The Best Hearing Aids of 2024

Hearing loss affects millions of people, and the National Institutes of Health states that 28.8 million adults could benefit from using a hearing aid. But, only a fraction of those people actually use hearing devices. If you’ve put off seeking treatment for hearing loss because of time, cost, or another barrier, you’re not alone. Thankfully, with online retailers and direct-to-consumer brands, it’s never been easier to purchase a pair of hearing aids. 

“Purchasing a hearing aid online can be a viable and convenient option for all patients, especially those that have limited access to transportation, live in remote locations or simply struggle finding the time to make in person appointments,” says Dr. Mandi Chambless, a licensed Audiologist who spent a decade of her career working with a top hearing aid manufacturer.

“That being said, it is imperative for consumers to work with a provider that offers safe, properly fit amplification. Consumer education is of utmost importance to not only protect the buyer from poorly programmed devices that could lead to more hearing loss, but also to reduce economic strain that can be a direct result of purchasing a product that is not appropriate for the user.”

It can be nerve-racking to make an important purchase online, especially when it’s a medical device like a hearing aid. That’s why we partnered with two expert audiologists to score the safety of each brand on this page, so you can feel confident that any hearing aid brand you choose (whether direct-to-consumer or in-person) offers safe, high-quality care. 

Below you’ll find our audiologists’ safety scores and our reviews of the best hearing aids, information on the cost of hearing aids and financial assistance options, how to choose a hearing aid, and answers to frequently asked questions.

At a Glance: The 10 Best Hearing Aids

• Hear.com Horizon: Best Rechargeable Digital Hearing Aid
• Eargo: Best for Comfortable In-Ear Hearing Aids
• Jabra Enhance: Best for Affordable Hearing Aids
• Audicus Wave: Best Low-Cost Bluetooth Hearing Aid
• Lexie: Best Rewards Program
• ReSound: Best Mobile App
• Phonak Lyric: Best for Invisible Hearing Aids
• Signia Styletto: Best for High-End Design
• Widex EVOKE and MOMENT: Best for Artificial Intelligence Features
• Starkey Hearing Technologies: Best for Assistive Technology

Overview of the Top Recommended Hearing Aids

How We Chose the Best Hearing Aids

Our team read hundreds of online reviews, compared product specs and features, and consulted hearing aid experts to develop a list of hearing aids that covers a range of device types, feature and technology levels, and costs.

We only included brands and devices that fulfilled our strict requirements and excluded many brands because of high costs, lack of access to professional care, and/or lack of sufficient product offerings. The main criteria we looked for when selecting the ten best hearing aid brands are: 

• Availability of modern features such as rechargeable batteries and Bluetooth connectivity 
• Access to care from a licensed hearing professional, either in person or remotely 
• Custom tuning for wearers based on their individual hearing profile 
• FDA-registered devices 
• Reasonable costs and high value for wearers 

Caring.com Hearing Aid Safety Scores

To provide the best, most reliable information to our readers, Caring.com partnered with a team of two audiologists who together have decades of experience in the hearing aid industry. Each safety score is the expert opinion of the audiologists, based on independently-conducted research, and scored using a ranking system of 11 metrics across three categories. For more information about how this ranking was developed, view our methodology section below.

The 10 Best Hearing Aid Brands of 2024

Hear.com Review

Horizon: Best Rechargeable Digital Hearing Aid

*Safety Scores were conducted by a panel of independent audiologists. Read our methodology for more information.

Established in 2012, Hear.com has revolutionized the hearing aid industry by providing personalized care. With digital and remote hearing solutions and a network of over 3,000 partner audiologists across 48 states, Hear.com simplifies the process with free consultations, easy bookings, insurance checks, and a 45-day trial with a full refund guarantee.

The Horizon is the flagship model of Hear.com, and designed for active users. It comes with Bluetooth functionality and a discreet design that competes with the aesthetics of contemporary ear pods. The device is perfect for those who want less conspicuous hearing aids without compromising on style. Plus, the Horizon’s rechargeable batteries provide up to 19 hours of use, and the portable charging case can replenish them in just a few hours, ensuring that you stay powered up wherever life takes you.

Hear.com Hearing Aid Device Features

Horizon Hearing Aids

Hear.com has teamed up with Signia to launch the Horizon hearing aids in January 2023. Horizon is designed for active adults who want high-tech features in a discreet package. It comes equipped with Signia’s Augmented Xperience platform, which makes it excel in complex auditory environments. It uses advanced speech enhancement and noise suppression to make conversations clearer.

Horizon connects wirelessly to devices, ensuring hassle-free Bluetooth streaming. With up to 19 hours of rechargeable battery use and the compact charging case, the device ensures a quick recharge within hours. This makes it ideal for people with busy lifestyles.

Pricing for the Horizon starts at $139 per month for the entry-level Horizon AX 3AX and $199 per month for the premium Horizon AX 7AX. All Hear.com products, including Horizon, come with a 45-day trial.

Pros and Cons of the Hear.com Hearing Aid Brand

Eargo Hearing Aids Review

Best for Comfortable In-Ear Hearing Aids

*Safety Scores were conducted by a panel of independent audiologists. Read our methodology for more information.

Eargo hearing aids are discreet, rechargeable, and sit inside your ear canal. They come with soft, silicone tips and are designed for people with mild to moderate hearing loss. These hearing aids offer excellent sound quality, feedback cancellation, and advanced noise reduction, making them ideal for use in busy environments.

The company offers three products: Eargo 5, Eargo 6, and Eargo 7. All Eargo hearing aids have four custom sound profiles that you switch on the fly by double-tapping your ear. However, remember that the hearing aids aren’t pre-programmed, so you’ll have to do that through an app. If needed, an Eargo representative will gladly assist you with programming.

Eargo Hearing Aid Device Features

Eargo 5

The Eargo 5 offers excellent sound customization options with Sound Match technology that allows remote tuning and hearing screenings through an app. The aid features a small form factor, Petal eartips for easy maintenance, and inductive cable-free charging.

A pair of Eargo 5 will cost you $1,650 with a 0% financing option for 12 and 24-month terms. The package includes extra tips and caps, a wireless charger, power cable and adapter, a cleaning kit, telecare access, and a one-year warranty.

Eargo 6

Eargo 6 is the company’s mid-range hearing aid model equipped with cutting-edge technology. The highlight is the Sound Adjust feature which automatically adjusts the soundscape when you move between environments. Basically, Eargo 6 identifies background and foreground noise and reduces background noise automatically for a more authentic listening experience. Eargo 6 also has a water-resistant rating of IPX7 and can be submerged in 1 meter of water for 30 minutes.

Eargo 6 is available at a retail price of $2,025, with financing options available. The package includes six extra tips and caps, a wireless charger, power cable and adapter, cleaning tools, and a two-year warranty.

Eargo 7

The Eargo 7 is a comfortable and compact hearing aid with a nearly invisible design. It features Sound Adjust+ with Clarity Mode for enhanced speech clarity and reduced noise, providing a more comfortable listening experience. The Eargo 7 also comes with a longer two-year warranty, an upgrade from the one-year warranty offered by previous models.

Eargo 7 is now available at a retail price of $2,655 for a limited time only, with multiple financing options available. The package includes six additional tips and caps, a wireless charger, a power cable and adapter, cleaning tools, and a two-year warranty.

Pros and Cons of the Eargo Hearing Aid Brand

Jabra Enhance (formerly Lively)

Best for Affordable Hearing Aids

*Safety Scores were conducted by a panel of independent audiologists. Read our methodology for more information.

