Best Hearing Aids in 2024
Our audiologists have researched 20 hearing aid companies and recommend our top picks for seniors.
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- 100-day free trial
- 3-year loss and damage coverage
- Designed for mild-to-moderate hearing loss
- Competitively-priced hearing aids
- 24/7 live customer support
- Available to purchase individually or as a pair
- Solutions for mild to profound hearing loss
- Rich sound quality
- Industry-leading technology
- Discreet hearing aids
- Purchase online
- Lifetime remote support
- Options for all levels of hearing loss
- State-of-the-art devices and features
- Custom hearing aids
- Subscription package available
- Unlimited real-time support
- 45-day risk-free trial
- Large variety of devices
- Affordable OTC hearing aids
- Lifetime support over the phone
- Options for all levels of hearing loss
- Tinnitus therapy
- Innovative hearing aids
- Options for mild to profound hearing loss
- Health and wellness features
- Advanced AI technology
- Options for mild to severe hearing loss
- Personalization with AI technology
- Wide variety of models
- Options for all levels of hearing loss
- Personalized listening experience
- BrainHearing technology
Contents
Although many hearing aids look similar, they each have unique features to fit different needs and goals. Knowing the differences is critical when making the right decision in amplifying hearing loss and improving the user’s quality of life. Our team of experts, including audiologists and senior tech authorities, have tested and reviewed the industry’s best hearing aids to help you understand how to find the hearing aid that’s right for you.
There are two different types of hearing aids: over-the-counter (OTC) hearing aids and medical-grade 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 needs and level of hearing loss. We’ll cover the differences and our top picks for both types of hearing aids below. As you explore hearing aid options, take time to consider how the hearing aid can improve your hearing health and how to choose the right device for your needs.
Our Methodology: How We Research and Review the Best Hearing Aids
Unboxing and testing out Eargo’s devices
SeniorLiving.org’s research team conducted over 100 hours of hands-on testing and research. During our research, we tried out the hearing aids for ourselves, read customer reviews, spoke with customer support and real hearing aid users, and evaluated criteria including price, value design, technology, and add-on features. Throughout the entire process, we consulted with audiologist 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 the list below.
Read on for an in-depth look at the hearing aids that came out on top and what they have to offer!
Best Hearing Aids of 2024
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Jabra Enhance - Best bang for your buck -
MDHearing - Most affordable -
Phonak - Best for severe-to-profound hearing loss -
Eargo - Most discreet -
ReSound - Best rechargeable device and telehealth support -
Lexie - Easiest selection -
Otofonix - Most variety -
Signia - Best for tinnitus and most innovative styles -
Starkey - Best for those who want medical alert features -
Widex - Best for musicians -
Oticon - Best integration with smart devices and feedback management
Comparing the Best Hearing Aids
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Jabra Enhance
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MDHearing
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Phonak
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Eargo
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ReSound
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Lexie
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Otofonix
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Signia
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Starkey
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Widex
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Oticon
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|---|---|---|---|---|---|---|---|---|---|---|---|
| Rating | 4.8 | 4.7 | 4.4 | 4.3 | 4.4 | 4.3 | 4.3 | 4.6 | 4.4 | 4.4 | 4.4 |
| Hearing loss | Mild to Moderate | Mild to Moderate | Mild to Profound | Mild to Moderate | Mild to Profound | Mild to Moderate | Mild to Moderate | Mild to Profound | Mild to Profound | Mild to Severe | Mild to Profound |
| Price | $995 to $1,995 per pair | $297 to $699.98 per pair | $1000 to $3500 per device | $799 to $2,950 per pair | $1000 to $3500 per device | $799 per pair | $248 per device to $1590 per pair | $1000 to $3500 per device | $1000 to $4000 per device | $1000 to $3500 per device | $1000 to $3500 per device |
| Purchasing options | Online | Online | In-office, insurance | Online | In-office, insurance | Online | Online | In-office, insurance | In-office, insurance | In-office, insurance | In-office, insurance |
