10 Best Hearing Aids in November 2023 According to Our Experts
After testing hearing aids, surveying users, and talking to audiologists, our expert reviews team hand picked the top 10.
This content is researched and written based on extensive testing by an external reviews team and does not reflect the views or opinions of Everyday Health’s editorial team. Everyday Health may earn a commission from purchases of products featured in this article.
BEST OVERALL OTC
Jabra Enhance
- Free onboarding call with hearing specialist
- Longest trial period and warranty of any online hearing aid
- Starting at $799
BEST PRICE
Audien
- Least expensive model on our list
- Rechargeable, no-frills FDA-registered hearing aid
- Starting at $189
MOST DISCREET
Eargo
- Small, nearly invisible device
- Lifetime customer support
- Starting at $1,850
The 10 Best Hearing Aids on the Market Today
Best Over-the-Counter (OTC) Hearing Aids
- Best Overall OTC: Jabra Enhance
- Best Price: Audien
- Most Discreet: Eargo
- Best Customer Service: Lexie
- Best Features on a Budget: MDHearing
Best Prescription Hearing Aids
- Best Sound Technology: Oticon Own
- Best for Seniors: Starkey Genesis AI
- Best for Profound Hearing Loss: Phonak Naída Paradise P-UP
- Best Tinnitus Masking: Widex Moment
Hearing aids are worn on or in the ear to amplify and clarify sounds, and help enhance quality of life to those with hearing loss. These medical-grade devices used to require a prescription, but you can now buy hearing aids for mild to moderate hearing loss through a variety of retailers, without consulting a hearing specialist.
This new ability to buy hearing aids over-the-counter (OTC) means you may not have an audiology team to guide your decision. That’s where we come in. Our reviews team talked to audiologists to understand the most important features to look for and tested popular models before selecting the 10 best hearing aids on the market today.
Jabra Enhance earned the top spot among OTC options, but other hearing aids may work better for you based on your level of hearing loss, style preference, and more. We’ll walk you through the most important things to know before choosing a hearing aid and help you understand your options.
Why You Can Trust Our Best Hearing Aid Reviews
Our experts spent more than 2,000 hours researching more than 30 hearing aids and reading hundreds of product reviews. We only focused on hearing aids that meet the strict criteria set by the FDA. We consulted audiologists for their expert opinions on the devices and considered customer experiences and company reputations as well.
In 2022, we surveyed 600 people who use hearing aids to learn which features they prioritize and common challenges they have faced when buying, using, or maintaining their hearing aids. In 2023, we tested 18 hearing aid models for durability, battery life, ease of use, and sound quality.
Based on our research and hands-on testing experience, we awarded each company a score on a scale of 1 to 5. We considered a variety of qualities and features when making our decisions, and we think these are helpful examples of questions to ask when shopping for a hearing aid.
- Are the hearing aids available online?
- Do you have access to an audiologist?
- Does the product have positive customer reviews?
- Is the cost comparable to competitors’ prices?
- Does the company offer a product or money-back guarantee?
- Do you have access to a hearing test in person or online?
- Does the company offer financing options?
- How easy are the hearing devices to use?
This story has also been fact-checked and reviewed by a medical professional to ensure accuracy.
How Our Experts Research and Review Hearing Aids
Our reviews team is dedicated to recommending hearing devices we believe will be beneficial to our readers. To accomplish this goal, we reviewed the available peer-reviewed research on effective hearing aids and sought out the opinions of audiologists and geriatricians alike to help us understand what people with hearing loss are looking for.
We also looked at the wide range of hearing aid models and brands that are currently available, as well as analyzing thousands of customer reviews on third-party sites, like Trustpilot and Better Business Bureau (BBB). In making our decisions, we looked for hearing aids that were readily accessible, affordable, and effective for people with different types and levels of hearing loss.
