The Best Hearing Aids of 2022

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. Many people may put off seeking treatment for their hearing loss because they believe they cannot afford a pair of hearing aids. Or, the thought of numerous visits to an audiologists’ office for fittings and follow-up care can be overwhelming, especially if there are not any clinics located nearby. Thankfully, purchasing a hearing aid online is becoming an increasingly attractive solution. 

“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
• Lively: 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 2022

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.

Founded in 2012, Hear.com was one of the first companies to take a digital approach to hearing care. Today, Hear.com offers one of the most comprehensive online hearing aid services. It works with a network of over 3,000 partner audiologists and hearing instrument specialists located throughout the United States to provide resources about hearing loss and hear care, and to conduct consultations and hearing tests. Hear.com helps its customers along every step of the way in the hearing aid purchase process, providing educational information and connecting them with local providers for hearing tests and to find the right hearing aids. 

Hear.com carries devices from the top hearing aid manufacturers on its online marketplace. It focuses on hearing aids with the latest technology, including a wide selection of rechargeable hearing aids. 

One of these modern, rechargeable hearing aids is the Hear.com Horizon. This Bluetooth-enabled hearing aid was designed for active people, and its rechargeable battery lasts for up to 19 hours on a single charge. Horizon hearing aids also come with a small, portable charging case, that provides a full charge in 3-4 hours and can charge the devices three times on a single charge, making it perfect for active adults with an on-the-go lifestyle. If a device from another manufacturer is better suited for you, you’ll still have plenty of rechargeable, digital hearing aid options to choose from on Hear.com’s marketplace. 

Hear.com Hearing Aid Device Features

The Horizon

The founders of Hear.com worked with engineers from top hearing aid manufacturer Signia to develop the Horizon hearing aids, a first-of-its-kind device specifically designed for active adults. The nearly-invisible hearing aid is receiver-in-canal style and has a very small and slim behind-the-ear component connected to the earbud with a tiny, translucent cable. The sleek hearing aid resembles many common Bluetooth devices on the market today and is suitable for those with mild to moderate hearing loss. 

Though small in size, Horizon hearing aids use advanced technology and have premium features including Bluetooth connectivity for direct streaming, a rechargeable lithium-ion battery with up to 19 hours of runtime, and dynamic sound processing. Horizon hearing aids easily connect to a Smartphone app where wearers can adjust their devices for complete control of their sound. Additionally, the hearing aids use a unique algorithm that focuses on speech for enhanced sound clarity even in loud spaces. 

All Horizon hearing aids come with an included portable charging case that provides a full charge in just 3-4 hours for all-day, on-the-go wear. Hear.com typically uses a financing payment model with monthly payments; the Horizon hearing aids start at $100 per month, or a one-time price of $2,900.  Like with all hearing aids purchased through Hear.com, Horizon users will have a 45-day risk-free trial period to try the hearing aids in a variety of different situations before committing financially. 

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 offers some of the least visible completely-in-canal hearing aids available, and unlike the majority of other hearing aid brands, all four Eargo models are rechargeable. But what makes this brand unique is its approach to inner-ear comfort and sound amplification.

Featuring soft silicone earpieces that are suspended within the ear canal rather than plugging it, Eargo hearing aids give users with mild to moderate hearing loss a far more breathable option than ever before. Eargo’s Flexi earpieces fit deep inside the ear, hiding the hearing aid from view, and they leave plenty of room for bass-heavy sounds to travel into the wearer’s eardrum unamplified while only high-treble sounds are picked up and aided by the device. The result is natural sound and unrivaled comfort.

Eargo hearing aids are sold directly to consumers via the company’s website, Eargo.com. Though these hearing aids are not pre-programmed using individuals’ audiogram results, Eargo offers a capable and user-friendly app through which users can program their devices and reach Eargo hearing specialists.

Eargo Hearing Aid Device Features

Eargo Max

The Eargo Max, with its rechargeable batteries and advanced sound quality, provides users who have mild to moderate hearing loss with industry-best comfort thanks to its Flexi Fiber earpieces. The Eargo Max provides four sound programs, and rather than beeping when program changes are made, users hear more specific prompts spoken in a friendly voice.

