The Best Hearing Aids for Music and Streaming in 2026

Not all hearing aids excel at streaming music, but after testing over 80 models, we’ve identified the top performers.
Updated on Jul 7, 2026·How we test

Our expert team selects and tests products rigorously. We may earn commissions if you buy through our links. Here's how we keep reviews independent.

Why trust us?
295+Hours of audio recordings
95Hearing aid models tested
5Industry leading audiologists
13Years independently owned & operated

2026 Guide Includes:
5 models benchmarked in our lab.

How we test
Quick Verdict

The 2026 Shortlist

Updated 202695+ Models Tested

Premium aid with AI-driven speech clarity, ActiveVent receivers, and universal Bluetooth.

Expert Rating
4.4/5
From $3,998 / pair

Preset OTC aid with AI noise cancellation, universal Bluetooth, and long battery life.

Expert Rating
4.2/5
$599 per pair
No telecoil or profound loss options

All picks target mild to severe hearing loss, and none carry a telecoil. Anyone needing higher gain or loop system access in theaters, places of worship, or public venues should look at a full prescription fitting instead.

1

Fit affects music quality: A tighter ear seal means better bass and fuller streamed sound. Earbud-style and receiver-in-canal (RIC) devices with closed tips consistently outscore open-fit aids on HAAQI (measured via HearAdvisor's music score). Thus, if music matters, fit matters. But keep in mind that you're trading music quality for own-voice comfort, as a tighter seal can make your voice sound boomy or echo-y to yourself.

2

Auracast support is rolling out: Right now, the Yeasound RIC800 and Cearvol Wave are the only fully Auracast-enabled hearing aids on this list. The other devices are Auracast-ready, meaning they're pending a firmware update. Music fans eager to connect to live broadcasts should pick a hearing aid that supports Auracast, now or in the future. Until Apple natively supports Auracast, iOS users should double-check whether the hearing aid app will let them connect to public broadcasts.

3

Lab scores have a ceiling: HAAQI music rankings reflect standard speech-optimized programming, the way most people actually wear their aids. Music-specific tuning, a dedicated music program, or a music audiologist consultation can push performance meaningfully beyond what the scores show, especially if the intended use is to amplify live music.

Lab testing

Each device was tested in HearAdvisor's acoustic lab using a calibrated manikin and real-world ambisonic recordings, producing objective, reproducible performance scores.

Hands-on testing

An audiologist on the HearingTracker team wore each hearing aid for at least one week, evaluating build quality, battery life, Bluetooth stability, comfort, and day-to-day handling.

Streamed music quality

We ranked hearing aids by their rating for streamed music and selected based on other standout qualities. The HearAdvisor lab measured music performance using the Hearing Aid Audio Quality Index (HAAQI).

Our Recommendations

Top PickBest Prescription Hearing Aid for Music
From $3,998 per pair|Read full review
Phonak Audéo Infinio Ultra
4.4/5

The Audéo Infinio Ultra Sphere is a premium receiver-in-canal (RIC) hearing aid powered by a dual-chip AI architecture. Its ActiveVent receivers automatically close when streaming, and universal Bluetooth supports both iOS and Android. Battery life runs up to 18 hours, dropping to around 16 in Sphere mode.

Why we picked it
  • ActiveVent receivers optimize seal for streaming
  • Universal Bluetooth LE Audio + Auracast-ready
  • Top music streaming score among Rx aids
Tradeoff: Auracast-ready, but still pending a firmware update to enable this feature.
Best Battery Life for Music
From $599 per pair|Read full review
Yeasound RIC800
4.2/5

The RIC800 is a preset-based over-the-counter (OTC) receiver-in-canal hearing aid with AI adaptive noise cancellation, Bluetooth 5.2 streaming to iOS and Android, Auracast support, and up to 31 hours of battery life per charge, with three charges in the portable case.