Compare the Best Hearing Aids of 2023
Jabra Enhance
Best Overall OTC
1. Jabra Enhance
Cost per Pair $799 to $1,995
Availability OTC and Rx
Hearing Aid Type Receiver-in-canal, in-the-ear, completely-in-canal, in-the-canal
Battery Disposable or rechargeable
Bluetooth Streaming Yes
How to Adjust App or buttons on hearing aid
Trial Period 45 days (Jabra Enhance Plus) or 100 days (Enhance Select 50, 100, and 200)
Warranty Length One year (Jabra Enhance Plus or basic package for Enhance Select models) or three years (premium package for Enhance Select models)
Financing Available Yes
Pros
- Long trial period and warranty
- Long battery life (up to 30–35 hours per charge)
- Portable charging case holds up to three full charges
- Convenient online buying process and customer support
- Free onboarding call with hearing specialist
- Up to five color choices
Cons
- Limited styles
- Suitable for mild to moderate hearing loss only
- Not suitable for one-sided hearing loss
- Bluetooth works with newer iPhones only
- Users must be somewhat tech-savvy to use app for adjustments and customer support
Jabra Enhance customers also get a lengthy warranty (up to three years with the premium package) and free trial period (100 days), both of which are the longest on this list.
Why Jabra Enhance Stands Out
According to a survey our reviews team conducted in 2022, people prioritize the
Compare Jabra Enhance Models
Check the table below for other key differences among the Jabra Enhance models.
Best Price
2. Audien
Cost per Pair $99 to $249
Availability OTC
Hearing Aid Type In-the-canal
Battery Rechargeable, lasts 20 to 24 hours
Bluetooth Streaming No
How to Adjust Adjustment screw on hearing aid
Trial Period 45 days
Warranty Length One year
Financing Available No
Pros
- Ultra-affordable hearing aids
- Relatively long battery life
Cons
- Not water resistant
- One style and color only
- Simple technology
- Inconvenient adjustments
Bare-Bones Technology
Audien keeps costs low by offering simple technology and basic customer support. You won’t find telecoils, sound limiters, Bluetooth streaming, or self-fitting technology in either Audien hearing aid. And unlike some other hearing aid brands, Audien doesn’t offer
Best for a Discreet Look
3. Eargo
Cost per Pair $1,650 to $2,950
Availability OTC
Hearing Aid Type Completely-in-canal
Battery Rechargeable, with up to 16 hours on one charge
Bluetooth Streaming No
How to Adjust App or tapping on ear
Trial Period 45 days
Warranty Length One year (Eargo 5 and Eargo 6) or two years (Eargo 7)
Financing Available Yes
Pros
- Self-fitting
- Easy to clean
- Open or closed silicone petal domes
- Free sample kit available
- Free lifetime support from audiology team
Cons
- No Bluetooth streaming
- Only one style
Eargo sells some of the only completely-in-canal hearing aids that don’t require a prescription, but that means they’re intended only for people with mild to moderate hearing loss. For discreet hearing aids suitable for mild to profound hearing loss, consider models from Widex, Oticon
Best Customer Service
4. Lexie by Bose
Cost per Pair $799 to $999
Availability OTC and Rx
Hearing Aid Type Behind-the-ear, receiver-in-canal
Battery Disposable or rechargeable, with up to 18-hour battery life
Bluetooth Streaming No
How to Adjust App or buttons on hearing aid
Trial Period 45 days
Warranty Length One year
Financing Available No (but a subscription plan is available)
Pros
- Self-fitting options
- Telecoil option
- Lifetime support from remote audiology team
- Lightweight and comfortable
- Up to five colors, depending on model
Cons
- Limited styles
- No Bluetooth streaming
- Not water resistant
Lexie offers free audiology support for the lifetime of the hearing aid, which exceeds the three-year limit set by Jabra Enhance. The remote audiology staff at Lexie has proven to be knowledgeable through repeated interactions with our reviews team.
All three Lexie hearing aids
Compare Lexie Models
Lexie offers three models with unique pricing and features. The table below outlines each one.