Eargo Max hearing aids retail at $1,450 for a set of two and come with ten extra Flexi Fiber earpieces.

Eargo Neo HiFi

Eargo Neo HiFi hearing aids were designed to provide an even clearer hearing experience than Eargo’s other devices. The Neo HiFi features enhanced noise and feedback reduction and amplifies mid and high frequencies for a natural sound. The earbuds are Eargo’s new Flexi TetraPalm design which have an extra layer of flexis for wearers’ comfort. Like other Eargo models, the Neo HiFi is a CIC device and nearly invisible.

A pair of Eargo Neo HiFi hearing aids costs $1,950 or $90/month for 36 months, and includes a charger, six extra Flexi TetraPalms in three different sizes, a wax guard, cleaning brush, USB plug and USB-C cable. 

Eargo 5

The Eargo 5 packs an impressive number of enhanced digital sound features into a practically invisible hearing aid. Like Eargo’s other models, the Eargo 5 sits completely in the ear canal and is rechargeable with a lithium-ion battery. The most notable feature is Sound Match, which enables remote, at-home tunings for the best sound quality without having to visit an audiologist’s office for adjustments. Other improvements include new Petal ear tips for easier maintenance, and contactless charging that can complete a full charge in 4 hours.

These hearing aids cost $2,450 per pair, with financing available for as low as $78/month for 36 months. The price includes a one-year warranty, wireless charger, access to a mobile app and telecare, and more.

Eargo 6

Eargo 6 is the company’s latest model with several stand-out updates combined with the same professional care that customers know and love. The new Sound Adjust feature automatically optimizes the soundscape as you move between different environments. By identifying background noise and automatically reducing it, Eargo 6 allows speech to come through more clearly. This model is also Eargo’s first water resistant device, allowing wearers to use their devices for up to 30 minutes at a water depth of less than one meter. Medical-grade, silicone petal tips come in two sizes and styles so customers can find their most comfortable fit.

A pair of Eargo 6 hearing aids costs $2,950, and financing is available at $94/month for 36 months. In addition to the devices, this price includes tips and caps, a portable charging case that provides on-the-go recharging power for up to 3 days, telecare access, and more.

Pros and Cons of the Eargo Hearing Aid Brand

Lively Hearing Aids Review

Best for Affordable Hearing Aids

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

Lively is a direct-to-consumer brand offering three hearing aids equipped with some of the best technology at a lower cost than many of its competitors. By primarily operating as an online company- there is only one brick and mortar location, in Manhattan- Lively is able to keep costs lower than the industry average while still providing top-of-the-line products. Its hearing aids are designed to be user-friendly and come with a three-year loss and damage coverage free of charge. 

Lively is set apart in the hearing aid industry by its product affordability. While most other companies charge $2,000 or more for every hearing aid they offer, Lively offers three different models, each one coming in at under $2,000. In addition to lower costs, Lively contracts with a network of professional audiologists to provide remote assessments, assistance, and adjustments for its customers free of charge. The three-year follow-up care adds additional value, making it easy for customers to get professional adjustments when needed.

All three Lively hearing aids are Bluetooth enabled and can easily be paired with both iOS and Android devices. Sold only directly from Lively, a pair of Lively hearing aids costs $1,195 for the battery-powered model or $1,595 for the rechargeable option. Lively’s top-level model, the Lively 2 Pro, retails for $1,995 and offers better technology and a wider range of color options to help match skin tone and hair color. Customers may also opt for a monthly payment plan for any Lively hearing aid, which starts as low as $39 a month.

Lively Hearing Aid Device Features

Lively 2 Lite

The Lively 2 Lite is Lively’s second-generation standard battery-powered device. It features multi-scope adaptive directionality, an advanced version of standard microphone directionality that enables the hearing aids to focus on specific sounds and limit background noise. Its digital feedback suppression system, DFS ULTRA II, also cuts down on feedback with “extreme accuracy” for clear hearing. All Lively hearing aids are custom programmed for the individual wearer, but when further fine-tuning is needed, it’s easy to work with a member of the Audiology Team to make adjustments remotely via the Lively mobile app. 

