measure improvements in hearing ability. You’ll rank hearing challenges like conversations in groups, hearing the phone ring from another room, and listening to the television or radio at normal volume.
If you’re purchasing a prescription hearing aid in person, the hearing evaluations are very detailed. While these tests take a bit more time than an online test and require you to visit a hearing professional in person, they ensure that you select the right hearing aid for your specific level and type of hearing loss.
A hearing professional can then use your test results to help you find the best hearing aid for you. Then, they can customize the hearing aid’s settings and fine-tune them for your unique hearing loss.
Many OTC brands include a hearing test on their website. You’ll answer a few questions (similar to the COSI questionnaire) and then plug your headphones into your computer to take the audio portion of the test. The entire process takes approximately five minutes, and your results help determine your personalized hearing needs.
Purchasing Options
OTC Hearing Aids
Purchasing OTC hearing aids online is convenient. OTC models are best for individuals with mild to moderate hearing loss. Just remember that online hearing tests are not medical tests. This means you’re waiving medical clearance and assuming the risk of undiagnosed ear disease when you purchase hearing aids online.
Want to learn more? Dr. Reisman discusses OTC hearing aids, who they’re best for, and what factors to consider when shopping in the video below.
Pros About Online Hearing Aids
- Easy-to-compare hearing aid brands, models, and costs
- Convenient shopping experience
- Pricing tends to be more economical than in-office hearing aids
- Multiple ways to contact customer support
- No in-person appointments needed
Cons About Online Hearing Aids
- No in-person assistance
- Not suitable for severe or profound hearing loss
- Lack of verification and validation measures, which can result in an improper fitting
- Serious hearing loss conditions or diseases cannot be identified online
- Earpieces are not customized; generic fits may not work well for all patients
In-Office Hearing Aids
Pros About In-Office Hearing Aids
- Traditional hearing health evaluation and testing
- Serious hearing diseases can be identified
- In-person device training and support
- Personalized service with a dedicated audiologist
- Real ear measurements for hearing aid fitting
- Insurance may provide partial coverage
Cons About In-Office Hearing Aids
- Appointment scheduling delays and multiple visits
- Higher pricing than online hearing aids
- Limited hearing aid choices and brands
- No online purchasing
Tips for Testing and Fine-Tuning Your New Hearing Aids From an Audiologist
Be patient with yourself as you learn how to use your hearing aids, as there will be an adjustment period. Here are Dr. Reisman’s top five tips for maximizing your success with your hearing aids:
Here are Dr. Reisman’s top five tips for maximizing your success with your hearing aids:
- Understand how the hearing aid functions and how to clean and maintain the device properly. This ensures that the microphones and receivers don’t get clogged.
- Evaluate whether the hearing aid meets your hearing goals. It also helps to keep a journal, noting progress toward your hearing goals.
- Wear your hearing aids consistently during all waking hours, as every moment is an opportunity for hearing and listening. If you’re not ready initially for full-time wear, build up to that goal gradually.
- Establish a hearing rehabilitation program. Ideally, this is done with a hearing health professional, but it can also be done online with programs like LACE and Amptify. Take 10 to 15 minutes each day to test your hearing without any visual cues.
- Assess your success with your hearing aids regularly, and schedule an annual hearing loss checkup.
Pro Tip: If your loved one is struggling with Alzheimer’s or another form of dementia, check out our guide to the best hearing aids for Alzheimer’s patients.
The Future of Hearing Aids: What’s Next?
Hearing aid technology is constantly evolving. So, what can we expect from hearing aids in the coming years?
- Advancements in technology and connectivity: AI technology will continue to be used to help hearing aids automatically adjust to different environments and personalize the hearing experience. We’ve also seen improvements in connectivity to devices like smartphones and TVs in recent years, especially with Aurocast technology.
- More discreet models: Hearing aids have gotten smaller over the years, as brands try to meet the needs of users. We expect this trend to continue as brands find new ways to pack more technology into smaller devices.
- More remote care and mobile apps: In the past few years, many brands have developed mobile apps for remote adjustments and follow-up care. We expect to see more mobile apps with unique features and user-friendly designs in the coming years. These apps can also leverage AI technology for a more tailored listening experience.
Did You Know? The rapid advancement of hearing aid tech could take these devices beyond the realm of hearing loss treatment and potentially aid in the advancement of virtual reality and mobile health technology.3
Frequently Asked Questions About Hearing Aids
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Does Medicare cover hearing aids?
No, Medicare doesn’t cover hearing aids. Annual hearing tests and other advanced tests will be covered only if they are medically necessary. Some Medicare Advantage Plans (Part C) offer extra benefits that Original Medicare doesn’t cover, like vision, hearing, and dental.
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How much do hearing aids cost?
Prices for hearing aids vary dramatically by provider and technology level. The approximate range per pair is $300 to $7,500.
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How do I choose the best hearing aids?
Your lifestyle, severity of hearing loss, dexterity, tech-savviness, and budget are key factors to consider. Patients can schedule a virtual consultation with audiologists like Dr. Reisman to help navigate the best hearing solution to fit their needs.
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How long do hearing aids last?
The average lifespan of a hearing aid is five to six years. However, many hearing aids last much longer with proper care, and some individuals may choose to purchase new hearing aids, even though their current ones still work, due to advances in technology.
CDC. (2024). Overall Statistics — All U.S. Industries.
American Tinnitus Association. (2022). Hearing Aids / Masking Devices.
ResearchGate. (2023). The future of hearing aid technology.