Lexie Subscription Plan
While Lexie doesn’t provide traditional financing, the company does offer a subscription program that lowers the upfront cost and allows you to make monthly payments for up to 24 months. Here’s a breakdown of subscription costs by model:
Best Features on a Budget
5. MDHearing
Cost per Pair $299 to $699
Availability OTC
Hearing Aid Type Behind-the-ear, in-the-ear
Battery Rechargeable
Bluetooth Streaming Yes
How to Adjust App or buttons on hearing aid
Trial Period 45 days
Warranty Length One- or two-year warranties available
Financing Available Yes
Pros
- All models less than $700 per pair
- Variety of technology available across four models
- Free extended warranty, depending on model
Cons
- One color only
- Limited styles
- Slow Bluetooth connections
- Only one model connects to an app
MDHearing Features and Costs
MDHearing sells four hearing aids: Air, Neo, Volt, and Volt Max.
The Air, which is the entry-level model, comes with a rechargeable battery, four audio settings, and feedback cancellation to help eliminate the whistling sound common with older hearing aids
Compare MDHearing Models
Best Bluetooth
6. Audicus Omni 2
Cost per Pair $2,798 to $2,998
Availability OTC
Hearing Aid Type Receiver-in-canal
Battery Disposable and rechargeable
Bluetooth Streaming Yes
How to Adjust App, remote control, or buttons on hearing aid
Trial Period 45 days
Warranty Length Two years
Financing Available Yes, in addition to membership discount program
Pros
- Up to four colors, depending on model
- App control in all models
- Remote adjustment from audiology team, depending on model
- Optional accessories like portable microphone and remote control
- Connects to two Bluetooth devices at the same time
Cons
- Small number of in-person clinics
- Must purchase the more expensive Omni 2 model for membership benefits
Bluetooth streaming technology is a sought-after feature in hearing aids. Respondents to our survey chose Bluetooth connectivity as the seventh-most important feature in a hearing aid, behind sound quality features like noise reduction, feedback suppression, directional microphones
Best Sound Technology
7. Oticon Own
Cost per Pair $3,000 to $7,500
Availability Rx
Hearing Aid Type In-the-ear, in-the-canal, invisible-in-canal, completely-in-canal
Battery Disposable
Bluetooth Streaming Yes
How to Adjust App or buttons on hearing aid
Trial Period Depends on retailer
Warranty Length Depends on retailer
Financing Available Depends on retailer
Pros
- Tinnitus masking features
- Provides up to 30 percent more sound input to the brain
- Suitable for mild to severe hearing loss
- Available in multiple styles and colors
Cons
- Potentially cost prohibitive
- Available through prescription only
Tech-savvy users looking for cutting-edge technology may like the Own line from prescription hearing aid manufacturer Oticon.
DNN is a machine-learning algorithm that uses 12 million real-life sounds to train the hearing aids. Through trial and error, the DNN learns how to analyze
Best for Seniors
8. Starkey Genesis AI
Cost per Pair $2,365 to $5,945
Availability Rx
Hearing Aid Type In-the-ear, in-the-canal, receiver-in-canal, completely-in-canal, invisible-in-canal
Battery Rechargeable and disposable
Bluetooth Streaming Yes
How to Adjust App, buttons on hearing aid, or remote provider (TeleHear)
Trial Period Depends on retailer
Warranty Length Depends on retailer
Financing Available Depends on retailer
Pros
- Available in multiple styles and up to seven colors
- Only hearing aid with built-in fall detection and activity tracker
- Features include hands-free calling, translation, and voice-to-text transcription
- Unique “social engagement score” through app
- Long battery life
Cons
- Potentially cost prohibitive
- Available by prescription only
Starkey is the only brand to include fall detection sensors in a hearing aid, eliminating the need to wear, charge, and pay for a separate fall detection device. Using the personal settings in the Starkey app, you can designate who should be notified when the hearing aid registers
Best for Profound Hearing Loss
9. Phonak Naída Paradise P-UP
Cost per Pair $2,400 to $7,000
Availability Rx
Hearing Aid Type Behind-the-ear
Battery Disposable
Bluetooth Streaming Yes
How to Adjust App or buttons on hearing aid
Trial Period Depends on retailer
Warranty Length Depends on retailer
Financing Available Depends on retailer
Pros
- 56 color combinations available
- Includes telecoil technology
- Compatible with iOS, Android, and Bluetooth-enabled devices
- TV streamer, remote control, and Roger devices available as optional accessories
Cons
- Prices aren’t listed on the Phonak website
- Poor performance in durability test
- Potentially cost prohibitive
- Requires prescription
While the Phonak Naída Paradise P-UP met most of our expectations during testing, it was the only hearing aid to crack during the durability drop test. If available, you may want to buy an extended warranty to cover repairs.