In 2022, Lively formed a partnership with Jabra, which is also a part of the GN Family. Together, they established a new company called Jabra Enhance, which essentially serves as Jabra’s hearing aid division, well-known for offering high-quality headsets and headphones. Just like Lively, Jabra Enhance provides some of the most reasonably-priced over-the-counter (OTC) hearing aids available in the market, and are priced below $2,000. In addition, the company offers at-home audiology services for added convenience.

All Jabra Enhance hearing aids feature Bluetooth for easy pairing with iOS and Android, allowing direct streaming of music and calls. The starting model, Enhance Select 50, is priced at $1,195 or available with 0% financing at $39 monthly.

Jabra Enhance Hearing Aid Device Features

Enhance Select 50

The Enhance Select 50 is an entry-level hearing aid model that is also the most affordable one. Despite its lower price tag, it offers excellent speech quality and noise reduction, making it perfect for everyday listening. With the Noise Tracker II feature, the Enhance Select 50 effectively reduces noise without affecting speech clarity. The pair operates on non-rechargeable battery power, but the package includes a year’s battery supply.

The Enhance Select 50 bundle is available for $1,195, or you can choose to finance it for as low as $39 per month. If you are looking for budget-friendly hearing aids that do not require recharging, this pair is an excellent option.

Enhance Select 100

The Enhance Select 100 is a rechargeable hearing aid with Bluetooth streaming, designed for active lifestyles. It provides better speech clarity and noise reduction and has a 116 dB input dynamic range for clearer and more audible sounds. One of the most notable features of the Enhance Select 100 is the DFS Ultra II With Music Mode. This feature provides precise feedback cancellation and improves the quality of live music significantly.

The Enhance Select 100 bundle costs $1,695 or $55/month with financing. It comes with a portable charging case that provides 30 hours of power, custom programming, 3-year warranty, and loss and damage protection.

Enhance Select 300

Jabra has launched the Enhance Select 300 hearing aid, providing exceptional speech clarity and a discreet “mini” design. The device is even smaller and slimmer than the Select 200, making it almost unnoticeable and comfortable for long periods of use. Additionally, the device offers personalized settings for different listening environments and is customized to the individual user’s hearing ability by trained hearing care professionals.

Starting at $1,795, the Enhance Select 300 is an affordable premium hearing aid model and comes with a standard 3-year manufacturer’s warranty and 3-year loss and damage coverage.

Pros and Cons of the Jabra Enhance Hearing Aid Brand

Audicus Hearing Aids Review

Wave: Best Low-Cost Bluetooth Hearing Aid

*Safety Scores were conducted by a panel of independent audiologists. Read our methodology for more information.

Audicus stands out in the hearing aid market with its affordable prices and user-friendly approach. By selling directly online, Audicus eliminates intermediaries, resulting in lower costs. Customers don’t self-program the aids; instead, they can take an online hearing test or submit an audiogram for Audicus to pre-program the devices. Delivered ready-to-use, the hearing aids are tailored to the user’s needs, with at-home adjustments or return options for further tuning, streamlining the process while keeping the price down.

Backed by Unitron, Audicus offers advanced hearing care technology even with its base models. The most affordable Spirit 1 provides excellent sound quality, Bluetooth compatibility, and adapts to your environment. With a $699 price tag for one ear or $1,398 for a pair, the Spirit 1 is an excellent choice for new users or those looking for an affordable option.

Audicus also offers a unique subscription model called Audicus Premier where you pay low monthly fees to have a new pair of hearing aids every 18 months. On top of that, you also get accessories like wax guards and free customer support.

Audicus Hearing Aid Device Features

Spirit 1

The Audicus Spirit 1 is a versatile entry-level hearing aid for people with mild to moderate hearing loss. It has 14 processing channels, noise-reduction technology, and two directional microphones. In addition, it’s water-resistant and comes with Bluetooth connectivity and mobile app control.

The Spirit 1 starts at $699 per ear and $1,398 for a pair, making it one of the more affordable hearing aids in the market.

Spirit 2

The Spirit 2 is an upgraded version of the Spirit. It shares many similarities with the Spirit 1, such as the option for rechargeable or disposable batteries. However, what sets the Spirit 2 apart as a proper upgrade is that it is 10% smaller and comes with an all-new Series 2 chip. This new chip allows for larger memory and faster scanning, making it an ideal upgrade for those who require more advanced features. Additionally, the Spirit 2 offers better background noise reduction and overall sound quality when compared to its predecessor.

A pair of Spirit 2 hearing aids will cost you $1,798 or $99/pair per month if you sign up for Audicus Premier membership.

Omni 1

The Omni 1 is a RIC model designed for individuals with mild to moderate hearing loss. It comes with both rechargeable and disposable batteries, Bluetooth capabilities, and 16 programming channels. One of its notable features is the advanced Speech Finder technology, which enhances speech sounds from all directions. Additionally, it has two directional microphones that improve sound quality during conversations. The Omni 1 is also user-friendly, with a hassle-free setup and Bluetooth connectivity.

A single ear Omni 1 retails for $1,199 and $2,398 for a pair.

Omni 2

The new Omni 2 hearing aid improves on its predecessor with a 10% smaller build for enhanced discretion and comfort. It packs serious performance with the Series 2 chip, offering more memory and faster processing for natural sound clarity, even in loud settings. Also, its advanced microphones and speech detection provide exceptional conversational clarity.

The Omni 2 is available at a base price of $1,399 for one ear or $2,798 for a pair, making it the most expensive model in Audicus’ lineup. Alternatively, you can sign up for Audicus Premier membership and pay $99 per month for a pair.

Mini

If you are looking for a discreet and lightweight hearing aid for mild to moderate hearing loss, the Audicus Mini is an excellent option. It is the only completely-in-canal (CIC) model offered by the company. The device operates on disposable batteries, which may need replacement every five to seven days. While the Mini lacks Bluetooth connectivity, it offers a connection to the Rexton app for adjustments through sound signals, and you can also use a small remote control for volume and program changes.

The Mini starts at $1,249 per ear or $2,498 for a pair.

Pros and Cons of the Audicus Hearing Aid Brand

Lexie Hearing Aids Review

Best Rewards Program

*Safety Scores were conducted by a panel of independent audiologists. Read our methodology for more information.

Founded in 2020, Lexie Hearing combines sophisticated technology, competitive pricing, and a unique rewards program. Lexie sells its hearing aids directly to consumers to keep its prices down without sacrificing sound quality and cutting down features. If you’re looking for inexpensive, lightweight hearing aids to wear daily, check out what Lexie has to offer. 

Out of three variants, Lexie’s most affordable model is the Lumen. This behind-the-ear (BTE) is relatively small and is about the size of a paper clip, perfect for folks looking for a discreet device. Moreover, the Lumen comes with six listening presets (called environments) which users can toggle based on location and surrounding noise level.
One of the key features of Lexie Hearing is its Lexie Rewards Program. The program provides users with reward points for engaging with their apps and using their hearing aids. These points can be redeemed for discounts on in-app purchases or subscription fees. This encourages users to use the devices consistently and properly care for them.

Lexie Hearing Aid Device Features

The Lumen

As a base model, the Lumen comes with a wide range of features like directional microphones, noise reduction, self-fitting technology, feedback cancellation, and more. There are five different colors to match your style or skin tone. Using the app, you can manually toggle your listening environments (e.g., everyday use, noisy indoors, music, etc.) for optimal hearing.

