Table of Contents
Key Takeaways
- Your hearing is crucial to your interactions with the world around you, so when you experience hearing loss, it can negatively affect your relationships and how you perceive yourself. Using prescription or over-the-counter (OTC) hearing aids can restore your quality of life.
- Through surveys, focus groups, professional insights, and hands-on testing, we determined that important factors to consider when shopping for a hearing aid include: battery life, Bluetooth connectivity, comfort, sound quality, ease of use, and cost.
- Quality OTC hearing aids start at $500, a mid-grade set at $1,600, and an advanced pair at almost $3,000. Prescription hearing aids start in the $2,300 range and increase to around $5,450 per pair.
Experts tell us the average person in the United States waits about 10 years to seek help after learning they have hearing loss. Unfortunately, hearing loss has been linked to higher rates of Alzheimer’s disease (a type of dementia), social isolation, and depression, but hearing aids can help. The affordable and discreet hearing aids on the market today make the decision to wear them easier. Using our thorough research and testing process, we regularly evaluate hearing devices. Here are the best hearing aids available today.
Our best overall hearing aid pick: Jabra
Jabra is our top pick for the best hearing aids because it offers the best sound technology and features of any OTC hearing aid on the market. Plus, we’ve found their customer service extremely helpful and responsive whenever we contacted them.
87% of hearing aid users consider their hearing aids a worthwhile purchase
Find the right hearing aid for you
Think about your hearing needs, budget, lifestyle, and preferences before choosing a hearing aid. With those factors in mind, take a look at our top picks for the best hearing aids on the market.
- Jabra Enhance: Our top pick
- Audien: Low prices and simple features
- Phonak Audéo Lumity: Best for kids and active adults
- Eargo: Best invisible fit
- Lexie: Most user-friendly app
- MDHearing: Lowest starting cost
- Starkey Genesis AI: Longest battery life
- Oticon Real: Best sound quality
Compare the best hearing aids of 2024
OTC hearing aids
Brand | Price per pair | Hearing aid type | Degree of hearing loss | Battery type | Visit Site |
---|---|---|---|---|---|
$799–$1,995 | Receiver-in-canal, mini receiver-in-ear, in-the-ear | Mild to moderate | Disposable, rechargeable | Visit Site | |
$99-$489 | In-the-ear, Behind-the-ear | Mild to moderate | Rechargeable | Visit Site | |
$799–$999 | Behind-the-ear, receiver-in-canal | Mild to moderate | Disposable, rechargeable | Visit Site | |
$297–$699.98 | Behind-the-ear, receiver-in-canal, in-the-canal | Mild to moderate | Rechargeable | Visit Site | |
$799–$2,950 | Completely-in-canal | Mild to moderate | Rechargeable | Visit Site |
Prescription hearing aids
Brand | Price per pair* | Hearing aid type | Degree of hearing loss | Battery type | Visit Site |
---|---|---|---|---|---|
$2,475–$5,445 | Receiver-in-canal | Mild to severe | Rechargeable | Visit Site | |
$2,365–$5,945 | Receiver-in-canal, in-the-ear, completely-in-canal, invisible-in-canal | Mild to severe | Rechargeable | Visit Site | |
$3,410–$5,445 | Behind-the-ear, receiver-in-canal | Mild to profound | Disposable, rechargeable | Visit Site |
*Prescription prices vary by retailer and may be different from those listed here.
The best hearing aids reviews
1. Jabra Enhance: Our top pick
Our final verdict on Jabra Enhance
Jabra Enhance makes the best all-around OTC hearing aids on the market due to their impressive sound quality, Bluetooth streaming in every device, and stellar customer service. Jabra Enhance hearing aids also stand out for their lengthy battery life and user-friendly design. Since Jabra gives users a premium experience from the initial self-fitting to the ongoing customer support, it’s a clear choice for our top pick.
To learn more, read our in-depth Jabra review.
2. Audien: Most Affordable
Our final verdict on Audien
Audien is the best choice for people looking for affordable hearing aids with simple features. It has the lowest cost out of all of our picks but still delivers a high-quality product, an unlimited protection plan, and enhanced feedback cancellation. Our testers preferred the Audien Atom Pro 2 hearing aids, which offer a comfortable fit, and a portable charging case with built-in UV light sanitizing.