| Financing | Yes | Yes | By office | Yes | By office | Yes | Yes | By office | By office | By office | By office |
| STD warranty | 1 year | 1 year | 1 year | 1 year | 1 year | 1 year | 1 year | 1 year | 1 year | 1 year | 1 year |
| Max warranty | 3 years | 2 years | 3 years | 2 years | 3 years | 1 year | 1 year | 3 years | 3 years | 3 years | 3 years |
| Return option | 100 Days | 45 Days | 45-90 Days | 45 Days | 45-90 Days | 45 Days | 45 Days | 45-90 Days | 45-90 Days | 45-90 Days | 45-90 Days |
| Rechargeable | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes |
| Zinc air batteries | Yes | Yes | Yes | No | Yes | Yes | Yes | Yes | Yes | Yes | Yes |
| Self test | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes |
| Remote support | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes |
| TV streamer | Yes | No | Yes | No | Yes | No | No | Yes | Yes | Yes | Yes |
| iOS app | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes |
| Android app | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes |
| Tinnitus features | Yes | No | Yes | No | Yes | No | No | Yes | Yes | Yes | Yes |
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1. Jabra Enhance - Best bang for your buck
What we like most
- 100-day free trial
- 3-year loss and damage coverage
- Designed for mild-to-moderate hearing loss
Jabra EnhancePrice: $995 to $1,995 per pair
Best for: Mild-to-moderate hearing loss
Purchasing options: Online
Jabra Enhance Select 200 Hearing Aids
Overview
When it comes to online hearing aids, Jabra Enhance, formerly known as Lively, offers the most bang for your buck, thanks to its many features and stellar support. Customers receive the latest technology, models for multiple lifestyles and budgets, an industry-leading 100-day free trial, and on-the-go adjustments from the Jabra Enhance Select mobile app with premium packages. The provider lends a long-term helping hand with three years of loss and damage coverage and virtual follow-up care with the purchase of a premium package, so you can make the most of your purchase.
Jabra Enhance’s financing options and free shipping help minimize out-of-pocket costs, especially for those living on a restricted income. All of these features come at reasonable prices, ranging from $995 to $1,995 per pair, when compared to leading providers that require in-person purchases and follow-up care. Jabra recently rebranded to Jabra Enhance and still offers all the same great features and devices.
Savings Tip: Enjoy free standard shipping on orders over $99.99 at Jabra Enhance.
Jabra Enhance’s hearing aid line, available for online purchase, features the only fully virtual hearing aid with assistive listening devices. Consumers can make the most out of their hearing aid experience by pairing with Jabra Enhance’s high-tech wireless accessories. Jabra Enhance’s TV streamer turns hearing aids into headphones, providing clear sound from up to 22 feet away. Their discreet, wearable MultiMic makes listening in loud settings a breeze by streaming voices to the hearing aids from up to 82 feet away. These add-on options seamlessly supercharge basic hearing aid capabilities. Head to our Jabra Enhance hearing aids review to see how these online hearing aids stack up against the competition.
Pros About Jabra Enhance
- A+ rating from the Better Business Bureau
- 100-day risk-free trial
- Tinnitus therapy software
- Mobile app to control and customize settings
- Bluetooth connectivity for streaming music or phone calls
- Remote adjustments
- Three years of follow-up care with Jabra Enhance’s audiology team with premium packages
- Up to three-year loss and damage protection
- Free shipping and returns
- Financing available for 12, 18, or 36 months
- 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 behind-the-ear (BTE) models available
- Direct streaming is not available with some Android phone models
- Basic packages do not include follow-up care or programming customization
- Jabra Enhance Plus is currently not compatible with Android
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2. MDHearing - Most affordable
What we like most
- Competitively-priced hearing aids
- 24/7 live customer support
- Available to purchase individually or as a pair
MDHearingPrice: $297 to $699.98 per pair
Best for: Mild-to-moderate hearing loss
Purchasing options: Online
Testing out the Neo XS from MDHearing
Overview
MDHearing offers the most affordable hearing aids on our list, starting at just $297 per pair, after sales and discounts. There’s no need to worry about struggling with hearing aids that come with a steep learning curve. MDHearing recognizes consumers have different comfort levels in hearing aid technology.
MDHearing models can be purchased online and include a rechargeable water-resistant model with advanced features, a tech-heavy smart model with cutting-edge sound mapping, and two discreet in-the-ear models. MDHearing’s user-friendly designs eliminate the complication of pairing technology and pricing with product-specific features.