To get started, complete the virtual hearing test via the Lexie app. You can purchase Lumen for $799 (one-time payment) that includes batteries, accessories, unlimited on-demand support, and access to the Lexie Rewards program. Alternatively, you can opt for the monthly package of $49 plus a one-time activation fee of $50, which includes a care kit and protection plan.

Lexie B1

The Lexie B1 hearing aids are specifically designed for people who have mild to moderate hearing loss. They are known for being affordable and feature-rich. Although this model doesn’t support Bluetooth streaming for music and calls, it does use Bluetooth for app compatibility, which enables users to make adjustments and access customer support. The B1 is slightly more expensive than the Lumen, but it provides better sound quality.

A pair of Lexie B1 retails for a one-time payment of $849, making this hearing aid model significantly more affordable than most competitors. 

Lexie B2

Lexie’s most advanced hearing aid model is the B2, which is only slightly more expensive than the B1 and Lumen models. The B2 shares many features with them but with the added perk of rechargeable batteries. The device also provides exceptional clarity and sound quality, thanks to its partnership with Bose.

The Lexie B2 Powered by Bose is priced at $999 for a pair. At less than $1,000, the most advanced Lexie model remains one of the cheapest hearing aids in the market.

Pros and Cons of the Lexie Hearing Aid Brand

ReSound GN

Best Mobile App

*Safety Scores were conducted by a panel of independent Audiologists. Read our methodology for more information.

ReSound is a trusted brand that offers cutting-edge hearing aids for mild to profound levels of hearing loss. They pioneered standard features now incorporated into modern hearing devices, such as 2.4 GHz direct streaming, wireless smartphone connectivity, and support for auxiliary devices. All ReSound hearing aids are Bluetooth-enabled and compatible with the ReSound Smart 3D app, which allows for remote adjustments and telehealth support.

ReSound’s hearing aids tend to be more expensive than those sold by DTC brands, largely because they’re sold through licensed hearing professionals rather than direct-to-consumer. For example, the high-end model ReSound One has an average price tag of $3,295 or $6,500 per pair. You will need to contact a ReSound authorized dealer to get exact prices. If you’re looking for a reputable hearing aid brand with top-shelf devices, ReSound is worth checking out.

ReSound Hearing Aid Device Features

LiNX Quattro

The LiNX Quattro is a premium hearing aid offered in three fit styles: receiver-in-ear (RIE), behind-the-ear (BTE), and custom-crafted. The LiNX Quattro boasts an extended dynamic range and improved frequency response which lets you experience greater fidelity and fuller sounds. It also houses ReSound’s high-performing chip platform for improved performance and reduced power consumption (i.e., longer battery life). 

The LiNX Quattro provides direct streaming from iOS and Android devices so that you can listen to phone calls, music, TV shows, etc., straight to your hearing aids. It comes with a portable charging case and provides over 30 hours of battery life or 24 hours with streaming.

Enzo Q

Enzo Q is a top-tier hearing aid for severe to profound hearing loss that boasts ReSound’s Binaural Directionality for clarity and spatial awareness. The technology detects high and low-frequency sounds, differentiating speech from background noise.

The Enzo Q is available in two different styles: HP BTE 88 and SP BTE 98. It’s also offered in 13 different fun colors to match your personal style. ReSound also claims the Enzo Q has a 20% longer battery life than its predecessor, the Enzo 3D, which provided up to 12 days of battery life.

ReSound Key

The ReSound Key is a complete lineup of hearing aids that comes in many different models and technology levels. In terms of core technology, the Key falls a bit behind the LiNX Quattro and is more affordable. Specifically, the ReSound Key lacks the LiNX Quattro’s advanced features like Spatial Sense and Binaural Directionality. However, the Key does offer a more natural hearing experience and superior sound clarity.

Please note that technology levels 1 and 2 of the Key don’t allow direct streaming. You should upgrade to levels 3 or 4 for that. The ReSound Key is rechargeable and has a desktop charger. Optionally, you can upgrade to a Premium Charger case for on-the-go charging and up to 30 hours of power.

ReSound Nexia

The Nexia is the latest hearing aid model by ReSound that launched in September 2023. It is smaller than its predecessor, with a 25% reduction in size, but has a remarkable 30-hour battery life. The Nexia is also compatible with Bluetooth Auracast broadcast audio, which provides a higher-quality sound and consumes less battery than classic Bluetooth. Furthermore, it features a CROS system model that transmits sound from the non-hearing ear to the hearing ear, enhancing the auditory experience for those with single-sided deafness.

The advanced technology of Nexia comes at a price. The ReSound Nexia price ranges from $3,198 to $4,598 per pair.

Pros and Cons of the ReSound Hearing Aid Brand

Phonak Hearing Aids Review

Lyric: Best Invisible Hearing Aid

*Safety Scores were conducted by a panel of independent audiologists. Read our methodology for more information.

Phonak, a Swiss medical devices company and a subsidiary of Sonova, offers over 20 devices with unique features to cater to various hearing loss needs. With 70+ years of experience, Phonak is a reliable brand to consider in your hearing loss journey.

One particular device that sets Phonak from the competition is the Lyric model. Phonak’s Lyric is the world’s first 100% invisible hearing aid, using ear canal anatomy for sound amplification and natural listening experience. Comfortable enough for 24/7 wear, it sits deep in the canal and is never visible.

Phonak only manufactures and distributes its hearing aids, and doesn’t sell them directly. Thus, the company doesn’t list the price tags of its hearing aids because prices vary depending on the model and services of the hearing care provider. Our research found that Phonak hearing aids have a price range between $1,349 to $2,399 per aid.

Phonak Hearing Aid Device Features

Note: Phonak’s product line is extensive. The above table is not an exhaustive inventory of available Phonak hearing aids, but represents the variety Phonak currently offers. Additionally, older-generation Phonak devices, such as the Virto B, may still be available from third-party retailers. 

Audéo Paradise

The Audéo Paradise is the successor to Phonak’s best-selling Audéo Marvel. It offers several improvements in speech enhancement, sound processing, and Bluetooth connectivity. The Audéo Paradise can pair with up to 8 Bluetooth devices and can have two active connections at a time. It’s an excellent feature if you find yourself switching between devices ever so often. Phonak also introduced the “Dynamic Noise Cancellation” with the Audéo Paradise, essentially an advanced automated noise cancellation feature.

The RIC-style Audéo Paradise is available in both rechargeable lithium-ion batteries and standard zinc air batteries. It’s also available in 8 different colors to match your style or skin tone. 

Naida Paradise

Naída Paradise has two models, P-PR and P-UP, for mild to severe and severe to profound hearing loss, respectively. It comes in four technology levels – P30, P50, P70, and P90 – and features tap controls for easy commands such as answering or ending phone calls, pausing or playing the stream, and accessing voice assistants like Siri.

Direct streaming via Bluetooth is also supported by all Naída Paradise models, which allows you to enjoy hands-free calls and easily switch between supported devices. Using the myPhonak app, you can modify your sound settings and create custom profiles, making this model a great choice if you want to be able to use your smartphone to adjust your hearing aids.

Virto Marvel

The Virto Marvel from Phonak is perfect for those who want discreet hearing aids. These 3D-printed custom-fit hearing aids provide optimal comfort and resemble wireless earbuds. Powered by AutoSense OS 3.0, the Virto M adjusts to your listening environment automatically.