A pair of Lively 2 Lite hearing aids cost $1,159, one of the most affordable options on the market today. Payment plans starting at $39 a month are also available for those who qualify. All purchases include full access to the Lively mobile app, three years of follow-up care with a hearing healthcare professional, three years of device warranty, and a one-year supply of batteries. 

Lively 2 Plus

Lively’s rechargeable option, the Lively 2 Plus, features a high-powered lithium battery that can fully charge in three hours and maintain power for 30 hours. Even a 30-minute charge in the small, portable charging case offers up to eight hours of listening time. In addition to its battery, the Lively 2 Plus has more advanced features such as Noise Tracker II, technology that reduces unwanted background noise while keeping speech focused and loud. These hearing aids have an extended frequency bandwidth which also contributes to a better-balanced sound. 

Lively 2 Plus hearing aids cost $1,595 per pair with payment plans starting at $47 a month. Sold as a bundle, the price includes three years of remote follow-up care with an audiologist via the Lively mobile app, three years of device loss and damage protection, and a portable charging case. 

Lively 2 Pro

Lively offers a third hearing aid, a more advanced version of its previous models. The Lively 2 Pro features advanced audible technology to help clarify speech from ambient noise. The company aims to make it easier for users to differentiate between speech and noises throughout their environment.

The Lively 2 Pro also features a wide range of different color options. Eight different colors are available for the hearing aid, offering customers the opportunity to better match their skin tone or hair color. This can be especially helpful for those who want to hide the hearing aid as best as they can.

Connectivity and ease of use have also been upgraded for the Lively 2 Pro. The hearing aid offers hands-free calling capabilities for iPhone 11 and newer, as well as a music mode that allows for Bluetooth streaming of MP3s or music services.

The Lively 2 Pro retails for $1,995, although payment plans are available starting at $65 per month.

Pros and Cons of the Lively 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 is an online company offering some of the most affordable digital and Bluetooth hearing aids available. What makes Audicus a top hearing aid provider is that its offerings rise above comparable low-cost products with advanced features at an undeniably affordable price. 

Audicus is able to offer such competitive base prices by offering a-la-carte upgrades and by selling its hearing aids online, directly to consumers via Audicus.com. However, Audicus aids are not ‘one size fits all’ like those offered by so many other direct-to-consumer brands. Audicus allows users to take its free online hearing test or upload their audiogram results to the website when they purchase, then has a team of audiologists program each hearing aid to suit the buyer’s hearing loss profile. In addition to these online options, Audicus has clinics around the U.S., with its newest clinics located in New York City and Chicago. Prospective customers can visit these stores for a free hearing assessment and to experience Audicus’ 5-star support in-person.

Even at their lowest prices, several Audicus models are fully digital, directional, noise suppressing and Bluetooth compatible. The Wave device is completely Bluetooth enabled for direct streaming, even at its base price without any optional upgrades. All of these things make the overall value of Audicus hearing aids hard to beat.

Audicus Hearing Aid Device Features

Audicus also offers a one-of-a-kind hearing aid membership for a low monthly cost that provides new hearing aids every 18 months, all the supplies you’ll need shipped to your door regularly, and insurance is included in case you damage or lose the hearing aids. Pricing starts at $39/month and a one-time fee of $100 – you can cancel anytime by returning the hearing aids.

The Dia II

The Dia II was temporarily discontinued, but Audicus brought it back ‘by popular demand’ as it has remained its most popular offering. Buyers seem to appreciate the unusually low price for a fully digital hearing aid (the price was lowered even further after the device’s reintroduction) that delivers all the modern features consumers have come to rely on, including custom pre-programming by audiologists. This is a behind-the-ear hearing device that is available in three colors. The Dia II features 56 decibels of gain, directional microphones, and eight user-programmed channels.

This device is suitable for mild to moderate hearing loss. It holds up to 140 hours of battery life and retails at $998 for a set of two.