Providing direct-to-consumer hearing aids for over a decade, this U.S.-based company doesn’t skimp on customer service and support. Individuals can connect with MDHearing’s in-house audiologists via email for customized recommendations based on their online hearing test results. MDHearing’s 24/7 lifetime support by phone or email assists customers throughout their hearing aid experience.
For an in-depth look at the five MDHearing models and what sets them apart from the rest, head over to our MDHearing review. Plus, MDHearing often runs deals throughout the year. Check out their website for the latest savings.
Current Deal: For a limited time, MDHearing’s devices are up to $1,200 off — this includes the most recently released model, the NEO XS!
Pros About MDHearing
- Options for most budgets and technology levels
- Self-adjustable via mobile app
- U.S.-based customer support
- 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 ideal for severe-to-profound hearing loss
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3. Phonak - Best for severe-to-profound hearing loss
What we like most
- Solutions for mild to profound hearing loss
- Rich sound quality
- Industry-leading technology
PhonakPrice: $1,600 to $3,500 per device
Best for: Mild-to-profound hearing loss
Purchasing options: In-office, insurance
Phonak – BTE hearing aids.
Overview
Delivering hearing solutions for over 70 years, Phonak is available in over 100 countries at local hearing clinics. While many hearing aid companies focus on mild-to-moderate hearing loss, Phonak doesn’t disappoint.
Phonak’s groundbreaking hearing aids for severe-to-profound hearing loss come out on top. These hearing aid powerhouses are both durable and reliable. Another standout feature is Phonak’s integrated microphone. Phonak offers one of the only Bluetooth-streaming hearing aids with an integrated mic for completely hands-free phone calls. Phonak’s prices may put a dent in your wallet, but if you have room in your hearing aid budget, this brand is certainly worth considering. Visit our Phonak hearing aid review to learn more.
Pros About Phonak
- Best in class for severe-to-profound hearing loss
- Speech enhancer boosts soft-level speech
- Dynamic noise cancelation
- Motion sensor and built-in microphone for hands-free calling
- Long-lasting battery with quick charge
- Rich sound quality
- Remote support
- Available in many colors
- 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 through a local provider only
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4. Eargo - Most discreet
What we like most
- Discreet hearing aids
- Purchase online
- Lifetime remote support
EargoPrice: $799 to $2,950 per pair
Best for: Mild-to-moderate hearing loss
Purchasing options: Online
Eargo 7 in the charging case
Overview
While most online hearing aid options are limited to BTE styles, Eargo provides shoppers with a more discreet, completely-in-canal (CIC) device. Compared to the BTE’s noticeable hard plastic case fitted behind the wearer’s ear, CIC devices fit inside the ear and are nearly invisible to others. These in-ear hearing aids are small and slender and deliver high cosmetic appeal.
Big Savings: Eargo’s newest offering, LINK, is the first earbud-style OTC hearing aid with Bluetooth 5.3 capability!
The Eargo 7 features the company’s most advanced noise reduction and a self-fitting feature for a personalized listening experience. Our team recently tested the Eargo 7 and found that while the devices are very discreet, they may not be suitable for small ear shapes. This is something to keep in mind as you shop, especially if you have small ears. However, Eargo offers a 45-day trial period, so you can see if these devices are right for you.
Eargo also recently launched the LINK, an earbud-style hearing aid for those who want something different than traditional hearing aid styles. We appreciate this variety in the hearing aid lineup!
Eargo’s hearing aid line is a great solution for first-time users who are comfortable with technology. These rechargeable hearing aids eliminate the hassle of changing batteries. In our full Eargo review, we test-drove Eargo’s smartphone app, interface, and customer support.
Pros About Eargo
- Three CIC hearing aid models
- 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+ audiologists and hearing professionals
- Excellent for first-time users
- Mimics natural hearing
- Frequent promotions to help you save
Cons About Eargo
- Must purchase in pairs
- Not designed for those with severe-to-profound hearing loss
- Must have a smartphone to use
- May not fit everyone due to ear canal shape and anatomy*
*I highly recommend a medical evaluation before fully inserting CIC devices into the ear.
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.