Learn more in our Audien review.
3. Phonak Audéo Lumity: Best for kids or active adults
Our final verdict on Phonak
The Phonak Audéo Lumity is the best choice for people who need help hearing in classrooms, auditoriums, and other large public spaces because Phonak offers a variety of accessories for challenging listening environments. Phonak Audéo Lumity uses the brand’s unique technology to automatically adjust to your environment, so you can hear no matter where you are. Additionally, their exceptional Bluetooth technology allows you to stream everything from TV shows to phone calls directly to your hearing device.
4. Eargo: Best for an invisible fit
Our final verdict on Eargo
Eargo is the winner for a small, discreet hearing aid among OTC brands. Despite their small size, Eargo hearing aids offer impressive features, including models with Bluetooth streaming, customizable hearing settings, and sound adjust options to offer better clarity in noisy environments. We also like that Eargo hearing aids can be used right out of the box with the option to adjust the settings yourself, or with one of the company’s virtual hearing professionals.
Learn more in our Eargo review.
5. Lexie: Most user-friendly app
Our final verdict on Lexie
Lexie offers lifetime audiology support and the best OTC hearing aid app on the market. With three self-fitting hearing aids, Lexie’s products include a wide range of features, including Bluetooth connectivity, impressive sound quality, and competitive pricing.
6. MDHearing: Lowest starting cost
Our final verdict on MDHearing
MDHearing is one of the only OTC hearing aid companies to offer a free audiology consult before purchasing its products and unlimited post-purchase audiology support at an affordable price. With four different models, each offering their own range of features, MDHearing has an option for every user. Additionally, with the brand’s generous sales, you can often find a high-quality MDHearing device for a fraction of the retail price.
7. Starkey Genesis AI: Longest battery life
Our final verdict on Starkey Genesis AI
The Starkey Genesis AI has one of the longest-lasting rechargeable batteries in the industry, with 51 hours of use from a single charge. Additionally, Starkey’s advanced AI technology scans your environment and auto-adjusts your sound to ensure superior clarity.
8. Oticon Real: Best sound quality
Our final verdict on Oticon Real
The Oticon Real was the best-performing hearing aid we tested in terms of sound quality and background noise reduction. With a comfortable fit, exceptional audio processing, and sound stabilizing technology that reduces wind and handling noise, Oticon Real is one of our top performers for prescription hearing aids.
What is a hearing aid?
A hearing aid is a small, battery-powered device worn in or behind the ear that improves hearing ability by amplifying certain sounds. Unlike personal sound amplifiers (PSAPs), hearing aids don’t make all sounds louder, only the frequencies that each person needs help hearing.
Different types of hearing aids
Handbook Team Tip #1
Receiver-in-canal (RIC) hearing aids are one of the most popular styles on the market since they’re large enough for advanced technology, like Bluetooth connectivity and streaming. Completely-in-canal devices, for example, rarely have Bluetooth because they’re so small.
Hearing aids come in a variety of styles, and the one that’s best for you depends on your type of hearing loss, which features you want, and your lifestyle. Take a look at the key points of each style to help you make the right decision when shopping for hearing aids.
Behind-the-ear (BTE)
Good for: Active people, children, people with profound hearing loss
- All working parts fit in a curved case that sits behind the ear, with the amplified sound transmitting to the canal by a thin tube.
- Treats mild to profound hearing loss.
- More durable than hearing aids that sit in the ear.
- Able to incorporate advanced technology and wellness features.
Receiver-in-canal (RIC)
Good for: Treating profound hearing loss and people who want a discreet hearing aid with advanced features
- The microphone and amplifier sit behind the ear, and the amplified sound travels through a thin wire to the ear canal, where the receiver transmits it to the inner ear.
- Treats mild to profound hearing loss.
- Often less noticeable than other types of hearing aids.
- Able to incorporate similar technology and features as BTE devices.
In-the-ear (ITE)
Good for: People who prefer a hearing device that looks like an earbud
- All working parts fit in the bowl of the ear and ear canal.
- Most aren’t appropriate for profound hearing loss.
- More susceptible to damage from earwax and moisture.
- Offers a range of technology levels and features.