Naída Paradise P-UP Features and Costs
The Naída Paradise
Best for Tinnitus Masking
10. Widex Moment
Cost per Pair $2,798 to $4,598
Availability Rx
Hearing Aid Type Behind-the-ear, completely-in-canal, receiver-in-canal, in-the-ear
Battery Rechargeable and disposable
Bluetooth Streaming Yes
How to Adjust App or buttons on hearing aid
Trial Period Depends on retailer
Warranty Length Depends on retailer
Financing Available Depends on retailer
Pros
- Long battery life
- Tinnitus-masking sound library
- Multiple styles available
- Up to 13 colors available, depending on model
- Optional accessories like drying case and TV streamer
- Suitable for profound hearing loss
Cons
- Potentially cost prohibitive
- Prescription required
Although tinnitus has several potential causes, research published in May 2023 in Frontiers of Aging Neuroscience indicates that stress can trigger or worsen ringing in the ear, as well increase a person’s level of frustration with it. Widex offers a library of soothing fractal sounds
Features to Look For in Hearing Aids
Hearing aids come with a wide range of features that influence their sound quality, speech clarity, and ease of use. Take a look at this list to see which features are most important to you and use it to guide you as you select the hearing aid that will meet your needs the best.
- Directional Microphones Focus on sounds coming from a particular direction, such as speech in front of you
- Background Noise Reduction Cuts down on other sounds in the environment that you don’t want to focus on
- Feedback Management Reduces the whistling sound that can occur with hearing aids
- Bluetooth Capabilities Allows for connection with an app for adjustments or streaming audio and phone calls
- Multiple Listening Settings Change the amplification, directional microphone, and noise reduction settings depending on your listening environment
- Automatic Adjustments Makes changes as you move from one environment to another, reducing the need for your input
- Rechargeable Batteries Provides convenience and money savings over time, since you don’t have to constantly replace disposable batteries
- Telecoil Technology Allows you to stream sounds in facilities fitted with a hearing loop system
- Tinnitus Masking Distracts your brain from tinnitus with tones and amplification of other sounds
- Water Resistance Provides extra convenience for wearing your hearing aids while exercising or working outside
The majority of prescription hearing aids come with all of the above features, but OTC hearing aids vary quite a bit in what they offer. The more expensive a device is, the more features it typically includes.
Common Hearing Aid Accessories
Hearing aid accessories help minimize background noise when you want to focus on a particular source of sound. If you’d like to take advantage of these listening tools, make sure to buy a hearing aid that’s compatible with them. Many accessories connect to hearing aids via Bluetooth, but others require a telecoil.
- TV Streamer Transmits audio from your TV directly into your hearing aid
- Portable microphone Typically worn by your conversation partner to clarify their voice in noisy environments, but can also be set on a table to capture group conversations or speakers at a distance
- Phone clip Streams audio from your phone directly to your hearing aid and includes a microphone for easy hands-free calling
Other common accessories make it easier to adjust, care for, and charge your hearing aids:
- Remote control
- Portable charging case
- Drying case
- Cleaning tools
- Replacement domes, wax guards, and tubing
- Replacement batteries
Before Purchasing a Hearing Aid
Get an In-Person Hearing Exam
Whether you’re new to hearing aids or in the market for a new pair, seeking assistance from an audiologist or hearing instrument specialist is a key component to finding the best hearing aid for you. These professionals will perform a hearing test to measure and identify the degree and type of hearing loss. They can then recommend and fit you for a hearing aid based on your needs.
If a medical condition is causing your hearing loss, you should be evaluated by a licensed physician, such as an ear, nose, and throat doctor, before purchasing hearing aids.