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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
ReSoundPrice: $1,000 to $3,500 per device
Best for: Mild-to-profound hearing loss
Purchasing options: In-office, insurance
ReSound Linx Quattro
Overview
ReSound is an industry leader with nearly 80 years in business and a trailblazer in rechargeable hearing aids. ReSound’s rechargeable models eliminate the need to replace batteries. Packed with power, the new ReSound ONE BTE style delivers best-in-class rechargeability, with more than a full day of use (up to 30 hours on just one charge). Simply charge your hearing aids each night, and you’ll have full power each day. ReSound is also the only hearing aid manufacturer with a three-microphone system (available on select models). This helps restore natural hearing by using the outer ear.
ReSound’s customer service, including telehealth support, is noteworthy. Through their ReSound Assist Live app, users can receive face-to-face care through their phone. Your hearing care professional can make real-time hearing aid adjustments and fine-tune while you remain in the comfort and safety of your home. To purchase a pair of ReSound hearing aids, visit your local hearing care professional.
Visit our full ReSound hearing aid review to see if this provider is the right fit for you and your hearing health needs. If you’re on the fence between Widex and ReSound, our Widex vs. ReSound comparison is a must-read!
Pros About ReSound
- State-of-the-art devices, accessories, and smartphone apps
- Remote care via Assist Live app
- Video tutorials and phone and online support
- Tinnitus relief app
- Custom hearing aids
- Wide variety of colors
- 360-degree surround sound
- Three-microphone system to restore natural hearing
- Hands-free calls; no external microphone required
Cons About ReSound
- Telehealth sessions may be challenging for non-tech-savvy users
- Not available for online purchase
- Pricing not listed on the website
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6. Lexie - Easiest selection
What we like most
- Subscription package available
- Unlimited real-time support
- 45-day risk-free trial
LexiePrice: $799 to $999 per pair
Best for: Mild-to-moderate hearing loss
Purchasing options: Online
Everything included in the Lexie B2 Hearing Aid box.
Overview
With a 45-day risk-free trial, Lexie Hearing makes it easy to shop, select, and purchase a pair of self-fitting, affordable hearing aids online. The company offers two receiver-in-canal hearing aids powered by Bose and one behind-the-ear option. Lexie’s affordable devices can be purchased with a one-time payment or monthly subscription.
Lexie’s monthly subscription option delivers valuable benefits like extra hearing aid accessories, batteries, and a protection plan for breakage and loss. Users can save up to 5 percent in rewards points through the free Lexie Rewards program. Visit our Lexie review to learn more about ordering hearing aids online and have them sent directly to you.
Current Deal: Receive a free care kit or save $100 on select orders at Lexie for a limited time!
Pros About Lexie
- Two receiver-in-canal and one behind-the-ear option
- Replaceable and rechargeable battery options
- Free shipping
- Flexible payment options
- Lexie app with remote adjustments
- Unlimited real-time video or voice support from a hearing expert
- Lexie Rewards program perks
- Dual microphones with directional hearing and digital noise management
- Five-day battery life
- Can order hearing aids online
- 45-day risk-free trial
Cons About Lexie
- Must have a smartphone or tablet to use the Lexie hearing aids
- No ITE models
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7. Otofonix - Most variety
What we like most
- Large variety of devices
- Affordable OTC hearing aids
- Lifetime support over the phone
OtofonixPrice: $248 per device to $1,590 per pair
Best for: Mild-to-moderate hearing loss
Purchasing options: Online
Otofonix hearing aids
Overview
Otofonix offers a wide range of hearing aid models to choose from, and they offer the most variety for an OTC provider. Plus, Otofonix hearing aid wearers don’t have to sacrifice technology for cost. These affordable hearing aids have a solid build with adaptive noise technology. The lifetime free phone support ensures help is just a phone call away. Check out our latest Otofonix review for all the details on this provider.
Did You Know? Otofonix has partnered with TRS Care to offer a Hearing Aid Donation Program that helps those who can’t afford hearing aids.
More than 1 in 4 seniors forgo hearing aids because of cost, so if you’re on a tight budget, Otofonix’s competitive pricing should be on your radar. This U.S.-based company delivers some of the most affordable hearing aids on the market. Otofonix makes it easy to order hearing aids online (single or pair), and pricing is transparent. Even better, Otofonix regularly offers promotions for even more savings.