Why we picked it
  • Top-ranked OTC music streaming score
  • 31-hour battery outlasts all earbud-style rivals
  • Bluetooth LE Audio + Auracast to iOS and Android
Tradeoff: No in-app hearing test; sound customization is limited to four presets and a basic equalizer, though Yeasound's support can recommend tailored settings based on an audiogram.
Best Budget OTC Hearing Aid for Music
From $100 per pair|Read full review
JLab Hear OTC
3.9/5

The JLab Hear is an earbud-style instant-fit OTC hearing aid for mild to moderate hearing loss. It streams to iOS and Android via Bluetooth LE Audio 5.3 with Auracast support, and responsive touch controls on each bud handle volume, programs, and calls.

Why we picked it
  • Highest music streaming score at this price point
  • Bluetooth LE Audio + Auracast on iOS and Android
  • Touch controls for on-ear playback management
Tradeoff: Battery life of 7 to 10 hours falls short of all-day use, and speech-in-noise performance is below average for the OTC category.

Compare the Best Hearing Aids for Music

Product
Top Pick
Phonak Audéo Infinio Ultra

Phonak Audéo Infinio Ultra

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Yeasound RIC800

Yeasound RIC800

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JLab Hear OTC

JLab Hear OTC

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Apple AirPods Pro 3

Apple AirPods Pro 3

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Cearvol Wave

Cearvol Wave

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Our Rating4.4/54.2/53.9/54.1/54.4/5
VerdictBest Prescription Hearing Aid for MusicBest Battery Life for MusicBest Budget OTC Hearing Aid for MusicBest for iPhone UsersBest for Android Users
PriceFrom $3,998 / pair$599$100$240$397
Hands-Free Calling
Rechargeable
iPhone Streaming
Android Streaming
Telecoil

Prices and availability are subject to change. We independently review each item we recommend and appreciate your trust and support. When you buy through our links, we may earn a commission.

Looking for a hearing aid with decent music quality when streaming over Bluetooth? We tested over 95 modern hearing aids in the HearAdvisor acoustic lab to reveal the winners (based on hard science). In the micro reviews below, we discuss the hearing aid features that will impact your music listening experience.

If you’re a musician or enjoy listening to live or speaker music, know that most hearing aids amplify the same frequency range of 250 to 8,000 Hz, sometimes up to 10,000 Hz. With the right features, however, you can still optimize your hearing aids for live music.

Best Prescription Hearing Aid for Music: Phonak Audéo Sphere Infinio Ultra

The Phonak Audéo Sphere Infinio Ultra is the best prescription hearing aid for music because it offers universal Bluetooth support and uses ActiveVent receivers. When the aid detects a Bluetooth connection, the receiver automatically closes its vent to block out external noise. As a result, you’ll notice improved sound clarity for calls and streaming music; because the vent can re-open, you get the best of both worlds with natural-sounding conversation and general listening.

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The Audéo Sphere Infinio is also our top pick for the best hearing aids period.

Score
4.4
Phonak Audéo Infinio Ultra

The Audéo Infinio Ultra Sphere is a premium receiver-in-canal (RIC) hearing aid powered by a dual-chip AI architecture. Its ActiveVent receivers automatically close when streaming, and universal Bluetooth supports both iOS and Android. Battery life runs up to 18 hours, dropping to around 16 in Sphere mode.

Expert Review

The Audéo Sphere Infinio Ultra is compatible with Android and iOS and offers low latency transmissions through Bluetooth LE Audio. Note that while it's Auracast-ready, this feature is pending a firmware update. This, however, is true for most devices featuring Bluetooth LE Audio.

When you're not streaming music, the Audéo Sphere Infinio Ultra will give you enhanced speech understanding with the latest AI denoising technology. In the HearAdvisor test lab, it achieved excellent scores for speech in quiet (4.8/5) and speech in noise (4.6/5) after an expertly tuned fit.

Yes, you can safely wear Bluetooth hearing aids all day without any risk to your health. In "Are Bluetooth Hearing Aids Safe?," we discuss Bluetooth radiation and why it poses no risk.