The Clara

Clara is a small receiver-in-canal device and one of Audicus’ premier models, offering up to 57 decibels of gain. Unlike this brand’s other model, the Dia II, the Clara hearing aid can be upgraded for enhanced clarity ($100), which increases the available number of user-programmable channels. This model is also available with a rechargeable lithium-ion battery at an additional $400. 

The Clara retails at a base price of $1,398 for a set of two and is available in the buyer’s choice of four colors. It is suitable for people with mild to severe hearing loss.

The Aura

The Aura is a completely-in-canal (CIC) device that’s nearly invisible. Featuring a discreet “micro-design,” these small devices sit comfortably in the wearer’s ear canal so no part of the device is visible outside of the ear, making it a great option for those looking for a discreet device. The Aura uses a compact, size 10 battery for longer-lasting power than other CIC aids. And since there are no buttons on the product, users can control the volume by cupping their ear- no need to pair with an app for sound control.

The Aura is available in two colors and may be purchased individually or as a hearing aid set. A single Aura device retails for $699 and a pair costs $1,398. 

The Wave

The Wave is a nearly invisible RIC hearing aid that features advanced capabilities, such as direct Bluetooth streaming. Users can connect their smartphone to their Wave to directly make calls, listen to music, and more, directly through their Wave. This device also features an impressive 12 processing channels and an optional rechargeable battery.

The Wave retails at a base price of $1,698 for a pair and is available in four colors. The rechargeable upgrade costs an additional $100 per ear.

The Spirit

Audicus’ newest device is the Spirit, a receiver-in-canal hearing aid offering the company’s most advanced technology. Released in 2021, the Spirit comes standard with three premium features: direct Bluetooth streaming, a rechargeable battery, and remote adjustments from an Audiologist. Using the Audicus Hearing Remote smartphone app (available for both iOs and Android devices), wearers can request sound adjustments to their device from the comfort of their own homes. This unlimited, on-demand Audiologist service gives wearers complete control over their sound experience. 

The Spirit also features two directional microphones, ten different volume settings, and auto-adjust capabilities. One Spirit hearing aid costs $1,399, and a pair retails for $2,798 on the Audicus website. 

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.

Lexie is an industry newcomer that offers a premium hearing aid at the extremely competitive price of $799 per pair. Founded by the experienced hearX group, Lexie was created to make high-quality hearing care more accessible. The Lexie hearing aid leverages smart technology to offer sought-after features like on-demand remote care and adaptive noise reduction at an affordable price, so users don’t have to compromise on features for affordability. 

In addition to its industry-beating price, Lexie’s suite of extra features helps set it apart from other companies. Its rewards program, Lexie Rewards, guides and supports customers from the moment they start using their Lexie Lumen. This unique program encourages users to wear their aids regularly and learn more about their devices during the crucial first weeks of wear. Users are incentivized to meet their goals with award points that can later be used as a discount on their subscription or in-app purchases. Users access the rewards program through the Lexie Hearing mobile app, which has many additional features for users to take advantage of as well. 

The Lexie Lumen hearing aid is sold direct to consumers from Lexie and costs $799 for a pair. Users may also pay for their devices on a subscription basis at a rate of $49 a month for 24 months. Both payment plans include access to Lexie Rewards, remote care, and the mobile app.

Lexie Hearing Aid Device Features

The Lumen

Lexie currently offers one hearing aid model, the Lumen. The device is equipped with dual microphones for directional hearing and noise reduction, and six different processing channels that auto-adjust to changing environments. The Lumen also has a telecoil for extra clear hearing in environments like churches, theaters, and other buildings with induction loop systems. 

Lexie devices are delivered bundled with a handful of accessories, including up to 6-weeks worth of replacement hearing aid batteries, a soft carrying case, and nearly-invisible slim tubes in different sizes for behind-the-ear comfort. All users receive free access to the Lexie Hearing mobile app, the Lexie Care on-demand remote care program, and Lexie Rewards. 