Helix from Otofonix
Pros About Otofonix
- Affordable price point
- Directional microphones
- Adaptive noise reduction technology
- Lifetime free phone support
- Free two-day shipping
- Comes with multiple preconfigured programs and volume levels
- U.S.-based company
- Partners with TRS Care to offer free hearing aids
Cons About Otofonix
- Hearing aids do not accommodate severe hearing loss
- Only BTE models available
- Limited to beige color options
- Customer service available during business hours only
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8. Signia - Best for tinnitus and most innovative styles
What we like most
- Options for all levels of hearing loss
- Tinnitus therapy
- Innovative hearing aids
SigniaPrice: $1,000 to $3,500 per device
Best for: Mild-to-profound hearing loss
Purchasing options: In-office, insurance
Trying out Signia’s Silk hearing aids
Overview
According to the American Tinnitus Association, most patients develop tinnitus as a symptom of hearing loss, caused either by age, long-term hearing damage, or acute trauma to the auditory system.1 Signia understands the challenges of living with tinnitus, offering a large selection of hearing aids that can be purchased in-office with integrated therapies for tonal and non-tonal tinnitus. Relief solutions include static noise, ocean waves, and Notch therapy.
Inside Tip: Check out our guide to the best hearing aids for tinnitus for a comprehensive look at hearing aid functions, features, and pricing.
Signia’s hearing aids lead the pack in innovation. Their products cover the full range of hearing loss and offer an outstanding selection of wireless accessories. Signia delivers an innovative spin on the traditional hearing aid with their slim Styletto BTE model and the Active in-ear style that resembles an earbud. For more details on Signia’s fit, durability, and price point, head over to our Signia hearing aid review.
Wearing Signia Styletto hearing aids
Pros About Signia
- Integrated tinnitus therapy
- Wide range of models and styles
- Made with innovative technology
- Customize sound and speech comprehension with Signia Assistant app
- Connect with hearing care team in-office and over text, via phone, or via video appointment
- Wireless accessories
Cons About Signia
- Higher cost compared to other hearing aid brands
- Advanced features and tools rely heavily on website and app, which may not be ideal for those who are not tech-savvy
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9. Starkey - Best for those who want medical alert features
What we like most
- Options for mild to profound hearing loss
- Health and wellness features
- Advanced AI technology
StarkeyPrice: $1,000 to $4,000 per device
Best for: Mild-to-profound hearing loss
Purchasing options: In-office, insurance
Testing out Starkey hearing aids
Overview
American-owned hearing aid manufacturer Starkey has been in business since 1967 and can be found in over 100 markets worldwide. Hearing loss is one of several factors causing falls, and even a mild degree of hearing loss triples the risk of an accidental Starkey is truly a hearing aid pioneer, offering features in line with top medical alert systems. They’re the only manufacturer that integrates fall detection, artificial intelligence, and machine learning into their hearing aids. Plus, Starkey’s hearing aid lineup offers multiple styles of hearing aids, ranging from BTE to CIC. Their latest model, the Signature Series hearing aids, are virtually invisible and employ advanced technology for exceptional sound.
These cutting-edge hearing aids detect when a wearer falls and can immediately alert designated family members or caregivers. Learn more about this unique fall detection feature in our Starkey hearing aid review. Health and wellness play a major role in all Starkey products. Their Thrive Hearing app allows users to schedule alerts for taking medications, track daily steps, and measure movements. These hearing aids must be purchased in person from a hearing care professional.