The only downside is that these hearing aids don’t have a rechargeable option that makes sense for this small device. However, its disposable 312-size batteries can provide five to seven days of uptime.

Bolero Marvel

The Phonak Bolero Marvel is a classic behind-the-ear design hearing aid for mild to severe hearing loss. It is a fairly straightforward model with features like direct Bluetooth streaming to Android and iOS devices, telecoil and AutoSense 3.0 sound processing system. The Bolero Marvel M-PR model has rechargeable batteries. With all other models, you’ll get the standard 312 zinc air batteries.

CROS Paradise

The CROS Paradise is an advanced solution for people with hearing loss in only one ear. It is designed to enhance speech comprehension by transmitting sounds from the weaker ear to the stronger one. The device can connect with various devices such as smartphones, TVs, and Roger™ microphones, making it very versatile. Additionally, it offers hands-free calling and easy control through a simple tap of the ear. The CROS Paradise is available in two models – one with rechargeable batteries and the other with zinc-air batteries – giving users the flexibility to choose a model that suits their needs.

Lyric

Phonak’s Lyric is a different type of hearing aid from anything else on the market. Designed for folks with mild to moderate hearing loss, the Lyric delivers a more natural hearing experience and better localization of sounds. The company claims that these hearing aids are 100% invisible. The device is inserted deep into your ear canal by an expert hearing care provider, where it stays for months. These are non-rechargeable aids, so you don’t have to take them off when showering or going to bed.

Be aware that since the Lyric sits deep within your ear, it may cause discomfort. Also, the Lyric isn’t compatible with severe to profound hearing loss. Talk to your audiologist about whether you’re a good candidate for the Lyric.

Pros and Cons of the Phonak Hearing Aid Brand

Signia Hearing Aids Review

Styletto: Best for High-End Design

*Safety Scores were conducted by a panel of independent audiologists. Read our methodology for more information.

Signia is an industry leader in hearing technology. Their higher-end hearing aids come with smartphone app controls, Bluetooth connectivity, Dolby-Digital sound streaming, Tinnitus relief, and more. The Signia app is also excellent for controlling volume, direct streaming, and fine-tuning hearing aids.

Being a top brand in the hearing aid industry, Signia ensures that its users get the best customer support. Signia provides TeleCare support where technicians can remotely adjust your hearing aid settings or conduct follow-ups without leaving your home. There’s also CareChat which is basically a text, phone, or video chat support.

If you like your options, you’ll be pleased with Signia’s broad product portfolio covering many different price points. The newest Nx series is available on all Signia form factors, including the RIC Stylleto and the CIC Silk. As expected from a premium brand, Signia products are relatively expensive and may cost as much as between $1,540 and $5,945 for a pair.

Signia Hearing Aid Device Features

Styletto X

The Styletto X, a sleek RIC hearing aid, counters the stigma of hearing aids with its modern design and advanced technology. Suitable for mild to severe hearing loss, the aid features the Signia Xperience chip for excellent sound and clarity in difficult environments and its acoustic-motion sensors auto-adjust to the wearer’s setting, ensuring optimal performance at all times.

Another selling point of the Styletto X is its Qi wireless technology-enabled portable charging case. This induction charging technology means you don’t have to plug in the charging case, simply set it on the charging pad, and you’re good to go. A single full charge can deliver up to 3 days of runtime, and a full charge takes about 4 hours to complete.

Pure

Signia’s Pure range of devices is the brand’s most extensive collection of small, high-tech hearing aids. These small and discreet hearing aids sit behind your ears and provide excellent comfort and numerous sophisticated features.

Meanwhile, the Pure Charge&Go T AX hearing aid from Signia’s Pure collection has “Augmented Hearing” technology that separates speech from surrounding sounds. This creates a crystal-clear immersive environment like watching a 3D movie.

All Pure hearing aids have Bluetooth streaming support and tinnitus therapy features. The package includes a compact charger with the option to upgrade to a Pure Portable Charger or the Dry&Clean Charger.

Insio Nx

The Insio Nx line is one of the older offerings by Signia. It’s available in four different models that cater to any level of hearing loss: ITE, CIC, IIC, and ITC styles. The Insio IIC Nx and Insio CIC Nx are equipped with Ultra HD e2e, which is used for wireless binaural processing. This gives you unparalleled speech comprehension and sound clarity. Meanwhile, if you want a Bluetooth-enabled device, you’ll have to go with the ITC Nx and ITE Nx styles.

Pros and Cons of the Signia Hearing Aid Brand

Widex Hearing Aids Review

EVOKE and MOMENT: Best for Artificial Intelligence Features

*Safety Scores were conducted by a panel of independent audiologists. Read our methodology for more information.

With 60+ years of experience, Widex is a renowned hearing aid manufacturer for introducing the world’s first digital hearing aid. Their focus on digital technology makes their devices compatible with their apps, making them the best hearing aid company for streaming and app functionality.

Their EVOKE line of hearing aids is their most popular range, catering to mild to profound hearing loss. It’s available in various styles with wireless connectivity. EVOKE also has a “made for iPhone” model for Apple users and a non-Apple version that works with the Tone Link app for Android users.

The Widex MOMENT is the leading model of the brand that works ideally as a “set and forget” device. One of the things that caught our attention was MOMENT’s exceptional sound quality and music playback. Furthermore, the device is equipped with the PureSound feature, which the company claims provides a more authentic listening experience. Other features include 2.4 GHz Bluetooth streaming, AI capabilities, and a rechargeable lithium-ion battery.

Widex Hearing Aid Device Features

The EVOKE CIC

The EVOKE is a completely-in-canal device with a small and discreet design. Designed for users with mild to severe hearing loss, the EVOKE hearing aids boast the SoundSense Learn. This artificial intelligence technology automatically adjusts your device based on your listening situation. Overall, EVOKE provides top-notch sound quality and amplification.

EVOKE is available in both standard disposable and rechargeable batteries for battery power. EVOKE users can use its app, where you can customize sound settings and create your listening programs

EVOKE Fusion 2

The EVOKE Fusion 2 hearing aid integrates Machine Learning to set a new standard in the industry. It adjusts to the user’s acoustic surroundings, creating a personalized auditory experience that improves over time. The device also features SoundSense technology that categorizes sounds and differentiates between musical genres and indoor versus outdoor acoustics. Furthermore, the EVOKE app provides precise hearing settings that can be saved and adjusted according to your preferences. Lastly, the aid is compatible with iPhones for seamless call streaming and has an impressive battery life that lasts even during heavy streaming.

The Fusion is available in 13 fun colors and can store up to five customizable channels. It’s highly recommended that you download the companion EVOKE app to maximize your device.

MOMENT

Widex’s flagship MOMENT series is packed with innovative features for the best listening experience possible. The MOMENT is built on the company’s PureSound platform which speeds up the hearing aids’ ability to process sounds. Widex also recently introduced a new ZeroDelay Accelerator system that greatly improves sound quality while cutting down processing delays to 0.5 seconds. This reduces delays so you’ll hear sounds the “moment” they happen.

MOMENT is available in both ITE and BTE styles, and is suitable for mild to severe to profound hearing loss. Plus, you have 13 fun colors to match your personal style.

Pros and Cons of the Widex Hearing Aid Brand

Starkey Hearing Aids Review

Best for Assistive Features

*Safety Scores were conducted by a panel of independent audiologists. Read our methodology for more information.