Many OTC and prescription hearing aid manufacturers offer online hearing screenings to give you an idea of your degree of hearing loss. Most take less than five minutes and involve listening to various tones at different pitches while you adjust the volume to best hear the sound. Some tests also include questions about your ability to hear in challenging situations.
Online screenings are designed to assess your general ability to hear everyday sounds. They can give you an overview, but they are not as thorough or accurate as an in-person hearing exam, and they cannot diagnose the cause of your hearing loss.
Ask About the Trial Period and Warranty
Before making a purchase, be sure you know the terms of the trial period and warranty.
According to the Hearing Loss Association of America, most states require a 30-day trial period for new hearing aids, but many OTC hearing aid companies and hearing-care clinics offer 45 days rather than 30. During this time, you can return the hearing aids for any reason if they aren’t a good fit for you.
A 45-day trial period is often enough time to become adjusted to your new hearing instruments if you wear them consistently. Although it may feel strange to hear sounds more loudly than you did before, the more you wear your hearing aids, the more normal it will feel. And be sure to take advantage of in-person or remote assistance if you’re having performance issues with your devices or have any questions.
Also remember to ask about the warranty. Find out how long it is and what it covers. Hearing aid warranties can vary quite a bit, generally ranging from one to three years. While some cover only manufacturer’s defects, others will pay for repairs due to damage and even provide replacements if you lose your hearing aids.
Determine Your Options for Repairs
Clarifying the repair process before you buy isn’t a step you want to skip. A hearing aid is essentially a tiny computer that’s required to perform with precision in a challenging environment for hours on end.
“It’s literally the processing power of a laptop shoved into the size of a nickel,” says Reed. “And then you're putting it in your ear, which is like dumping a laptop in a swamp. Not a good spot. There’s no doubt in my mind that this is not a product you can buy without it breaking down.”
It’s critical to find out what the options are when your hearing aid needs repairs. Should you call the manufacturer or your hearing specialist? Can most repairs be taken care of at home or in the clinic? Will you need to mail your devices somewhere for repairs?
In many cases, this will depend on the type of repair needed, but Reed says that many malfunctions are due to minor issues that can be addressed by users at home, with telehealth support from a hearing specialist if needed. You should go over all of these possible scenarios before making your purchase so you’ll know what to do ahead of time.
Choosing the Best Hearing Aid for You
Take into account the following factors when deciding which hearing aid is best for your needs:
- Budget After determining any insurance benefits or other ways you can save money, what is the maximum amount you can spend on hearing aids?
- Lifestyle How often are you in difficult listening environments with a lot of background noise?
- Degree and Type of Hearing Loss This may help determine which style of hearing aid you need and whether you’re a candidate for OTC or prescription devices.
- Preferences Which features and technology are most important to you?
- Comfort With Technology Self-fitting OTC hearing aids could be a better fit for people who are comfortable making fine-tuning adjustments in an app, whereas simpler OTC devices and prescription hearing aids don’t put as much responsibility on the user.
- Experience With Hearing Aids First-time hearing aid wearers may benefit from in-person support at a hearing clinic.
Choosing the Right Hearing Aid Style
While personal preference should be taken into account, your type and degree of hearing loss may dictate which hearing aid style is best.
For instance, people with severe or profound hearing loss often need a behind-the-ear or receiver-in-canal device with a custom earmold. Models that house all of the working parts in the bowl of the ear, such as in-the-ear, in-the-canal, and completely-in-canal styles, can’t always provide the power needed to treat those degrees of hearing loss due to potential limitations with the size and shape of an individual's ear canal.
Murray says that people with mild to moderate high-frequency hearing loss are often most successful with RIC hearing aids.
Finally, functionality is important. Some of the smallest devices are too small to accommodate rechargeable batteries or Bluetooth technology.
Hearing Aids Cost
In general, hearing aids cost anywhere from $99 to more than $6,000 per pair.
The introduction of OTC hearing aids to the market in 2022 has helped drive prices down, as OTC devices tend to be less expensive than prescription models. For example, the price of OTC hearing instruments in this review range from $99 to $2,950 per pair, while prescription models start at $2,400 per pair and go up to $7,500. Murray notes that some companies bundle in-person care into the cost of the hearing aid and others don’t, which accounts for the wide range of prescription hearing aid prices.