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 has been in business since 1943 and continues to deliver industry-leading technologies to those living with hearing loss. This brand carries a wide array of fit styles, all with top sound isolation and noise reduction capabilities. All current models are compatible with ReSound Smart 3D, an advanced mobile app where users can request remote fine-tuning, use a tinnitus relief feature, access ongoing telehealth support from licensed hearing professionals, and more.

ReSound’s hearing aids are all custom-programmed based on wearers’ audiogram results, and when further fine-tuning is needed, it’s easy to get assistance from audiologists via the app. The ReSound Smart 3D app with ReSound Assist eliminates the need to make adjustment appointments with its on-demand telehealth and remote tuning capabilities. It provides the functionality to perform any adjustments that can be made in person, fully remotely.

ReSound’s current models include both in-the-ear and behind-the-ear styles in rechargeable and standard battery versions, and all models are Bluetooth enabled. Exact prices for ReSound hearing aids can be found by contacting a ReSound authorized dealer, though because these hearing aids and ReSound specialists are of such high quality, wearers can expect to pay $1,000 or more for a single ReSound hearing aid.

ReSound Hearing Aid Device Features

LiNX Quattro

The LiNX Quattro is a premium hearing aid that comes in various fit styles, including receiver-in-ear, behind-the-ear, and custom fit options, some of which can include a rechargeable battery. The LiNX Quattro has a greater dynamic range and a larger bandwidth frequency than previous models, as well as updated computing and sound isolation abilities. With the LiNX Quattro, buyers get ReSound’s clearest, most high-quality sound profile in any sound environment. 

This model provides direct streaming from iOs and Android devices, so it needs no additional accessories to enable a Bluetooth connection with a smartphone. Rechargeable styles of the LiNX Quattro come with an included portable charging case.

Enzo Q

Enzo Q is an advanced behind-the-ear hearing aid designed for those with severe to profound hearing loss. It comes in two discreet models, both featuring ReSound’s Binaural Directionality functionality that enables more natural and clear sound and improved spatial sense. Users of the Enzo Q will enjoy advanced feedback reduction and industry-best amplification, as well as a telecoil, tinnitus therapy, and direct Bluetooth connectivity for iOs and Android devices.

The Enzo Q’s battery life lasts up to 20% longer than its predecessor, the Enzo 3D, which provided up to 12 days of battery life. It is available in 13 different colors and is sealed with a protective iSolate nanotech coating, which repels water, earwax, and other debris for enhanced durability.

ReSound ONE

ReSound ONE is a first-of-its-kind M&RIE (Microphone & Receiver-in-Ear) hearing aid that features two standard directional microphones plus a third microphone inside of the ear. This allows the ear to collect and process sound more naturally for better sound quality and clarity, even in dynamic environments. Both rechargeable and standard battery versions are available. 

All ReSound ONE hearing aids are receiver-in-ear style, and wearers have their choice of “mini” or “regular” fit and 8 different colors. All ReSound ONE devices are iOs and Android compatible and can be adjusted remotely in the ReSound Smart 3D mobile app.

ReSound Key

The ReSound Key is a complete “family” of hearing aids, meaning it is available in a wide variety of models and feature levels. The line includes receiver-in-ear, behind-the-ear, and completely-in-the-ear models in both rechargeable and standard battery versions. All hearing aids in the ReSound Key line are compatible with ReSound Assist in the ReSound Smart 3D app, enabling remote adjustments and telehealth support with licensed hearing professionals, and connect directly with iOs and Android devices for direct Bluetooth streaming.

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 was founded in Switzerland in 1947, and today continues to aspire to a mix of Swiss craftsmanship and Silicon Valley technologies. Under ownership by hearing care giant Sonova, the Phonak brand is manufactured by Sonova’s German hearing aid engineering firm, Hansaton, which also manufactures Phonak’s sister brand, Audicus.

Phonak is a prolific brand offering numerous hearing aid models in a broad range of fit styles, including multiple custom-fit options. One of the products that set Phonak apart is the Lyric. The Lyric is the first-ever 100% invisible hearing aid and remains the only one available today. This unique device sits deeper inside the ear canal than other styles of hearing aids, rendering it completely invisible and producing natural sound. In addition to the Lyric, Phonak offers several almost-invisible hearing aid models, giving those looking for a discreet hearing aid plenty of options. 