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Pros

  • Professional Fitting
    The hearing care provider will fit these hearing aids and should offer quality care and remote programming through the app.
  • Speech Comprehension
    Improved speech intelligibility, thanks to the noise reduction provided by the AI-driven Deep Sonic chip.
  • Sound Clarity
    Automatically adapts to various environments to enhance sound clarity for both speech and streaming music.
  • Universal Bluetooth Support
    Compatible with Android and iOS for audio streaming and hands-free calling through Bluetooth Classic and LE Audio.
  • Battery Life
    Up to 18 hours, 3 hours to recharge, with a 30-minute quick charge yielding up to 6 hours of use.
  • Build Quality
    IP68 water and dust resistant.

Cons

  • Size
    Less discrete than competitors due to a slightly larger behind-the-ear unit.
  • Battery Use
    Battery drops to around 7 hours in the AI-driven Sphere mode and there's no disposable battery option.
  • Performance in Noise
    Potentially poor call quality in noisy environments.
  • No Telecoil
    No support for loop systems or CROS. If this matters to you, consider the Oticon Intent prescription hearing aid.

Best Battery Life: Yeasound RIC800

The Yeasound RIC800 is a receiver-in-canal (hence RIC) rechargeable OTC hearing aid that offers up to 31 hours of battery life and excellent streaming features, scoring 4.3 (out of 5) points in the HearAdvisor lab.

Its form factor allows it to pack a larger battery than an earbud, though using the built-in AI-powered adaptive mode, one of its presets, will reduce its battery life. Nevertheless, with the charging case adding three full charges, bringing total battery life to 124 hours max, you might be able to get through an entire week away from an outlet, making it one of the best OTC hearing aids for battery life and value.

Score
4.2
Yeasound RIC800

The RIC800 is a preset-based over-the-counter (OTC) receiver-in-canal hearing aid with AI adaptive noise cancellation, Bluetooth 5.2 streaming to iOS and Android, Auracast support, and up to 31 hours of battery life per charge, with three charges in the portable case.

Expert Review

Since our original review of the RIC800 in February of 2026, Yeasound has added an app-based hearing test via firmware update, possibly moving the RIC800 beyond preset-only fitting. The company also accepts audiograms by email for remote programming. We’re retesting the RIC800 using the new hearing test feature to confirm how it impacts performance. Check back for our updated verdict.

Although the RIC800 relies on presets, rather than an in-app hearing test or audiogram, it scored well in quiet (4.1/5) and noisy environments (2.1/5). Within the app, you can choose between five presets and fine-tune four of them with a tree-band equalizer, noise reduction level, and directionality. If you’re unsure whether your customizations are adequate, you can submit a personal audiogram to Yeasound to receive settings recommendations tailored to your unique hearing loss. In adaptive mode, the RIC800 automatically adapts to background noise. You can also adjust the volume separately for each ear.

Pros

  • Bluetooth 5.2 Audio Streaming
    Low latency streaming to Android and iOS with Auracast support.
  • Generous Battery Life
    Up to 31 hours per charge, plus three full charges with the portable case, giving you up to 124 hours of total battery life
  • AI Noise Cancellation
    In adaptive mode, the RIC800 improves speech clarity by sensing background noise and seamlessly adjusting settings for the best possible listening experience.
  • IPX6 Water Resistance
    Built to withstand immersion in three feet (one meter) of water for up to one month.
  • Feature Rich App
    The companion app includes useful controls and advanced features like a built-in tinnitus masker and a live listen function.
  • Remote Care Services
    Help from a professional is available through the Yeasound app.

Cons

  • Preset-Based Setup
    No app-based hearing test or audiogram support. Fine-tuning the hearing aids inside the app is limited.
  • Dust Ingress Protection Unknown
    The X in the IPX8 rating means that the RIC800 have not been officially tested for protection against solid particles like fine dust or sand.

Best Budget OTC for Music: JLab Hear OTC

The JLab Hear OTC is an earbud style instant-fit device that is excellent for streaming music, with a HearAdvisor score of 4.6 (out of 5).

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The Hear OTC can stream music from Android and iOS with low latency through Bluetooth LE Audio 5.3 (this means it may be able to support Auracast with a firmware update). In our tests, the quality of streamed audio was good and hands-free calling worked well. The touch button on each earbud lets you control the playback and volume, change programs, and accept or end incoming calls.