Why Are Hearing Aids So Expensive?
The difference in price is tied to a number of factors, such as features, technology, and the type of hearing aid best suited for your hearing loss.
For example, if you have profound hearing loss and need a custom earmold, you can expect to pay $200 to $300 more than a device with a non-custom receiver. Hearing aids with rechargeable batteries and Bluetooth streaming technology may also cost more than models without those features, especially among OTC hearing aids. Audicus, for example, charges $200 extra for the rechargeable version of its hearing aids.
According to Murray, prescription hearing aids also tend to cost more due to the in-person support of an audiologist or hearing instrument specialist.
Saving Money on Hearing Aids
A number of cost-saving measures exist to help you save money on hearing aids.
Watch for Sales OTC hearing aid manufacturers often run sales, especially close to holidays. If you’re interested in a particular brand, subscribe to the company’s email list so you can receive sale offers.
Several OTC manufacturers, such as MDHearing and Audicus, publish regular articles and blog posts about hearing health, how to clean your hearing aids, and other information that can be helpful as you’re getting used to owning and maintaining hearing aids.
Shop Around If you have rewards points to use at a specific retailer or can earn cash back by using a store credit card, see if that retailer will beat the lowest price you’ve found elsewhere. Hearing clinics that sell prescription devices usually aren’t as flexible on pricing and don’t tend to put devices on sale like OTC retailers do.
Use Rewards Points Many stores offer rewards points or cash back for loyal customers. Walgreens, CVS, and Best Buy are just a few that sell OTC hearing aids and have a store loyalty card you can use to earn points. You can typically redeem these points for most purchases, both in stores and online.
Use Credit Cards Wisely If you don’t plan on paying off the full purchase price on your credit card within a month, and you qualify for financing from the manufacturer or hearing clinic, you may be better off using the financing option rather than paying credit card interest. For example, OTC manufacturers Eargo and Jabra Enhance both offer zero percent financing options. You can also use rewards points and cash back that you’ve earned at either of these stores to pay for hearing aids, and then use your store credit card for the rest of the balance.
Financial Resources for Hearing Aids Medicare, Medicaid, and insurance benefits for both OTC and prescription hearing aids will likely be changing quite a bit in the next one to two years for a few reasons. Several OTC hearing aid manufacturers, including MDHearing and Eargo, are partnering with insurance companies and healthcare intermediaries to increase subscribers’ ability to use their insurance benefits toward the purchase of hearing aids. Some U.S. states have enacted mandates to require insurance coverage for hearing aids.
Medicare Medicare Parts A and B don’t currently pay for hearing aids, although Medicare Part B will cover the cost of a hearing exam if prescribed by a physician, according to Medicare.gov. Some Medicare Advantage (Part C) plans and other private insurance plans include coverage for hearing aids. Check with your insurance provider to see what hearing benefits your plan includes.
Medicaid Medicaid programs in some states offer coverage for hearing aids. The Hearing Loss Association of America provides a list of each state’s Medicaid hearing aid coverage for both adults and children.
Health Insurance Many private insurance plans currently offer some type of hearing benefit. As more OTC hearing aid manufacturers work with health insurance companies to increase coverage for hearing aids, customers may see better insurance benefits for their hearing health in the future. You can also get reimbursed for hearing aids through your flexible spending account (FSA), health savings account (HSA), or health reimbursement arrangement (HRA).
Learn more about health insurance coverage for hearing aids.
State Vocational Rehabilitation Programs
In many states, you can get free hearing aids through vocational rehab programs if you need hearing loss treatment to perform your job or get a new job. The Rehabilitation Services Administration provides a list of vocational rehab programs by state to help you get in touch with the program in your state.
Veterans Benefits
U.S. veterans who are recipients of healthcare benefits can also receive free hearing aids, hearing exams, and hearing aid supplies through the VA’s audiology program or through a credentialed provider. Check out the U.S. Department of Veterans Affairs website for more information.
Federal Employee Health Benefits
Federal employees and retirees may be eligible for free hearing aids through the Federal Employee Health Benefits program.