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 Phonak Audéo Paradise builds upon the previous-generation Audéo Marvel, making several key improvements to the device. The Paradise features a new operating system, AutoSense 4.0., which has built-in artificial intelligence technology to automatically recognize and adjust to match different hearing environments. The Audéo Paradise also benefits from improved Bluetooth connectivity, the addition of acoustic motion sensors, and a new feature called “air tap” control, which lets wearers control their hearing aids with just a tap motion to the ear (similar to how users can control Apple AirPods).

The RIC-style Audéo Paradise is available with rechargeable lithium ion batteries, a 312 zinc air battery, or a 13 zinc air battery. It is also available with and without a telecoil. Buyers have their choice of seven different colors. 

Naida Paradise

The Naida Paradise, a seventh-generation version of Phonak’s Naida hearing aids for those with severe to profound hearing loss, was updated with new software for enhanced speech clarity, dynamic noise reduction, and overall enhanced sound quality. This hearing aid connects directly to iOs and Android devices for easy Bluetooth streaming and is compatible with the myPhonak app where wearers can make adjustments to their devices for personalized sound. 

The Naida Paradise is currently available in two variations- the P-PR and P-UP. The P-PR features a rechargeable battery and tap control, and is better suited for those with mild to severe hearing loss. The P-UP is recommended for those with severe to profound hearing loss and includes a telecoil.

Virto Marvel

The Virto Marvel hearing aid series from Phonak consists of custom-fitted in-ear devices which resemble modern wireless earbuds. These hearing aids are nearly invisible in the wearer’s ear and provide maximum comfort for long-term wear. Virto M devices come with Phonak’s AutoSense 3.0 operating system as well as a directionality improvement thanks to Virto M’s biometric calibration capability.

Virto M hearing aids are 3-D printed to fit the user’s ear canal and are suitable for varying levels of hearing loss.

Bolero Marvel

Phonak’s Bolero Marvel line features behind-the-ear hearing aids suitable for those with mild to severe hearing loss. Like most Phonak devices, these hearing aids are small, discreet, and comfortable. These devices are also equipped with direct Bluetooth streaming, an optional rechargeable battery, and Phonak’s AutoSense 3.0 sound processing system. 

The Bolero Marvel is available in 9 colors and two models. The Bolero M-M uses a disposable size 312 battery, while the M-PR features a rechargeable battery.

CROS B

CROS B hearing aids are uniquely designed for those with single-sided hearing. Introduced in 2011, CROS B hearing aids use Phonak’s proprietary technology to automatically change settings based on the wearer’s listening situation. CROS B is available in behind-the-ear and custom-fit in-ear styles depending on one’s preferences and hearing needs. An audiologist can recommend the best solution for you.

Lyric

Phonak’s Lyric is one of the very few completely invisible hearing aids currently on the market. It features an unusual design, made of a very soft material that fits so snugly in the ear canal that it must be inserted by a hearing care specialist. The Lyric can stay in a user’s ear until the batteries need changing after months of continuous use. Lyric wearers can shower as normal while wearing the device, though total submersion, such as while swimming, is discouraged.

Lyric does not need to be removed by the user, but a special removal tool is included in the cost of purchase. However, the Lyric is not made to be reinserted after removal. This device is best suited for users who have mild to moderately severe hearing loss.

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 one of the most tech-forward and fashion-conscious hearing aid manufacturers of 2022. Under ownership by Sivantos alongside other top brands, like Widex, Signia has become one of the top three hearwear brands in the world.

Signia’s new Nx line of hearing aids offers people with mild to profound hearing loss a broad range of options to customize the look of their devices, both during and after purchase. Signia provides uncommonly sleek and small hearing aid housings which include brushed metal finishes and wider color selections than other brands offer. Signia’s patented programming also delivers multiple special features that bring an enviable quality of sound and noise management to this brand’s users.