Completely-in-canal (CIC)
Good for: People who want an invisible hearing aid or concealed look
- As the smallest hearing aid available, it sits in the ear canal and is removed by a tiny cord.
- Due to the small size, some CIC devices can only treat milder levels of hearing loss and can’t accommodate advanced features or rechargeable batteries.
- Need daily cleaning and routine maintenance.
Hearing aid features
Handbook Team Tip #2
When evaluating hearing aids, ask whether the hearing aid is capable of increasing power so you can still use it if your hearing gets worse.
Technology and features vary widely among hearing aids, and it’s important to evaluate the most important ones to you as you shop for a device. Take a look at some of the most common hearing aid features:
- Digital noise reduction: To reduce background noise.
- Feedback suppression: Cuts down on whistling and squealing from handling or wind noise.
- Battery type: Rechargeable or disposable.
- Telecoil: Among our top hearing aid brands in this review, the Lexie Lumen, Phonak Audéo Lumity, Starkey Genesis AI, and Oticon Real offer telecoil options.
- Bluetooth: Bluetooth Low Energy provides direct streaming (meaning you can stream audio directly to your hearing aids) without draining the battery and is now offered in a number of OTC and prescription devices for streaming music, TV shows, and phone calls.
- App compatibility: While all prescription hearing aids have an app for adjusting your hearing aid settings, using Bluetooth, getting remote help from your audiologist, and more, not all OTC devices come with an app. Those that don’t can only be adjusted using buttons on the hearing aids. Hearing aids without an app are quite simple to use, though, and that can be nice for people who don’t have a smartphone or who prefer to adjust their hearing aids without needing their phone nearby.
- Artificial intelligence (AI): AI is a type of machine learning that uses algorithms to “learn” patterns over time. In the case of hearing aids, this means optimally processing the sounds in your environment for a more natural listening experience, better comprehension of speech, and less fatigue.
- Wellness features: Some hearing aids offer additional technology, like heart rate monitoring, step tracking, and fall detection. The Starkey Genesis AI and Phonak Audéo Lumity are top-of-the-line devices that come with wellness features.
Handbook Team Tip #3
Hearing aids can’t restore your normal hearing—don’t trust any company that says otherwise.
Benefits of hearing aids
Handbook Team Tip #4
Wear your hearing aids consistently all day, every day. Doing so helps rewire the pathways in the brain that became dormant from untreated hearing loss.
Hearing aids can improve your ability to hear and understand conversations, but they also offer a surprising number of benefits for overall wellness and quality of life.
“It’s important for people to pay attention to their hearing,” says Kate Carr, president of the Washington, DC-based Hearing Industries Association. “It’s one of our five senses, and while we don’t think twice about wearing glasses, people think for a long time before they address their hearing loss. And when they do, their quality of life improves.”
Ruth Reisman, an audiologist and lecturer for the City University of New York in New York City, shared a story of a 41-year-old chiropractor who had difficulty hearing his patients. “He finally accepted that he needed help for his hearing. After being fitted with Starkey Genesis hearing aids, he told me he hasn’t said ‘what?’ once. The hearing aids are improving his quality of life and his family’s, as well as the care he can offer to his patients.”
Check out this list for the top five ways hearing aids can help you or someone you care about:
Natali Edmonds, is a geropsychologist and the founder of Careblazers, an organization that provides support for people caring for someone with Alzheimer’s (a form of dementia). She explains the close relationship between hearing loss and Alzheimer’s.
“There are multiple Alzheimer’s look-alikes. One of them can be hearing loss. So for some older adults, they can look like they have Alzheimer’s, but it could be hearing loss.”
Untreated hearing loss may not only mimic Alzheimer’s, it also raises the risk of other types of cognitive decline. But wearing hearing aids consistently can improve brain function by reactivating the pathways used to process sound.
How to choose the best hearing aids for you
To find the right hearing aid, you will first need to determine the type of hearing loss you have. After taking an online hearing test, you’ll have a good idea of the grade of your hearing loss. For mild to moderate hearing loss, you can opt for an over-the-counter hearing aid. If your hearing loss is more severe, you should visit a hearing specialist to have a definitive hearing test done, and to discuss customized prescription options.