Hearing Aid Donation Programs
Organizations such as the Hearing Aid Project donate used hearing aids at little or no cost to people who need them. Fill out an application on the Hearing Aid Project’s website to see if you qualify for free hearing aids and to find other financial resources for hearing aids where you live.
Other Resources
This list includes other organizations that provide financial assistance for hearing aids or connect consumers to organizations that provide financial aid for hearing aids:
What Is a Hearing Aid?
A hearing aid is a small medical-grade electronic device that sits behind or inside your ear and amplifies sound frequencies to a louder volume, according to the National Institute on Deafness and Other Communication Disorders (NIDCD). Unlike cochlear implants, hearing aids are removable and don’t require surgery.
Hearing aids are suitable for people with mild to profound levels of hearing loss, which the NIDCD estimates to be about 37.5 million American adults. Although wearing a hearing aid can’t reverse hearing loss, experts at the National Institute on Aging say it can prevent hearing loss from worsening.
How Do Hearing Aids Work?
Every hearing aid consists of three basic working parts:
- Microphone Picks up sound waves from the environment
- Amplifier Transforms sound waves into digital signals that are processed by the hearing aid’s software, then converts the analyzed signals back into sound waves
- Receiver (speaker) Transmits amplified sounds to the inner ear
Analog vs Digital Hearing Aids
Analog hearing aids amplify all sounds around you through the microphone. This results in distortion for loud sounds. Digital hearing aids are different as they convert sound waves into numerical codes before amplifying. This allows the hearing aid's computer chip to program and adjust amplification for different environments. Digital provides better audio quality and noise reduction.
The big advantage of digital hearing aids is the ability to target and amplify the frequencies needed by an individual user. This customization provides a more natural, comfortable hearing experience. But analog models tend to be simpler and more affordable.
Hearing aids can be life-changing devices. If you or someone you care about is dealing with hearing loss, be aware that learning to cope with it, even with the help of hearing aids, is a journey.
In addition to helping you select the right hearing aid and programming it for your hearing loss profile, one of your hearing specialist’s roles is that of a coach. Ongoing support through regular in-person or telehealth appointments is critical to your success with hearing aids. You’ll be repaid for the effort you devote to your hearing health with immediate improvements in your day-to-day life and possibly with better brain health in the years to come, according to the Journal of Clinical Medicine.
5 Common Types of Hearing Aids
Hearing aids come in five designs. The best one for you depends on your level of hearing loss, configuration of hearing loss (high tones vs. low tones), comfort preferences, and any specific needs, such as limited dexterity.
1. Behind-the-Ear
Behind-the-ear (BTE) hearing aids are designed with a small plastic case that contains all the working parts. The case sits behind the ear and connects to a dome or ear mold through a flexible tube.
Children often wear BTE hearing aids since they can accommodate various earmold types and can be used for mild to profound hearing loss. They’re also sturdy and easy to handle and clean.
BTE hearing aids are one of the most common styles.
2. Receiver-in-Canal
Receiver-in-canal (RIC) hearing aids have a small receiver that fits inside the ear canal. A thin wire connects the body of the hearing aid, which sits behind the ear, to the receiver in the canal.
RIC devices can treat the full range of hearing loss, from mild to profound, and they’re a popular option among people who want a slim, discreet hearing aid with high-tech features.
RIC hearing aids are also one of the most common styles of hearing aids.
3. In-the-Ear
In-the-ear (ITE) hearing aids that fit completely within the ear can be a great option for people who want a smaller device. Keep in mind that because this style fills up the bowl of your ear, it’s often more noticeable than a BTE or RIC hearing aid.
ITE devices, especially those sold by OTC hearing aid manufacturers, don’t always come with an option for a rechargeable battery, telecoil, or Bluetooth streaming. ITE hearing aids can be used to treat mild to severe hearing loss, and some, like the Oticon Own, are custom-fit devices that require an earmold impression.
4. Completely-in-Canal
Completely-in-canal (CIC) hearing aids are small and designed to fit completely in the ear canal, as the name suggests. They conform to the size and shape of your ear canal and provide a more discreet look. Some CIC devices, such as Eargo and certain Signia and Oticon models, are so small that they are nearly invisible when inserted correctly.