Score
3.9
JLab Hear OTC

The JLab Hear is an earbud-style instant-fit OTC hearing aid for mild to moderate hearing loss. It streams to iOS and Android via Bluetooth LE Audio 5.3 with Auracast support, and responsive touch controls on each bud handle volume, programs, and calls.

Expert Review

Hear OTC's speech amplification may seem less impressive, with both speech in quiet (2.7/5) and speech in noise (1/5) scoring below average, but considering its price, it's surprisingly good. In fact, this is one of the most affordable hearing aids you can get.

Pros

  • Price
    The most affordable hearing aid option for music streaming with respectable speech amplification benefits at this price point.
  • Comfort
    Lightweight and comfortable to wear, providing a tight seal without feeling plugged up.
  • Wireless Streaming
    Supports wireless audio streaming and hands-free calling with iOS and Android through Bluetooth 5.3 with LE Audio and Auracast.
  • Touch Controls
    Responsive touch button on each earbud gives you more control over current playback than any prescription hearing aid.

Cons

  • Speech Benefits
    Instant-fit device that might not provide sufficient or ideal amplification for your hearing loss as you're limited to presets and app customizations without an on-ear hearing test.
  • Battery Life
    Only 7 (with streaming) to 10 hours per charge and flimsy portable charger.
  • Build Quality
    IPX4 rating, meaning they can withstand water splashing from any direction, but their dust resistance is unknown.
  • No Professional Hearing Care
    The online Help Center and standard Customer Support can assist with technical questions only.

Best for iPhone Users: Apple AirPods Pro 3

The Apple AirPods Pro 3 offers excellent streamed audio quality, receiving a 4.3 out of 5 in the HearAdvisor lab, and can double as decent-quality OTC hearing aids. Moreover, you can buy a pair for less than $250, putting them at a more realistic price point for advanced earbuds. AirPods also offer desirable health tracking and other hearing features through iOS devices.

Score
4.1
Apple AirPods Pro 3

The AirPods Pro 3 are wireless earbuds with FDA-approved OTC hearing aid functionality built into iOS. They support an in-app hearing test and audiogram upload, offer fine-grained sound personalization, and deliver up to 10 hours of battery in hearing aid mode.

Ideal for

Expert Review

Pros

  • Affordable
    The lowest-priced OTC hearing aid on this list.
  • Includes a Hearing Test
    The test is done individually for each ear.
  • Supports Audiograms
    You can upload your professional hearing test data through the Apple Health app.
  • Sound Personalization
    The Hearing Assistance menu within iOS lets you fine-tune the amplification, balance, tone, and ambient noise reduction, and you can boost conversations.
  • Wireless Streaming to iOS and Android
    Excellent Bluetooth streaming quality and hands-free calling.

Cons

  • Requires an iOS Device
    Setting up, tuning, and controlling the AirPods Pro 3 as hearing aids requires an iPhone or iPad.
  • Poorly Accessible Features
    Hearing health features are buried in the Settings menu and split across multiple screens.
  • Short Battery Life
    Depending on your usage and settings, you can expect eight to ten hours per charge and up to 24 hours with the charging case.
  • Short Lifespan
    The Lithium-ion batteries will likely start failing after two to three years. Unfortunately, AirPods are not designed to be repaired.
  • Tech Support Only
    Since these aren't hearing aids, support will be limited to technical concerns.
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While the JLab Hear OTC and the Apple AirPods Pro 3 are the best budget OTC devices for streaming music, their performance as hearing aids—specifically for speech in noise—leaves much to be desired.

Best for Android Users: Cearvol Wave

The Cearvol Wave are the first earbud-style OTC hearing aids that can complete with the AirPods Pro 3. Most OTC music-streaming picks on this list lean on Apple’s ecosystem, and the AirPods Pro 3 in particular requires an iPhone just to set up the hearing aid mode. The Cearvol Wave closes that gap. Its app supports full audiogram-based self-fitting and sound customization on both iPhone and Android, so Android users get the same setup experience iPhone owners take for granted.