When shopping for an OTC hearing aid, your budget is going to be the first factor that determines your options. Once you’ve established how much you can spend, you can decide on the style. The most common styles are completely-in-canal (CIC), in-the-canal (ITC), behind-the-ear (BTE), and in-the-ear (ITE). Next, compare features, which includes the type of battery (disposable or rechargeable), whether it offers Bluetooth streaming or water resistance, and the number of channels and sound environments it offers. Finally, make sure to do your homework regarding the warranty and how much post-purchase customer care will be available to you, as your options are more limited with OTC devices.
When shopping for prescription hearing aids, you’ll find they’re more expensive than OTC models, but over-the-counter hearing aids are not technologically capable of treating more than moderate hearing loss. On the upside, prescription hearing aids offer improved features like water resistance, better Bluetooth streaming capabilities, and more technologically advanced sound enhancements. Plus, you’ll receive more hands-on tech and device support for the life of your hearing aid. Work with your audiologist to find the right fit for your budget, but also prioritize how the hearing aid will look and feel in your ear, and the tech features that are most important to you.
Once you determine your hearing loss grade, your budget, the ideal style, the most important features, and the level of support you need, you will be on your way to finding the best hearing aid for you.
Over-the-counter hearing aids vs. prescription hearing aids
Over-the-counter (OTC) hearing aids are a relatively new category, approved by the FDA in August 2022. These hearing aids are designed to support adults with perceived mild to moderate hearing loss. They can be purchased online or in stores without requiring users to see a physician for an exam, prescription, or professional fitting and adjustment, increasing accessibility and affordability.
Unlike OTC hearing aids, prescription hearing aids can treat all levels and types of hearing loss. While prescription hearing aids require an evaluation and fitting by a hearing professional, they also offer improved sound technology and a range of design and style options.
Pros and cons of OTC hearing aids
Pros and cons of prescription hearing aids
Where to buy the best hearing aids
Handbook Team Tip #5
When purchasing hearing aids through a third-party retailer, be sure to compare the warranty terms with the manufacturer. You may get better terms if you purchase directly.
In years past, a visit to an audiologist or other hearing specialist was required before buying hearing aids, and you could only get them from those professionals. That has changed in the past few years, with the FDA passing a final rule on OTC hearing aids, which went into effect last October, creating regulations and opening the market to both online and brick-and-mortar retailers.
Where to buy OTC hearing aids:
Online from the hearing aid manufacturer
Third-party retailers (online and in stores), including:
- Amazon
- Best Buy
- Costco
- CVS
- FSA Store
- QVC
- Sam’s Club
- Target
- Walgreens
- Walmart
- Some hearing care clinics
Where to buy prescription hearing aids:
- Costco
- Hearing care clinics
- Sam’s Club
Hearing aids costs
Handbook Team Tip #6
If using third-party financing, check interest rates first—some charge up to 35% interest, depending on your credit score.
Hearing aids financing
Every hearing aid brand listed in this review, as well as all hearing care clinics, offers at least one financing option. Some companies handle their own financing, while others use a third party, such as Bread or Allegro.
Hearing aids financial resources
Hearing aids are an expensive purchase, costing upwards of $1,000 in many cases. The good news is that a variety of organizations offer assistance for those who need help paying for them, including:
- Hearing Aid Project
- Help America Hear
- American Speech-Language-Hearing Association
- Hearing Industries Association
- Hearing Loss Association of America
- National Institute on Deafness and Other Communication Disorders
Hearing aids we don’t recommend
Nano
Nano hearing aids are less expensive than some OTC hearing aids, but with the company’s record of unethical business practices, we don’t recommend this brand.
Nano was sued by the Vermont attorney general in January 2023 “for misleading consumers about the effectiveness and quality of its products.” The allegations included Nano advertising its OTC hearing aids for children, falsely stating that customers’ online hearing test results were reviewed by audiologists, and promoting its devices as FDA-approved when they’re not.
Lucid
Lucid is a company that offers an impressive six OTC hearing aid models and several prescription models sold through Sam’s Club hearing centers. Unfortunately, our testers found these devices to be less than ideal.