Starkey is a proudly American-owned and operated brand that’s been in the business of selling high-tech hearing aids since 1964. While many brands focused on machine learning and artificial intelligence to enhance sound quality and speech clarity, Starkey took it up a notch by providing assistive features for senior users. For example, some models have senior accessibility features like Amazon Alexa connectivity, light-based hearing technology, and fall detection.

Starkey gets a spot on our list because their hearing aids have excellent build quality and sleek, well-fitting designs. The company has a wide range of hearing aids for people with mild to severe hearing loss. Starkey has BTE, RIC, ITE, ITC, CIC, and IIC hearing aid styles, so there’s something here for everyone.

Prices for Starkey products aren’t available through their websites. However, you can quickly look them up through the company’s network of authorized dealers.

Starkey Hearing Aid Device Features

The Livio AI

Starkey’s Livio is about unrivaled sound clarity, comfort, and universal connectivity. The Livio boasts the Hearing Reality technology, allowing you to hear speech clearly while suppressing unwanted noises–useful in challenging environments like a coffee shop or restaurant.

Livio AI also supports Bluetooth connectivity for iOS and Android devices. You can directly stream phone calls, music, movies, and messages to your hearing aid from your smartphone. The device also has a Personalized Memories feature, essentially your standard custom sound profiles that you can switch as needed.

One thing that takes the Livio AI to the next level is the Thrive Hearing Control app. Besides managing your sound settings, this app acts as a remote control for controlling the volume and switching between memories. From the Thrive app, you may access assistive features like Find My Phone, Transcribe, Mask Mode (to hear people with masks better), and Self Check.

Picasso

Starkey’s Picasso line offers custom hearing aids tailored to your specific needs, using the unique attributes of your ear anatomy. Available in three styles, including ITE, ITC, and CIC, Picasso hearing aids provide comfortable and almost invisible fit, tinnitus relief, feedback cancellation, and multiple technology levels.

Unfortunately, The Picasso doesn’t have native Bluetooth support. To improve its connectivity, you’ll need to purchase Starkey’s SurfLink accessories. For example, the SurfLink Mini Mobile streams phone calls, while the SurfLink Media 2 streams music, TV, and radio. Multiple accessories may be required for certain features, which is not always ideal.

Pros and Cons of the Starkey Hearing Aid Brand

Compare Audiologist Safety Scores

The below scores reflect the research, testing, and expert opinion of two independent audiologists. You can read more about how we calculated each company’s star rating and the individual scoring metrics in the Methodology section below.

Note: The brands that are sold through brick and mortar stores (referred to as “traditional” below) were each given the same score based on the expert opinion of our partner audiologists. Find more information about each of the metrics and how they were scored below. All metrics were given full weight unless noted otherwise.

Caring.com Hearing Aid Safety Scores Methodology

To accurately compare the safety of each hearing aid brand, Caring.com partnered with two independent Audiologists to develop a scoring system made up of three core metrics, and 11 individual metrics. and score each brand according to that score. These scores are based on the expertise of the Audiologists listed below.

Our Metrics Explained

Hearing Test & Consultation

This core metric is made up of four individual metrics, and it accounts for 20% of each company’s final score. Hearing Test & Consultation measures the quality and accuracy of each company’s hearing test, as well the accessibility of both the test and the consultation following the test. 

To score the brands with online hearing tests, each of our panel audiologists did “secret shopping” by taking the online hearing test as if they were customers in need of a hearing aid, and scored each metric based on their findings. 

• Audiogram: This metric simply measures whether the hearing tests offered were an official audiogram (the industry standard). The online brands that required an audiogram got a maximum score (5/5), while those that did not were given the lowest score (1). All traditional brands were given a maximum score.  
• Accuracy of the Test: To measure the accuracy of the test, our partner audiologists took each online hearing test and gauged the accuracy of the test based on their expertise and by comparing to previous tests that they had taken in traditional environments. All traditional brands were given a maximum score in this metric as well. 
• Accessibility of the Test: This metric was only given half-weight, and examined how easy it is to take each test. Traditional brands were given a 3 (out of 5) for this metric as they must be done in a physical store, which isn’t always convenient and may be more difficult for older adults. 
• Consultation Availability: After taking the test, it’s important to have an appropriate consultation to determine what type of hearing aid is right for the individual. This metric measures whether you can talk to an expert, such as an audiologist, and how easy it is to actually have the consultation. Similar to the reasoning above, the traditional brands were given a 3 on this metric. The weight assigned to Consultation Availability was 0.75.

Fitting & Follow-Up Care

Fitting & Follow-Up Care is made up of seven individual metrics all designed to score the safety of the processes used by each brand to fit and service patients’ hearing aids. This metric makes up 40% of the overall score. Our partner audiologists scored these categories by conducting online research, talking with representatives of the company, and by utilizing their expert industry knowledge. 

• Initial Fitting: This metric examines whether the initial fitting and programming is done by a qualified professional, and whether the programming is tailored to the individual using data from their audiogram. Traditional brands were all given a maximum score on this metric. 
• Cost of Follow-Up Visits: Since the cost of follow-up care can be a barrier for some, individuals who have access to free or low-cost adjustments are more likely to maintain the effectiveness and safety of their hearing aids over a longer period of time. This metric was given a weight of 0.75, and traditional brands were all given a maximum score on this metric. 
• Follow-Up Programming Available: This metric measures whether individuals can get their hearing aids reprogrammed or adjusted as their hearing loss progresses. Higher scores were given for brands that made this process more accessible. Traditional brands were all given a maximum score on this metric. 
• Remote Programming Available: While similar to the above metric, this metric has a more narrow focus and simply examines whether individuals can have their hearing aids programmed remotely. This metric was given a weight of 0.75 and traditional brands were all given a maximum score on this metric. 
• Device Care: This metric examines the options for device cleaning and simple repairs, as well as the associated cost. Brands with hidden costs around device care were given lower scores as this could be a barrier for individuals to keep their hearing aids in proper working order. This metric was given half-weight and traditional brands were all given a maximum score on this metric.  
• Risk-Free Trial: Because individuals that have an opportunity to return a device that doesn’t meet their needs are more likely to end up with the hearing aid that is best for them, brands with a longer risk-free trial were given a higher score on this metric, while those that required users to pay return shipping were slightly penalized. This metric was given half-weight and traditional brands were all given a 2.5 (out of 5) on this metric. 
• Warranty: Brands with a commitment to keep their customers’ hearing aids in safe working order over the longest period of time were given the highest score on this metric. This metric was given half-weight and all traditional brands were all given a 4 (out of 5) on this metric.

Device Safety

The final two metrics were categorized under the Device Safety core metric, which makes up 40% of the final score. This category evaluates the safety of each brand’s devices and was scored by researching online and talking with representatives of the companies. 

• Safe Decibel Limiting: Brands that best protect their customers by ensuring that all devices don’t have the potential to damage the hearing of their users were given the highest score on this metric. Traditional brands were all given the maximum score on this metric. 
• FDA Approved: Since all of the brands that were scored in this ranking are approved by the FDA as a Class I Medical Device, each one received the maximum score on this metric.

Our Expert Audiologists

Dr. Mandi Chambless

Mandi Chambless graduated with her Doctorate of Audiology in 2006 from the University of North Texas in Denton, Texas. She saw patients in both private practice and Ear, Nose and Throat clinics, offering hearing aid evaluations and balance assessments before spending ten years of her professional career working as a trainer for one of the top five hearing aid manufacturers on the market. During her time in manufacturing, she provided clinical support for hearing healthcare professionals and assisted in training providers on hearing aid technology and standards of care. Mandi developed and implemented the Remote Support Audiology program, the first of its kind, offering remote support to hearing healthcare providers and their patients. For the past two years, Mandi has worked as a Clinical Specialist for a cochlear implant manufacturer, providing clinical support and acting as a business partner to clinics in the Austin and San Antonio, Texas areas.