Score
4.4
Cearvol Wave

The Cearvol Wave pairs lab-verified music streaming with full Android compatibility, unlike Apple's iPhone-only hearing aid feature. Its touchscreen case doubles as a remote control and microphone, plus direct audio input for wired sources.

Ideal for

Expert Review

HearAdvisor's lab measured a 4.1 out of 5 music average for the Wave, 2.23 points above the OTC category baseline, aided by Bluetooth 5.3 and LE Audio support that keep the connection stable across platforms. The touchscreen charging case adds a second control layer: a standalone remote, a remote microphone, and a wired AUX-IN bridge for connecting directly to an instrument amp or mixer, useful for musicians who want a wired signal path rather than relying on Bluetooth alone.

Own-voice comfort and the 10-hour battery lag behind other picks on this list, so it's not suited to all-day wear, but for Android users seeking lab-verified music performance without an Apple dependency, it fills a real gap

Pros

  • Full self-fitting and app functionality on Android and iOS

  • Music streaming score of 4.1, well above the OTC category average

  • Touchscreen charging case doubles as remote control and remote microphone

  • 3.5 mm AUX-IN for direct wired connections to instruments or mixers

  • Bluetooth 5.3 with LE Audio and Auracast support

  • Strong value score based on lab performance relative to price

Cons

  • Battery tops out at 10 hours, below category average

  • Own-voice comfort is the weakest lab score, but typical for earbud style hearing aids

  • Speech-in-noise performance is above average but still mixed in absolute terms

  • Feedback handling falls below the OTC category average

  • IPx5 rating offers less moisture and debris protection than most hearing aids on this list

  • Visible in-ear design is less discreet than behind-the-ear styles

How We Picked the Best Hearing Aids for Music

HearAdvisor uses a custom built acoustic laboratory to measure hearing aid performance. Hearing aids are programmed based on a common age-related hearing loss and worn by an industry-standard acoustic manikin. Recordings are then made through microphones in the manikin’s ears, creating quasi-3D audio that emulates what it would sound like if you were wearing devices and streaming.

The KEMAR acoustic manikin wearing Lucid's Engage OTC hearing aids.
The KEMAR acoustic manikin wearing Lucid's Engage OTC hearing aids.

HearAdvisor evaluates streaming quality by playing audio (4 different music genres and one podcast) from a paired iOS smartphone. A calibration is performed prior to recordings so that the phone’s streamed audio level is consistent across all tested devices, and recordings, at roughly 70 dB SPL. Once recordings are finished, music performance is measured using the Hearing Aid Audio Quality Index (HAAQI)10 which models the impaired auditory system and was designed to match subjective music sound quality ratings from individuals with hearing loss.

Streamed Music Quality is one of five component metrics that HearAdvisor uses to evaluate hearing aid performance. All metrics are simplified using a 1 to 5 rating scheme, and averaged across both their Initial and Tuned Protocols, creating a single number representative of a device’s overall performance—the HearAdvisor SoundScore™. Higher numbers denote a better SoundScore and top-performers receive an Expert Choice Badge—giving a clear stamp of approval for the best products tested.

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To find the best hearing aids for music, we ranked all hearing aids based on their average music streaming score and removed previous generation products or those that had major flaws. From the remaining models, we selected the best of each category, such as best prescription, best OTC, and best earbud-style hearing aid.

The Problem With Music and Hearing Aids

If you wear hearing aids, you’ve probably noticed that music doesn’t sound as good as you’d like. Most hearing aid users report that music sounds distorted—too sharp and lacking in bass.

This is not altogether surprising as hearing aids have traditionally focused on speech enhancement. They are first and foremost tools for maximizing communication. In developing the audio processing strategies and acoustical designs that work best for speech enhancement, engineers have had to make some unfortunate compromises for the music lovers among us.

Hearing aids have gotten better and better over the years, with user satisfaction keeping pace.6 In the last few years Bluetooth streaming from iPhone and Android has become commonplace. But, have manufacturers made any progress on improving the dreaded sound quality when streaming music?