Dr. Ruth Reisman wearing Starkey hearing aids
Pros About Starkey
- Fall detection and alerts
- Reminders through hearing aids
- TeleHear remote adjustments
- 30-day money-back guarantee
- Smartphone connectivity and wireless streaming
- Engagement and activity tracking
- Advanced AI technology
- U.S.-based company
- Built-in health and wellness features
Cons About Starkey
- Available only at hearing clinics that sell Starkey hearing aids
- Provider costs may vary
- One of the most expensive options on the market
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10. Widex - Best for musicians
What we like most
- Options for mild to severe hearing loss
- Personalization with AI technology
- Wide variety of models
WidexPrice: $1,000 to $3,500 per device
Best for: Mild-to-severe hearing loss
Purchasing options: In-office, insurance
Widex hearing aids
Overview
Widex’s hearing aid line is well known in the hearing health industry, as they have been making hearing aids since 1956. The company’s reputation and product quality are superior. Widex hearing aids are built with a wide frequency response range and musicians in mind, making them our go-to pick for music enthusiasts. And the benefits of music are remarkable: A recent study shows intervention with music improves cognitive function and quality of life in people living with
With amplification up to 20kHz and additional pitch and timbre cues, wearers will enjoy a crisper, fuller sound. These sophisticated hearing aids provide a true-to-life listening experience without distortion. If you’re curious about where Widex’s pricing falls, visit our Widex pricing guide. Widex devices can be purchased in the office only.
Widex Moment (BTE)
Pros About Widex
- PureSound ZeroDelay technology
- Direct iOS and Android streaming
- No-obligation hearing aid trial
- Zen smartphone app for tinnitus
- AI-powered personalization
- Various models and colors
- Rapid charging with built-in fuel cell technology
- Remote care
- Over 20,000 retail stores nationwide
Cons About Widex
- Uses Remote Link, a dedicated programming interface for remote care (which must be obtained from your provider)
- Must purchase through an in-person visit with a hearing clinic
- Support team available during business hours only
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11. Oticon - Best integration with smart devices and feedback management
What we like most
- Options for all levels of hearing loss
- Personalized listening experience
- BrainHearing technology
OticonPrice: $1,000 to $3,500 per device
Best for: Mild-to-profound hearing loss
Purchasing options: In-office, insurance
Testing out Oticon hearing aids
Overview
In business since 1904, Oticon is one of the oldest hearing aid providers in the industry. From IIC to BTE models, Oticon’s product lineup delivers a full range of hearing aid options for all levels of hearing loss, available for in-office purchase.
As the only manufacturer that connects to the If This Then That (IFTTT) network, Oticon’s integration with smart devices is unmatched. The IFTTT network allows for wireless connections to multiple internet-based devices, like Wi-Fi doorbells, home security systems, and smoke detectors. This enables crucial environmental alerts that may be missed by the hearing impaired.
Bonus points go to Oticon for their unique BrainHearing technology and ability to eliminate bothersome hearing aid feedback, such as whistling and squealing. In fact, Oticon earned high marks and praise in our latest review of Oticon hearing aids.
Pros About Oticon
- Connects to the internet via the IFTTT network
- Stream sound from TVs and other wireless devices
- Personalized listening experience via Oticon ON app
- Track hearing aid usage and sound with HearingFitness option
- Tinnitus Sound Support feature
- BrainHearing technology
- 360-degree soundscape
- Made for iPhone direct streaming
- Several styles and colors to choose from
Cons About Oticon
- Must purchase at a designated Oticon hearing clinic
- Higher cost than other options
- Android users need an intermediary device for Bluetooth
Choosing the Right Hearing Aid for Your Needs
Our editor’s grandma is wearing her BTE hearing aids; you can barely see them!
With so many fantastic hearing aid options, it can feel overwhelming to make a final choice. 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.
Let’s take a look at the most common needs for those with hearing loss. Harvard Health recommends considering the nature of your hearing loss, its cause, and its The chart below will guide you through some of the best hearing aid options that match each goal in the chart below.