Dr. Ruth Reisman

Dr. Reisman is a licensed Audiologist and Hearing Aid Dispenser in New York State. She holds certification by the American Speech and Hearing Association and is a fellow of the American Academy of Audiology. Dr. Reisman currently heads the Audiology department for Lenox Hill Hospital in NYC, and is a professor at the CUNY Graduate Center and Touro College. She has been recognized as the first audiologist to successfully fit the new Maxum Middle Ear Implant in the tri-state area and the first in the country to successfully fit a Cochlear Bone Anchored Hearing Aid device with the magnetic attract implant system. Her experience in the evaluation and rehabilitation of hearing and balance disorders is wide-ranged. Dr. Reisman’s research and methods in the assessment and treatment of hearing disorders in some of the most challenging cases have been awarded and recognized within the field of Audiology.

Hearing Aid Styles and Types Explained

If you are new to hearing aids, it can be difficult to know which style of device best suits you. Below, we break down the two main types of hearing aids to help you narrow down the options and make a confident decision.

Behind-the-Ear (BTE) Hearing Aids

Behind-the-ear (BTE) hearing aids are useful for people of all ages with mild to severe hearing loss. As the name suggests, a hard, plastic case is worn behind the ear and holds the electronic parts of the device. A small, plastic tube hooks over the ear to connect the case to a custom-fit earmold within the ear canal. While these devices are larger than other styles, they tend to offer more helpful features, like directional microphones.

If size is a concern, you might consider an open-fit or mini BTE hearing aid. While still placed behind the ear, this device style trades out the traditional earmold for a very narrow tube inserted into the ear canal. As a result, wearers have the freedom to keep an open canal, which eliminates the “plugged up” feeling that some traditional BTE hearing aids give.

In-the-Ear (ITE) Hearing Aids 

In-the-ear hearing aids are available in three main styles: traditional in-the-ear (ITE), in-the-canal (ITC) and completely-in-canal (CIC). While the devices differ in size, they are generally smaller and more discreet than behind-the-ear (BTE) models.

Traditional In-the-Ear (ITE)

Traditional in-the-ear hearing aids fit completely inside the outer ear and are commonly worn by those with mild to severe hearing loss. These devices are typically larger than the canal styles, which provides extra space for features like Bluetooth and telecoil.

In-the-Canal (ITC) Hearing Aids

Sitting a bit deeper in the ear canal than traditional ITE devices, in-the-canal hearing aids are designed to fit the size and shape of the wearer’s ear canal. These are a great option for people seeking a discreet device without forgoing quality features, like directional microphones and long battery life.

Completely-in-Canal (CIC) Hearing Aids

Completely-in-canal hearing aids are the smallest ITE option and virtually hidden within the canal. While wearers love this style for its reduced feedback, its small size can also limit the available features.

The Cost of Hearing Aids

Hearing aid costs can vary dramatically depending on the type of device, its basic and premium features, and the manufacturer. As demonstrated in our list of the Ten Best Hearing Aids, some hearing aids can be purchased for just a few hundred dollars, while other, more advanced models may cost upwards of $2,000. Below, we cover three key things you should consider before purchasing a hearing aid to ensure you choose a suitable device for your needs and budget. 

Access to Professional Care and Assistance

While in the past you would have to work with an audiologist to obtain a hearing aid, modern companies offer a direct-to-consumer (DTC) model. Today, you can easily buy hearing aids online without any input from an audiologist. However, that doesn’t mean you should. 

Though most DTC hearing aids offer online hearing tests and some form of customized programming, be aware that it’s not the same level of personalization and care you would experience working with a hearing care professional. For those with mild-moderate hearing loss, these DTC devices are often sufficient and in general, they’re much less expensive. But for those with more advanced hearing loss or other audiology-related concerns, it may make more sense to work with an audiologist to get your hearing aid (though be aware that the cost will likely be much higher). 

Some companies that we’ve covered above, like Jabra Enhance, connect customers virtually with audiologists who can offer advice, review your hearing tests, and help you adjust your hearing aids to suit your individual needs. If you’re hoping to keep costs low but want personal assistance from a hearing care professional, look into a company that offers this virtual audiology service.

Payment Structures

Understanding the impact of the various payment structures used by different companies can be confusing. Some hearing aid companies maintain a basic pricing structure, while others use a subscription model. Furthermore, some companies offer bundles of accessories and cleaning materials, free add-on devices, or device protection plans. 

Before making a purchase, be sure to read the fine print about what is and is not included in your purchase price or monthly cost. If choosing to buy hearing aids on a payment plan, check if there is any interest charged over time. If you choose a subscription model, make sure to check if there are any long-term contracts. One of the main appeals of a subscription plan is that you can try a device without a significant financial commitment. Accidentally signing on for a multi-year contract may defeat your purpose of choosing this payment style. 

Long-Term Costs

In most cases, you’ll need to put some money into your hearing aid over time; the total cost goes beyond your initial purchase price. You’ll undoubtedly need to buy cleaning materials if you want to keep your device operating in top shape, and you never know when you may need a repair. Below we outline the three main things to consider when thinking about long-term costs. Factoring these things into your decision may cost you more money upfront, but can save you money in the long run. 

• Bundled Plans: Some hearing aids are sold as a bundle with accessories, cleaning supplies, or technology upgrades like a rechargeable battery. If you find that one company offers a bundle with extras you feel you’ll really use or that will benefit you, it may be worth spending a bit more initially to save money on these extras in the future. 
• Device Protection: Most hearing aid companies offer a device protection plan, either included in a monthly cost or for a small monthly fee. In most cases, it’s worth your while to sign up for the protection plan to prevent large replacement or repair fees in the event your device breaks or is damaged. Furthermore, if you’re clumsy, forgetful, or simply tend to need replacement electronics frequently, you may choose to spend a bit more upfront for a hearing aid with device protection included in the cost. 
• Warranties: Unlike device protection plans, which are offered by the company selling the device, warranties are typically determined by the manufacturer. Not only do warranties cover different lengths of time, but they can have completely different terms. Spend some time checking the warranties of your top choices of hearing aids. If there is a significant imbalance (i.e., one offers an extra year of coverage), it may influence which option makes the most long-term sense for you. 

Financial Assistance for Seniors Buying Hearing Aids

Hearing aids can be a significant expense, especially medical-grade devices purchased through an audiologist. However, the price tag shouldn’t deter you from seeking professional hearing care if you need it. Hearing aids undoubtedly improve everyday quality of life for those who struggle to hear, and studies have shown that wearing them can even improve brain function for those with hearing loss. 

Additionally, there are some financial assistance options available for seniors that can make hearing aids more affordable. Below, we explain some of the most common sources of help paying for hearing aids. 

Veterans Benefits

The Department of Veterans Affairs offers numerous health benefits through the Veterans Health Administration (VHA). One of these benefits is audiology services, including diagnosis and treatment with a professional audiologist. VHA Audiology can prescribe modern hearing aids from some of the top manufacturers including Phonak, Starkey, and Signia. Some people may need to pay a copay for these services, but VHA care is free for those who meet income requirements. 