The short answer is “not really”—there is no great hearing aid when it comes to streaming music quality. The best hearing aids are just OK. But, if music streaming is important to you, you’ll want to make sure you read this article to learn what hearing aid technologies can impact music quality, and how you can be a smart consumer when it comes to selecting and fine tuning your next all-day companion.

I also work as the Lab Director of HearAdvisor, an independent scientific hearing aid vetting service. In the lab, we ran tests to find the absolute best hearing aids for streaming music quality. My recommendations are based on both HearAdvisor’s scientific lab findings and my hands-on experience with these devices in my role as a product reviewer with HearingTracker. Continue reading to learn what hearing devices I liked best and why.

How Speech and Music Differ

Before we dive into technologies, let’s briefly look at the differences between speech and music. Figure 1 shows a ten-second clip of both speech in quiet and a typical rock song. These waveforms represent the sound’s shape over time. The speech waveform (left) varies in volume having occasional pauses and louder peaked regions, such as at 3.6 seconds. Conversely, music tends to be much louder on average with less variation. This is to some extent the nature of music and instruments; however, we can also blame loudness competitions in the music industry (i.e., the “Loudness Wars”) driving our music to be less dynamic and more prone to distortions.

Figure 1: Here you can see the waveforms of speech and music audio clips (left and right, respectively).
Figure 1: Here you can see the waveforms of speech and music audio clips (left and right, respectively).

If we compare volume changes between the two, speech is generally regarded as having a dynamic range of 30 decibels (dB) while music can span the full range of our hearing system.2 Normal conversational speech also hovers around 65 dB and yelling can increase this level impressively to the low 80s. However, even with our greatest vocal effort we fall short of other musical instruments. (see Table 1 for examples of average sound levels).

Instrument

Average sound level

Bass

80.5 dBA

Cello

88.6 dBA

Drum set

93.5 - 94.6 dBA

Flute

88.6 - 95.5 dBA

Saxophone

88.2 - 92 dBA

Violin

85.5 -87.8 dBA

Table 1: Average sound levels of various instruments (Adapted from Rawool, 2012, pg. 203).
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Speech and music also vary in their frequency range. Speech is generally regarded as spanning from 250 to 8000 Hz, though the actual range is slightly broader, with frequencies around 2000 Hz contributing most to speech intelligibility.4 Music on the other hand can cover the entire range of our hearing from 20 to 20,000 Hz given the range of instruments available and various harmonics they produce. The spectrum, or overall frequency content, of the same speech and music files can be seen in Figure 2. Speech drops off below roughly 100 Hz and above 10,000 Hz. Again, the spectrum of the rock music can be seen spanning a broader range with much greater focus in the bass region around 100 Hz.

Figure 2: Here the spectra, or sound energy across frequencies, for the same male voice and rock song are provided. Music can be seen spanning a broader range with greater energy in the lower frequencies.
Figure 2: Here the spectra, or sound energy across frequencies, for the same male voice and rock song are provided. Music can be seen spanning a broader range with greater energy in the lower frequencies.

Hearing Aids are Designed for Speech… Not Music

Now that we have highlighted some differences between speech and music, what are the specific challenges hearing aids face? Here are a few points and recall that these are not necessarily issues as many are designed to aid communication:

Digital Signal Processing (DSP): Hearing aids manipulate audio with various processes to improve audibility and the wearer's listening comfort. Some examples include wide dynamic range compression, beamforming directional microphones, digital noise reduction, and feedback reduction. There is considerable research supporting the benefits of such DSP for general use. However, they can cause undesirable distortions when listening to both live and recorded music.

Physical Style and Fit: Receiver-In-Canal (RIC) hearing aids are by far the most common. They typically leave the ear canal open in what's referred to as an "open fitting". With open hearing aids, sound can enter your ear in two ways, (1) through the hearing aid speaker and (2) naturally through the ear canal. Many people prefer open-fitting RICs as they are very comfortable and more natural sounding if your hearing loss is limited to the higher-frequencies. They also don't cause your own voice to become boomy when you speak (when bass tones are trapped in the ear by non-open hearing aids, this is referred to as "occlusion").