To complement its high-quality and attractive range of devices, Signia has developed a system to help clients find the best hearing aid and the best fit for them. Through a network of authorized dealers, Signia can individualize the shopping, fitting and adjustment process for consumers, and also provides a streamlined telehealth app, TeleCare 3.0, to provide live remote tuning for most troubleshooting and adjustment needs.

Though Signia devices can cost about $1,349 to $1,800 per ear, consumers with more modest budgets may find that Signia’s previous line, the Primax Star series, could be more affordable.

Signia Hearing Aid Device Features

Styletto Nx

Styletto Nx is Signia’s top-of-the-line option that looks just like a sleek Bluetooth earpiece. Suitable for people with mild to moderate hearing loss, this SLIM receiver-in-canal hearing aid sits more discreetly behind the ear than the vast majority of BTE and RIC hearing aids currently available.

The Styletto Nx is a rechargeable hearing aid and ships with a small charging case that fits easily inside a pocket or purse. This device also comes in an alternate version, the Styletto Connect, which does not require the purchase of additional accessories to connect wirelessly with Bluetooth-enabled devices.

Styletto hearing aids come in two-tone, brushed metal finishes, and if you get tired of the colors you initially choose, new housings are available from Signia and can be changed out at home. This hearing aid comes in three technology levels- 7x, 5x and 3x- which determine how advanced the feature set will be.

Pure Nx

The Pure Nx line of devices from Signia includes four receiver-in-canal options, including one Charge&Go rechargeable model. For hearing loss sufferers with mild to profound impairment, the Pure line offers BiCROS fittings, Bluetooth compatibility and industry-leading noise reduction and directionality.

The Pure Nx line’s two most feature rich options, the Pure 312 Nx and the Pure Charge&Go Nx, are equipped with Signia Xperience, a new technology that uses motion sensors to streamline the hearing aid’s ability to adapt directionally and in changing sound environments. The most discreet offering in the Pure Nx lineup, the Pure 10 Nx is one of the smallest RIC devices available, and the Pure 13 Nx is a great option for users who desire longer battery life and advanced features. Both provide better own voice processing so that the user’s voice sounds more natural to them.

Insio Nx

Insio Nx is a line of four fit styles, and options for people with any level of hearing loss. Insio models are available in ITE, CIC, IIC and ITC styles, though only the ITE and ITC styles are Bluetooth compatible. Insio Nx users enjoy OneMic directionality, CROS or BiCROS fittings, and advanced noise management while in motion.

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.

Widex is one of the world’s largest and most technologically advanced hearing aid brands, and since merging with hearing care provider Sivantos, has become part of one of the largest businesses in the world. This brand specializes in technologically-advanced hearing aids, but Widex also provides industry-leading sound adjustment and personalization tools, providing audiologist assistance in person and advanced app features at home.

Widex’s EVOKE line of hearing aids comes in a broad variety of fit styles, colors, and feature sets, so we have selected two of these devices which we believe represent the variety of the EVOKE line. Each of these devices is equipped with machine learning capabilities that other brands have not yet incorporated into their user technologies — a feature which Widex has named SoundSense. EVOKE hearing aids leverage artificial intelligence to gradually learn about the user’s most frequented kinds of sound environments and preferences.

Widex now also offers a MOMENT line of hearing aids, which offer new technology for a natural sound as well as other exciting features. Beyond the AI integration of EVOKE and MOMENT hearing aids, both lines also provide a comprehensive range of technology packages. Each EVOKE and MOMENT hearing aid is available in a variety of feature levels, though all are fully directional and come with sophisticated noise reduction capabilities.

Widex Hearing Aid Device Features

The EVOKE CIC

The EVOKE CIC is a completely-in-canal device that sits discreetly within the ear canal, best for users with minimal to severe hearing loss. Though small, the CIC is just as advanced as the other EVOKE models listed here. It contains a patented Fluid Sound Controller that processes sound faster and more clearly than previous Widex series, as well as the Widex SoundSense machine learning program.

The EVOKE CIC offers up to five user-programmable channels and is compatible with DEX assistive listening devices. This model is available in three neutral tones and can be purchased in four feature levels.