Qualifying for VHA Assistance

Most veterans who served active duty qualify for VHA services and assistance. Veterans must have served for 24 continuous months or the full length of time for which they were called to service. Some exceptions exist, such as for those who were honorably discharged or served prior to September 1, 1980. You can learn more about eligibility for VA health care on the official VA website, and apply online or over the phone. 

Medicare

Medicare parts A and B, also known as Original Medicare, is the program that most people automatically qualify for upon turning 65. Unfortunately, Original Medicare does not cover any portion of hearing aids or hearing exams. However, most Medicare Advantage plans, which are purchased separately from Original Medicare through private insurers, offer additional benefits beyond what standard Medicare provides. Some Medicare Advantage plans include hearing care, which can include diagnostic services, working with an audiologist, and/or the cost of hearing aids themselves. If you currently use a hearing aid or need hearing care, be sure to specifically look for a plan with this coverage when choosing a Medicare Advantage plan.

Medicaid

Medicaid may provide some financial assistance for hearing aids, but it depends where you live. Because Medicaid is a joint program between federal and state governments, Medicaid benefits can vary depending on your state. Some services, like hospital care, are required by the federal government to be included in all states’ Medicaid programs. But since hearing care is not one of these required services, the conditions of coverage vary from state to state. Some states cover the cost of hearing aids in addition to diagnostic services, follow-up care, and more; in others, hearing aids and hearing care may not be covered at all.

Learn more about Medicaid’s coverage of hearing aids.

National and State Resources for Free/Subsidized Hearing Aids

In addition to the financial assistance options described above, there are national, state, or local resources available to help people access affordable hearing aids. Below, we list some of the national resources for seniors who need help finding free or low-cost hearing aids. To find additional local or state resources in your area, contact your local Area Agency on Aging.  

Resource	Website/Contact	How They Help
Help America Hear	www.helpamericahear.org/  info@helpamericahear.org	This organization was founded in 2004 to help those with hearing and vision impairments. In 2019, they started focusing on helping low-income individuals afford hearing aids. You can apply to receive one of Help America Hear’s free hearing aids on the organization’s website.
Lions Club Affordable Hearing Aid Project (AHAP)	www.lionsclubs.org/en	Lions Club International partners with audiologists for the AHAP, a program that provides individuals in need with high-quality, low-cost hearing aids. You can apply to receive one of these hearing aids via mail with an application form, or ask your audiologist if they currently work with Lions Club on the AHAP.
Miracle-Ear Foundation	www.miracle-ear.com/miracle-ear-foundation	Miracle-Ear is a hearing aid retailer that operates a foundation to help people in need access hearing aids. For each hearing aid Miracle-Ear sells through retail, it donates one through the Foundation. You can learn more about eligibility and apply on Miracle-Ear’s website.
National Hearing Aid Project	www.hearingaiddonations.org/	This resource was created by the Hearing Charities of America (HCOA) to help those who face economic barriers to accessing assistive hearing devices. You can apply to receive a hearing aid on the organization’s website. Note that in your application, you must include an audiogram/official diagnosis of hearing loss from an audiologist.
Starkey Hearing Foundation	www.starkeyhearingfoundation.org/  info@starkeyfoundation.org	Starkey is a hearing aid manufacturer that helps those in need access hearing care through its foundation. The foundation provides several services, including helping low-income individuals access hearing aids. You can contact Starkey Hearing Foundation via email if you or someone you know is in need of assistance.

What You Should Know About Over-the-Counter Hearing Aids and FDA-Approved Hearing Aids

With the rise of telehealth and online shopping, there are many companies from which you can now buy a hearing aid online rather than by visiting an audiologist. However, valid concerns have been raised by hearing care professionals that these direct-to-consumer hearing products can potentially harm wearers. If not programmed correctly by a specialist, there is a risk that the sound will amplify too much and be too loud, further damaging the wearer’s hearing and ears. 

However, that is not to say that all hearing aids you can buy over-the-counter are unsafe. To make the most informed choices, it’s important to understand the difference between over-the-counter sound amplifiers, direct-to-consumer hearing aids, and FDA-approved hearing aids. 

Over-the-Counter Hearing Amplifiers

First and foremost, it’s important to know that there is no such thing as over-the-counter hearing aids currently being sold in the United States. The FDA has not yet approved any over-the-counter hearing aids (though a proposal to allow the sale of these products is currently under review) which means any hearing device you can simply buy in a store without input from a specialist is not a hearing aid- it’s a personal sound amplifier product (PSAP). 

PSAPs function differently than hearing aids and amplify all sounds rather than specific ones. They’re also not customizable and present a risk of over-amplification that can cause hearing damage and exacerbate existing hearing loss. PSAPs are not recommended for people with hearing loss; rather, they’re meant for someone without hearing loss to wear in certain situations when necessary. 

As of October 17, 2022, the FDA has introduced a new category of over-the-counter (OTC) hearing aids for adults aged 18 and above. These devices are designed for those with mild to moderate hearing loss. However, our recommendation is to still consult with an audiologist whenever possible. Without professional advice, you may still be at a higher risk of worsening your hearing issues or not using your devices to their fullest potential.

FDA-Registered Direct-to-Consumer Hearing Aids

Most of the companies included on this page are direct-to-consumer brands, meaning that you can buy a hearing aid from them, usually online, without visiting an audiologists’ office. Many of them are FDA-registered devices and are defined as Class I medical devices. These FDA-registered hearing aids you can buy online are not PSAPs; they are true hearing aids designed to help people diagnosed with hearing loss. 

However, it’s important to note that FDA registration is not the same thing as FDA approval. Class I medical devices pose the lowest risk of harm to consumers, and thus are not required to undergo the testing process necessary for FDA approval prior to reaching the market. Being FDA-registered simply means that the FDA knows that the product is being manufactured. FDA approval, on the other hand, means that there has been sufficient testing of the product and it has been determined to be safe. 

It is possible for hearing aids that are sold online directly to consumers to be safe, as long as they are customized according to the wearer’s individual sound profile, preferably by an audiologist. If you have budget constraints, purchasing a hearing aid online from a company that provides remote care and adjustments with an audiologist can be a convenient and safe way to obtain a high-quality hearing aid.

New Legislation Regarding Over-The-Counter Hearing Aids

In August of 2022, the Food and Drug Administration (FDA) approved the sale of certain over-the-counter hearing aids directly to consumers without the need for a prescription or hearing test. This move creates a new category of OTC hearing devices specifically meant for those with mild to moderate hearing issues.

The legislation makes it much less expensive for consumers to purchase a true pair of hearing aids. Today, a pair of hearing aids can cost several thousands of dollars. This new class of over-the-counter hearing aid may cost as little as a few hundred per device as you won’t need to take costly audiology tests and be fitted for the device.

However, we recommend still working with an audiologist when possible. Without professional input, you’ll still run a higher risk of exacerbating hearing problems or simply not using your devices to the maximum benefit

Buying Hearing Aids Online

Most of the companies included on this page are direct-to-consumer brands, meaning that you can buy a hearing aid from them, usually online, without visiting an audiologists’ office. Many of them are FDA-registered, Class I medical devices. These FDA-registered hearing aids you can buy online are not PSAPs; they are proper hearing aids designed to help people diagnosed with hearing loss. 