CIC hearing aids are typically best for mild to moderate hearing loss, although some prescription devices can treat more severe hearing loss as well.
5. Invisible-in-Canal
Invisible-in-canal (IIC) is the smallest hearing aid style, and it is completely invisible to everyone, including the wearer. Some IIC models can’t even be removed by the person wearing them. The Phonak Lyric, for example, is an IIC device that must be placed deep in the ear by a hearing specialist. It’s meant to be worn for weeks at a time and replaced at intervals in the clinic.
This style isn’t for everyone, but Meryl Miller, an audiologist and the owner of ClearWorks Audiology in Atlanta, says it can be a great choice for people with dementia or other health problems that may put them at risk of losing their hearing aid or mistakenly changing the settings.
Benefits of Hearing Aids
The primary goal of wearing hearing aids is to treat hearing loss, but in doing so, you’ll also be improving other areas of your health—both physical and mental. The proper use of hearing aids can help prevent long-term health issues ranging from dementia, cognitive decline, brain atrophy, anxiety and depression, social isolation, and fall-related injuries. When you wear your hearing devices, you may experience the following benefits:
- Increased level of independence
- Improved communication with friends and family
- More enjoyment in noisy public settings like restaurants or gatherings
- Reintroduction to sounds you may not have heard in a long time
- Decreased risk of falling
How Long Do Hearing Aids Last?
In general, hearing aids can be expected to last about five years with regular maintenance and care, according to the experts our reviews team consulted. Keep in mind that cleaning your devices on a daily basis and changing out wax guards and tubing, as recommended by your hearing specialist or the manufacturer, will go a long way in extending the life of your hearing aids.
OTC vs. Prescription Hearing Aids
Both over-the-counter hearing aids and prescription hearing aids are regulated as medical devices by the FDA. People of all ages and with any level of hearing loss can visit a hearing-care clinic and, with approval after an exam, get a prescription for hearing aids. Adults 18 and older can buy OTC hearing aids without an exam, but the devices are only suitable for treating mild to moderate levels of hearing loss.
Buying an OTC hearing aid doesn’t mean foregoing professional support. Nicholas Reed, a doctor of audiology and assistant professor of epidemiology at Johns Hopkins University in Baltimore, says that hearing professionals can be of service, either in person or via telehealth, to customers with OTC hearing aids by giving them guided assistance with the manufacturer’s app.
"It’s about educating them on the area that they actually need sound and [showing] the preset setting that does that best, or doing the whole self-fitting test with them and helping them program based off of that," says Dr. Reed.
Learn more about the best OTC hearing aids.
Bottom Line
Hearing aids are complex devices with a wide range of features, styles, and prices. It’s important to take your time to research all the options before making a purchase.
Among OTC hearing aids, we like the intersection of quality, customer service, price, and features offered by brands like Jabra Enhance, Lexie, and Eargo. Major prescription hearing aid manufacturers Phonak, Starkey, Widex, and Oticon all offer high-quality hearing instruments with in-person audiology support, a service not often included with OTC brands. No matter which device you choose, stay committed to your hearing health and you’ll be repaid many times over, both now and in years to come.
Frequently Asked Questions
To keep your hearing aids in optimal condition and maximize their lifespan, be diligent about cleaning and maintenance. Follow the manufacturer's instructions for cleaning. Replace batteries as needed, turning hearing aids off when not in use to preserve battery life. Avoid moisture on non-water resistant models, carefully drying if dampness occurs—but don't use heat, which can damage devices. Also, take care to keep hair products away from the plastic casing. Protect hearing aids in their case when not being worn, safely out of reach of kids and pets who may damage them. With proper care, your hearing aids can continue providing excellent performance.
Editorial Sources and Fact-Checking
Everyday Health follows strict sourcing guidelines to ensure the accuracy of its content, outlined in our editorial policy. We use only trustworthy sources, including peer-reviewed studies, board-certified medical experts, patients with lived experience, and information from top institutions.
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