For example, when testing the Enlite we found the manual confusing and the features limited. “The guidance is, “according to one tester, “more about ‘Here’s what happens if you do it wrong’ rather than ‘Here’s how to do it right.’ There is also no app and no way to adjust volume besides switching between the ‘Low’ and ‘High’ setting.”
The sound quality was also poor compared to other OTC brands we tried, and the charger doesn’t have magnetic ports like most, so you have to check the lights to be sure your hearing aids are charging. Overall, Lucid just didn’t measure up to other devices.
The future of hearing aids and technology
Technological advancements in hearing aids are happening every day. Device manufacturers continue to innovate to offer the best possible hearing solutions via upgraded sound technology, like improved background noise and better directional microphones.
For example, brands like Starkey, Widex, and Oticon are already implementing artificial intelligence (AI) to improve auto-adjustment, natural sound, and user inputs. And it won’t be surprising if we see these types of brands collaborating with well-known tech names like Samsung and Apple in the future.
Additionally, further trials are underway to use computer-aided features to improve hearing aid design. For example, the National Institute of Deafness and Other Communication Disorders is researching new signal processing strategies that help people understand speech better.
Plus, Bluetooth capabilities are a forward-thinking component for hearing aid manufacturers who want to implement more multi-device streaming options within one device, as illustrated by brands like Audicus. This essentially allows users to switch between answering calls and watching TV shows or movies in a seamless way.
What you need to know about our hearing aid research and testing
Here are the five most important things to know about hearing aids.
Our testing experience
After our Handbook Team hand-tested 27 hearing aids, mystery shopped 11 brands, and gathered insights from hearing professionals, eight stood out as the best hearing aids on the market.
Our testers tried multiple devices and answered a checklist of 25 questions about each. We used these answers to look for outstanding performers. The process looked like this:
We encountered a number of surprises during the testing process. Batteries that were hard to change, hearing aids that didn’t stay in our ears, distracting background noise, confusing user manuals, and customer service marked by long wait times were among the biggest drawbacks of certain brands.
But we were impressed with the helpful audiology support, fine-tuning adjustments, Bluetooth streaming, and user-friendly apps offered by other hearing aid companies.
From our tester
“I was very pleased by how easy certain hearing aids and their accompanying apps were to set up and use but surprised by the poor quality of other devices. Only by hand-testing each model did I uncover the small details of each hearing aid that can make all the difference when you’re using this type of device every day.”
Our experts selected the top three OTC hearing aid brands for their stellar products and service. Keep in mind, OTC hearing aids are only appropriate for adults 18 and over with mild to moderate hearing loss, and they can be purchased and set up without help from a hearing professional.
Prescription hearing aid companies offer a greater variety of models for all degrees of hearing loss. We chose our favorite model from each of the three top brands based on our testing results. You’ll need to visit a hearing care clinic and have an in-person hearing exam before buying a prescription hearing aid. Read on to see which of our picks is the best choice for you.
Learn more about our hearing aids review methodology.
Our final verdict
If you think you may have hearing loss, get your hearing tested as soon as possible. People with mild or moderate hearing loss could be great candidates for OTC hearing aids. Jabra Enhance, Lexie, and MDHearing are among our top picks in this category for their comfort, ease of use, ability to improve hearing at an affordable price, and outstanding remote audiology support.
If you have severe or profound hearing loss, or even less significant hearing loss but want a device with higher-end technology or in-person help from an audiologist, look into prescription devices, like the Phonak Audéo Lumity, Starkey Genesis AI, or Oticon Real.
The most important thing to remember is that hearing health is directly tied to brain health and overall quality of life. Addressing hearing loss can be a big step, but the rewards will be lasting and worth every penny.
Frequently asked questions
From our testing and research, we’ve ranked Jabra Enhance as the best OTC hearing aid brand. We like the high-end sound quality, the Bluetooth streaming capabilities available in every aid, and the top-notch customer service. Phonak’s Audéo Lumity model is our choice for the top prescription hearing aid. We like this device for those who need hearing help in large public spaces, thanks to its advancements for challenging listening environments and the amount of accessories available.
As with many tech devices, you get what you pay for, and hearing aids are no different. Those with a higher price tag will incorporate more features and often better sound processing abilities to give you a more natural listening experience.