| I want to | Best hearing aid option |
|---|---|
| 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 Best in-office option: Oticon |
| Enhance speech understanding |
Once amplified appropriately, speech understanding should improve with all hearing aids. If it does not, the hearing loss may be more central than neural (this will not improve with traditional hearing aids). Best OTC option: Eargo Best in-office option: Phonak |
| Hear soft voices |
All hearing aids now have digital processing to help enhance soft sounds. To ensure proper amplification, it’s best to do some form of formal verification, like real ear measures or sound field testing from an audiologist. Best OTC option: Otofonix Best in-office option: Phonak |
| Improve tinnitus |
Tinnitus and hearing loss often go hand in hand. Several hearing aids include tinnitus management software or tinnitus noise therapy signals. Best OTC option: Jabra Enhance Best in-office options: Widex and Signia |
| 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 Best in-office option: Widex |
| Reduce waste with rechargeable batteries |
Constantly replacing hearing aid batteries can be costly. Rechargeable hearing aids provide all-day use, with some aids lasting up to 30 hours. Best OTC option: Jabra Enhance Best in-office option: ReSound |
| Have a cosmetic appeal |
CIC custom hearing aids deliver discreet hearing support. Best OTC option: Eargo invisible CIC Best in-office option: Starkey CIC |
| Get a great value for investment |
Key features in value for hearing aids include affordability, ease of selection, warranty, and professional support. Best OTC option: Lexie Best in-office option: Phonak |
| Receive continuous hearing loss support |
All hearing aid manufacturers have some form of support. These manufacturers provide the best ongoing in-office and online support: Best OTC option: Jabra Enhance Best in-office option: Signia |
| Benefit from Bluetooth connectivity and an app for adjustments |
All receiver-in-the-ear (RITE) options and many in-the-ear devices (except Eargo) have Bluetooth direct audio streaming. A number of hearing aids also include a remote adjustment feature connecting users with their audiologist through a smartphone app. Best OTC option: Otofonix Best in-office option: ReSound |
Want more help choosing hearing aids? Watch the video below with audiologist Brad Ingrao for more tips.
Hearing Tests
As you begin shopping for a hearing aid, you’ll most likely complete a Client Oriented Scale of Improvement (COSI). The COSI is a standardized questionnaire created by the National Acoustic Laboratories for the hearing impaired. 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 from an online hearing aid retailer, many companies 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
Without a doubt, purchasing OTC hearing aids online is convenient. With a few keystrokes, online shoppers can explore hearing aid brands, benefits, and pricing — all from the comfort of their homes. And there’s no hassle in scheduling (and going to) doctor’s appointments.
However, purchasing hearing aids online isn’t for everyone. These OTC models are best for individuals with mild-to-moderate hearing loss. And it’s important to keep in mind 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.
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
- No pre-purchase hearing health examination
- Not suitable for severe or profound hearing loss
- Lack of verification and validation measures, which can result in an improper fitting
- Problems with self-tuning
- Serious hearing loss conditions or diseases cannot be identified online
- Website research and navigation not ideal for tech-challenged seniors
- Ear pieces are not customized; generic fits may not work well for all patients
In-Office Hearing Aids
Purchasing medical-grade hearing aids from an in-office professional delivers a higher level of personalized medical care and hearing health support. This is especially critical for individuals who have severe-to-profound hearing loss, those who are not tech-savvy, and children.
As mentioned previously, most online hearing aid company websites include a hearing test. While it helps identify hearing loss levels, it’s not a medically administered test. Visiting an audiologist in the office ensures you receive an accurate evaluation. This includes hearing tests like the tympanometry test (to check how your eardrum moves), acoustic reflex measures (to test how well your ears respond to loud sounds), and the pure-tone test (to test how you react to the pitch and loudness of tones).
If the audiologist decides you need a hearing aid, you’ll receive a proper fitting and any undiagnosed ear conditions will be detected. However, an in-person hearing aid purchase usually comes with a heftier price tag and quite a few appointments with an audiologist.
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
Testing and Fine-Tuning Your New Hearing Aids
Once you’ve chosen your hearing aids, an essential step in the hearing rehabilitation process is getting comfortable with them. Think of your hearing aids like a brand-new car with all the bells and whistles. It takes time to get used to a new car’s features and find that sweet spot for your rearview and side mirrors. Hearing aids are no different! Be patient with yourself as you learn how to use the hearing aid interface, adjust the volume settings, put the aids in, and take them out.
Here are my 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 and are providing stable, consistent amplification.
- Evaluate whether the hearing aid meets your hearing goals. Consider how much amplification is being provided relative to your hearing loss. 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. If you’re a fan of audiobooks, they’re a great way to test your speech comprehension. Take 10 to 15 minutes each day to test your hearing without any visual cues.
- Assess your success with your hearing aids regularly. Be sure to schedule an annual hearing loss checkup, just like you do with your other health practitioners.
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 $8,000.
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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.
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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.
American Tinnitus Association. (2022). Hearing Aids / Masking Devices.