A man positions the speaker from his RIC hearing aid into his ear canal. The plastic filament pointing down is a retention filament that is placed into the "bowl" of the ear to stop the speaker from working its way out of the ear.
A man positions the speaker from his RIC hearing aid into his ear canal. The plastic filament pointing down is a retention filament that is placed into the "bowl" of the ear to stop the speaker from working its way out of the ear.

The downside to open-fits is that they do not provide good music sound quality. The instant-fit ear tips used for open-fits offer minimal coupling to the ear canal and little-to-no occlusion below roughly 1000 Hz.3 Without good coupling we lose bass and mid frequencies leading to thin and tinny sounding music.

Speaker Type: Hearing aids use a special type of speaker known as a balanced armature (BA) driver. BA drivers are used because they are small, minimize battery usage, and are efficient at providing amplification for a typical age related high-frequency hearing loss. Other speakers like the dynamic drivers in your car are better for music reproduction though they are not used in traditional hearing aids. Some devices, such as Liberty 3 Pro by Soundcore, include both speaker types in their earbuds. Other devices are employing a newer micro-electro mechanical (MEMs) driver to expand output capabilities.

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Streaming Protocols: Wireless audio streaming with Bluetooth continues to grow in popularity and has become an expected feature of most modern hearing aids. Made for iPhone (MFi) and Audio Streaming for Hearing Aids (ASHA) protocols provide many benefits to the hearing aid user though they tend to degrade the streamed audio signal by adding undesirable distortions and artifacts.5,7

Music Programs, Fine-Tuning, and Music Audiologists

Regardless of these barriers, hearing aid manufacturers are increasingly aware of the importance of music sound quality. New over-the-counter (OTC) hearing aids are also entering the market, providing more opportunities than ever for individuals with hearing loss. Most of these devices offer dedicated “Music Programs,” which adjust device settings to be more advantageous for music listening.

For example, hearing aid music programs generally disable automatic adjustments that may cause the volume and or sound quality to change intermittently. Compression settings and max peak output (MPO) may be modified to account for the louder volumes and more intense bursts of energy found in music. Feedback cancellation algorithms can also be turned off so instruments like flutes and clarinets do not confuse them causing unnecessary whistling.

Music programs can improve sound quality, but fine-tuning for your specific music needs should be considered.1 For example, you may prefer a more occluding ear-tip or custom earmold to get the most out of your hearing device. Speak with your hearing provider regarding your preferences, musical background, and specific listening needs. Lastly, consider your hearing health and whether your listening habits are potentially hazardous, causing further damage to your ears—loud sound levels are associated with an array of music-induced hearing disorders.

It is worth noting that some hearing providers specialize in this area, having both practical and theoretical knowledge of sound, musicality, and the industry. “Music Audiologists'' therefore offer the greatest opportunity to help optimize your hearing devices for music. If you schedule an appointment with a Music Audiologist, you will likely be asked to bring your instrument in-office for more pragmatic testing and troubleshooting.

Music, Occlusion, and Bass

It is worth noting that HearAdvisor programs devices based on industry standards for optimizing speech performance. Music Streaming scores therefore do not reflect the devices being specifically adjusted for music sound quality. It is likely that all devices would perform and score differently if settings, and physical properties, were tuned for music listening. However, this would generally require changes that may compromise both speech performance and user comfort. As this is unlikely for the average person, HearAdvisor provides scores based on the predominant approach to hearing aid programming.

This begs the question, what are some changes that would benefit music sound quality? To put it simply, more bass. We have all heard car-rattling subwoofers and the explosive “booms” commonplace at theaters. As it turns out, even individuals with hearing loss find good low-frequency representation, or bass, important when judging music sound quality11. There are many factors at play but bass remains a top priority.

Eargo 7 hearing aids on my record player after a listening experiment.
Eargo 7 hearing aids on my record player after a listening experiment.