You can buy a decent set of OTC hearing aids for $500, a mid-grade set for $1,600, and an advanced pair for almost $3,000. The prices for OTC hearing aids depend on the sound quality features and sound environments addressed, as well as whether they have Bluetooth capabilities. OTC hearing aids are best for people with mild to moderate hearing loss. Prescription hearing aids, on the other hand, are more expensive. These aids start in the $2,300 range, increasing to around $5,450 per pair. Prescription hearing aids offer significant technological advancements for the treatment of severe hearing loss and are fully customized and programmed to your hearing needs.
Buying OTC hearing aids online is sometimes less expensive than buying prescription hearing aids from a hearing clinic. But high-end OTC devices often cost the same or even a few hundred dollars more than entry-level prescription hearing aids.
Also, the price of prescription devices usually includes one to three years of in-person audiology support, while OTC hearing aids are meant to be set up and used by the consumer without professional support. Some companies provide remote audiology services for customers at no extra charge, but others only offer general customer service help.
Expect to get about five years out of a pair of hearing aids before needing to replace them. By that point, the technology will also have advanced such that you’ll have a better listening experience with a new pair.
At a hearing aid fitting, the audiologist will do the following:
- Show you how to correctly fit the hearing aids in your ear.
- Program your hearing aids to match your audiogram (hearing test results).
- Check your hearing with the newly programmed hearing aids.
- Explain and demonstrate how to make volume and listening setting adjustments, how to connect to the hearing aid app on your phone, how to use the Bluetooth function, how to charge your rechargeable hearing aids or change disposable batteries, and how to clean and maintain them.
Your audiologist may also propose an aural rehabilitation program to support your continued success with hearing aids.
The main difference between over-the-counter (OTC) and prescription hearing aids is that OTC devices can be purchased easily through retailers, while prescription aids require an examination and prescription from a hearing health professional. Additionally, OTC hearing aids, which treat mild to moderate hearing loss, are typically lower in cost than prescription hearing aids, which are more technologically advanced for the treatment of severe hearing loss. Plus, prescription hearing aids come with better customer support since they are tailor-made to treat each person’s specific type of hearing loss.
When it comes to caring for your hearing aids, make sure to first review the instructions provided by the manufacturer. Your new hearing aids may come with their own set of cleaning tools for self-maintenance, but not all do, so you may have to buy the supplies yourself. Either way, make sure to learn about the right tools to use based on your hearing aid’s design—for example, which tools and solutions are best for cleaning ear wax and debris without damaging the plastic or metal components. Alcohol, when used as a cleaning agent, can corrode or damage your hearing aids or charging case. If you opt for an “invisible” hearing aid, on the other hand, it will likely be placed in your ear by a professional and will not require cleaning or care by you; instead, the device is replaced every few months.
- Hearing Loss Facts and Statistics. (2021, June) Hearing Loss Association of America. Link
- The hidden risks of hearing loss. (2022, November 1). Johns Hopkins Medicine. Link
- Medical devices; ear, nose, and throat devices; establishing over-the-counter hearing aids. (2022, August 17). Federal Register. Link
- Public Health and Scientific Information | NCEH | CDC. (2018, December 11) Link
- Are you hearing everything you could? (2019, September). Hearing Loss Association of America. Link
- Attorney general sues over-the-counter hearing aid company Nano for misleading consumers. (2023, January 3). Office of the Vermont Attorney General. Link
- Lin, F. R., Pike, J. R., Albert, M., Arnold, M., Burgard, S., Chisolm, T. H., Couper, D. J., Deal, J. A., Goman, A. M., Glynn, N. W., Gmelin, T., Gravens-Mueller, L., Hayden, K. M., Huang, A., Knopman, D. S., Mitchell, C., Mosley, T. H., Pankow, J. S., Reed, N., . . . Coresh, J. (2023). Hearing intervention versus health education control to reduce cognitive decline in older adults with hearing loss in the USA (ACHIEVE): a multicentre, randomized controlled trial. The Lancet, 402(10404), 786–797. Link
- American Speech-Language-Hearing Association. (n.d.). The Audiogram. Link
- What is aural rehabilitation (also called aural rehab or A.R.)? (2021, August 16). Hearing Loss Association of America. Link