However, it’s important to note that FDA registration is not the same thing as FDA approval. Class I medical devices pose the lowest risk of harm to consumers and thus are not required to undergo the testing process necessary for FDA approval before reaching the market. Being FDA-registered simply means that the FDA knows that the product is being manufactured. On the other hand, FDA approval means that there has been sufficient testing of the product and it has been determined that the benefits outweigh the potential risks. 

Hearing aids sold directly to consumers online can certainly still be safe and effective as long as they are custom-programmed for wearers’ sound profiles, ideally by an audiologist. If you’re on a budget, buying a hearing aid online from a company that offers remote care and adjustments with an audiologist can be the best way to get a high-quality and safe hearing aid.

FDA-Approved Hearing Aids

There are some hearing aids that are defined as Class II medical devices, meaning that they pose a greater potential risk to wearers, and thus must be FDA-approved to be on the market. Hearing aids that are class II medical devices include bone-conduction hearing aids, which you should absolutely only wear if prescribed, implanted, and programmed by an audiologist, otolaryngologist, or another skilled medical professional. If you ever see this type of hearing aid available for sale direct-to-consumer, it’s either false advertising of the product or the company is violating FDA regulations. 
If you’re living with impaired hearing and have yet to visit a hearing specialist for testing and hearing aid recommendations, you can find an audiologist near you through the American Academy of Audiology.

Buyer’s Guide: How to Choose the Right Hearing Aid

Step 1: Get a Hearing Test

Traditionally, your first step on the path to a hearing aid purchase should always be to see a licensed hearing specialist. However, in-person testing is not always possible, especially right now during COVID-19. Just like many people are turning to telehealth appointments, you can also take a free online hearing test instead of visiting an audiologist in-person. 

Online hearing tests can play a valuable role in determining your need for a hearing aid, but you won’t get as precise information as you would from a hearing test with an audiologist. If you do undergo a hearing test using an audiogram, the audiologist can provide highly detailed reports of what types of sounds, pitches, ranges, etc. that you most struggle with. This information will make finding the best hearing aid for you a more exact process and can give you a more specific price range.

Audiologists can also make recommendations for hearing aid brands, models, and fit styles. Keep in mind that audiology practices may have a few brands that they sell or endorse in particular, but once you have the opportunity, don’t be afraid to ask about the brands or devices that interest you personally.

Step 2: Think Beyond Hearing Aid Cost

After your audiologist provides a deeper look into your hearing loss profile, it may be tempting to keep things simple by shopping based only on cost and your audiogram results. However, you will also need to consider the kinds of activities wherein you’ll be relying on your hearing aids. Think about what types of sound environments you frequent most often.

The cost of hearing aids varies based in part on how well they can filter out peripheral noise. If you don’t often find yourself in noisy restaurants or music venues, you may wish to purchase a low-cost model that is best suited to calm, quiet environments, such as peaceful one-on-one conversations or TV watching at home. While you’re at it, also consider whether you would benefit from Bluetooth connectivity that could stream sound directly from a television or radio to your hearing aids. Another thing to look out for is a free trial period, which can be especially useful when buying hearing aids online. 

Step 3: Determine What Accessories You May Need

Most companies sell accessories like remotes and streamers that can make programming and using your aids more convenient. However, buying accessories for various purposes can easily make your hearing aid far more expensive. For that reason, it’s best to start the shopping process by considering your specific accessory needs. The following are some of the most common accessories offered by hearing aid brands.

Streaming Accessories

Many of the devices covered here feature Made for iPhone functionality, so Apple device users often spend less on accessories as these devices stream directly to Apple devices. However, if your phone runs on OS (Android) and you’d like the freedom to connect to other devices, such as your TV or car stereo, most brands will most likely require you to purchase a separately sold accessory. Bluetooth streamers can connect a hearing aid either wirelessly or with the use of a wired adapter to a broad range of external devices, and users will no longer need to excessively crank the volume of their TV or radio. Bluetooth streamers and adapters can cost hundreds, but they can make the balance of sound in your listening environment more level and clear.

Remote Controls

It’s common for brands to offer physical remotes in a variety of styles, so if you’re not confident using a cell phone app for sound programming and other functions, or if you just want a backup remote, a physical remote control is a smart purchase. Not all hearing aids come with physical buttons to change the volume or the sound program which adapts your aids to different sound environments, so with some models, physical remotes are even more important.

Microphones

For conversations in noisy areas or where the speaker and listener are at a distance from one another, an external microphone can be extremely handy. These come in multiple configurations, including as a mic that clips onto the speaker’s shirt, a table-top model or a small device that can be easily held and passed around during multi-party conversations. Mics are ideal in classroom environments too as some can accommodate group conversations at distances of up to about 60 feet.

Step 4: Try a Variety of Styles

Your audiologist can help you find the most comfortable and appropriate fit style for you, whether you’re more comfortable with a device that sits mostly behind your ear or a more discreet option that sits fully within your ear canal. The look of a hearing aid is important to most people, but the feel of the device is also highly important as hearing aids are meant to be worn long-term. 

The most commonly found hearing aid fit styles are BTE (behind-the-ear), RIC (receiver-in-canal), and CIC (completely-in-canal). Some of the brands listed above also offer a custom-molded earpiece for which audiologists must fit the individual customer. If you find that most of the fit styles you try seem uncomfortable, consider a custom fitting.

Step 5: Anticipate Additional Costs

When you buy hearing aids, there are often additional costs beyond the initial purchase. And, anticipating the total cost involved in purchasing hearing aids can be tricky. Costs are dependent on needed accessories, warranty coverage, added fees, and brand-specific incidentals. When you’ve narrowed your search down to a few select brands, research the provider’s website or ask an audiologist about the following cost-related concerns.

• Is there a money-back guarantee during a risk-free trial period?
• Does the warranty cover lost, stolen or damaged devices?
• How much do replacement batteries or earpieces cost?
• Are fittings and/or servicing for adjustments included in the purchase price?
• How much do accessories for Bluetooth streaming cost?

Frequently Asked Questions

Citations 

1. https://www.nia.nih.gov/health/hearing-loss-common-problem-older-adults
2. https://www.hopkinsmedicine.org/health/conditions-and-diseases/presbycusis
3. https://healthjournalism.org/blog/2017/03/social-isolation-loneliness-negatively-affect-health-for-seniors/
4. https://my.clevelandclinic.org/departments/head-neck/patient-education/resisting-help
5. https://www.aarp.org/health/conditions-treatments/info-2018/hearing-loss-health-risks.html
6. https://www.health.harvard.edu/mind-and-mood/in-the-journals-hearing-aids-may-help-improve-brain-function
7. https://www.va.gov/health/
8. https://www.prosthetics.va.gov/audiology/index.asp
9. https://www.va.gov/health-care/eligibility/
10. https://www.va.gov/health-care/eligibility/
11. https://www.va.gov/health-care/how-to-apply/
12. https://www.medicare.gov/coverage/hearing-aids
13. https://www.hearingloss.org/hearing-help/financial-assistance/medicaid/
14. https://eldercare.acl.gov/Public/index.aspx
15. https://www.starkeyhearingfoundation.org/
16. https://www.nidcd.nih.gov/health/over-counter-hearing-aids
17. https://www.aarp.org/health/conditions-treatments/info-2015/hearing-amplifiers-psaps.html
18. https://www.ncbi.nlm.nih.gov/books/NBK385313/
19. https://my.clevelandclinic.org/health/drugs/14794-bone-anchored-auditory-implant#
20. https://members.audiology.org/cvweb/cgi-bin/memberdll.dll/info?wrp=find-an-audiologist.htm

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