EVOKE Fusion

The EVOKE Fusion is a small RIC (receiver-in-canal) hearing aid that is suitable for people with mild to profound hearing loss. Like other EVOKE series devices, it comes equipped with Widex’s machine learning software, SoundSense. The Fusion is available in the consumer’s choice of four feature sets, from the 110 level, which lacks features like Smartwind Manager and Speech Enhancer RT, to the 440 level, which comes with the complete range of EVOKE series enhancements.

The Fusion comes in a range of ten colors and provides up to five user-programmable channels.

MOMENT

Widex’s MOMENT series implements a new technology for natural-sounding hearing. While most hearing aids have delayed processing times that interfere with the natural sound and can create echoes, Widex has significantly sped up these processing times so wearers hear sounds the “moment” that it happens. MOMENT hearing aids currently have the fastest processing time in the industry. 

The MOMENT line includes a variety of different fit options including CIC and receiver-in-the-ear, and up to 13 color options for some hearing aid styles. 

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 an American-owned-and-operated brand that, since 1964, has developed some of the most technologically advanced hearing aids available. While other high-tech hearing aid manufacturers have focused on using AI and machine learning to advance the clarity of sound that their models offer, Starkey has taken this trend a few steps further, providing assistive features that particularly benefit the elderly.

Starkey’s current models come with a live telehealth feature that connects users to a licensed audiologist who can tune hearing aids remotely. The models covered below also include features like fall detection, light-based hearing technology and Amazon Alexa connectivity. Pricing for Starkey hearing aids is available through a network of authorized dealers, and interested consumers can schedule an appointment with the dealer nearest them right through Starkey.com.

Starkey Hearing Aid Device Features

The Livio AI

Starkey’s Livio AI hearing aid is one of the most advanced hearing care devices available. As the Livio AI is Starkey’s feature model, it comes packed with its best proprietary features for sound and noise management. This model now features three times more digital processing power than previous models, and gain adjustments can be made automatically on any processing channel that is not already maxed out. Users also have the benefit of a variety of tailor-made programs, such as Livio’s Adaptive Car Mode that automatically reduces road noise.

Once a user sets up their sound and assistive feature preferences in Starkey’s Thrive Hearing Control app, Livio AI devices become incredibly adaptive to the user’s needs. This device can provide audible memory cues and fall detection alerts that are sent to the user’s choice of emergency contact, as well as live transcription of conversations onto the user’s smartphone. Transcribed text can even be saved and sent to contacts as a text or email.

Livio AI is available in three fit styles: Receiver-in-canal (RIC), micro-RIC, and behind-the-ear (BTE), and is suitable for those with mild to profound hearing loss. The RIC version is available with a rechargeable battery.

Picasso

Starkey’s Picasso line allows wearers to obtain a completely-customized hearing aid. With four different styles to choose from (ITE, ITC, CIC, and IIC), essentially any person can find a Picasso fit that works for them. In addition to comfort, Picasso hearing aids offer feedback cancellation, customizable tinnitus relief, and three different technology levels to suit a range of lifestyles. 

Picasso hearing aids are also fully compatible with Starkey’s SurfLink accessories, which offer a range of features for a better listening experience. Using the accessories, Picasso wearers can stream television, music and phone calls directly through their hearing aid, adjust the aid with a mobile app, and more. 

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 Lively, 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. 

Still, that is not to say that all hearing aids you can buy online or over the counter are unsafe. It’s important to understand the difference between over-the-counter sound amplifiers, direct-to-consumer hearing aids, and FDA-approved hearing aids so you can make the most informed choice when choosing a device for yourself or a loved one.

The Difference Between Hearing Aids and OTC Hearing Amplifiers

First and foremost, it’s essential 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. 

The FDA is in the process of approving over-the-counter hearing aids. However, even once these are approved, 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

Some hearing aids 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.fda.gov/media/114844/download
19. https://www.ncbi.nlm.nih.gov/books/NBK385313/
20. https://my.clevelandclinic.org/health/drugs/14794-bone-anchored-auditory-implant#
21. https://members.audiology.org/cvweb/cgi-bin/memberdll.dll/info?wrp=find-an-audiologist.htm

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