While modern hearing aids are capable of doing this, audiologists tend to minimize bass for several reasons. One good example is user comfort. Occlusion, or a good ear canal seal, is required for hearing aids to provide bass and this can inadvertently cause a “barrel” or “echo” like sound quality when you speak. This is the result of low-frequency buildup in your ear canal and is a common complaint among hearing aid users13. If this isn’t making sense, plug your ears and voice the “e” sound.

This tradeoff between comfort and music sound quality is important and HearAdvisor offers metrics for both Streamed Music Quality and My Own Voice for this reason. Devices that offer more occlusion, either due to their default configuration or manufacturer recommendations, tend to score better for Music Quality. Table 2 below shows the ear tips used for all devices listed in this review. The resulting occlusion for several previously featured devices, shown here as real-ear occluded insertion gain (REOIG)12, is provided in Figure 3.

Device

Setup

Music Score

Phonak Sphere

Power dome

4.2

Yeasound RIC800

Closed ear tips

4.3

JLab Hear OTC

Closed dome tips

4.6

AirPods Pro 3

Closed ear tips

4.3

Cearvol Wave

Closed ear tips

4.1

Table 2: Ear tips used for testing in HearAdvisor's Initial protocol. Ear tips are chosen based on default configurations (OTC) or manufacturer recommendations (Rx). When configured with open domes, products typically have lower music scores.
Figure 3: Here we plot the real-ear occluded insertion gain (REOIG) averaged between both the left and right ears. This can also be thought of as insertion loss, or the amount of sound reduction observed in the ear canal when a device is being worn.
Figure 3: Here we plot the real-ear occluded insertion gain (REOIG) averaged between both the left and right ears. This can also be thought of as insertion loss, or the amount of sound reduction observed in the ear canal when a device is being worn.

As previously mentioned, music sound quality and own voice comfort tend to have an opposite relation. Devices like the Phonak Lumity receiver-in-the canal hearing aid were rather occluding due to the fitting software recommending an unvented double flange power dome (black line in Figure 3). While this helped Phonak’s Streamed Quality score, it resulted in a lower My Own Voice score (0.9 out of 5). This trend can be seen in Figure 4 across various devices tested by HearAdvisor. 

Figure 4: Here we see a plot from HearAdvisor’s database showing the relation between My Own Voice and Streaming Music Quality Score. Each dot represents a different device's performance and a clear trend can be seen where better scores for the Own Voice Metric (closer to 5) are also associated with lower Streamed Music scores. The inverse is also true, supporting that devices with more occlusion will have better bass frequency response making them (1) better for music but also (2) less comfortable when speaking.
Figure 4: Here we see a plot from HearAdvisor’s database showing the relation between My Own Voice and Streaming Music Quality Score. Each dot represents a different device's performance and a clear trend can be seen where better scores for the Own Voice Metric (closer to 5) are also associated with lower Streamed Music scores. The inverse is also true, supporting that devices with more occlusion will have better bass frequency response making them (1) better for music but also (2) less comfortable when speaking.
  • Use the iOS Health app to monitor your streamed listening levels and adjust accordingly.
  • Use a sound level meter (SLM) app such as NIOSH SLM to check your exposures in loud environments. Apple Watch offers similar warning features.
  • Be aware that there are many situations where hearing devices should be removed to reduce exposures to loud sounds. Hearing aids, when programmed properly, will not damage your hearing. However, they will not protect you from hazardous sound levels.

References

  1. Chasin M. (2021). Three distinct hearing aid programs for music? Hearing Review, 28(8):16.
  2. Chasin, M., & Russo, F. A. (2004). Hearing aids and music. Trends in Amplification, 8(2):35-47.
  3. Cubick, J., Caporali, S., Lelic, D., Catic, J., Damsgaard, A. V., Rose, S., ... & Schmidt, E. (2022). The Acoustics of Instant Ear Tips and Their Implications for Hearing-Aid Fitting. Ear and Hearing, 43(6):1771-1782.
  4. French NR, Steinberg JC. (1947). Factors governing the intelligibility of speech sounds. JASA. 19(1).
  5. Hoel, R., & Motos, T. (2011, October). Challenges in 2.4 GHz wireless audio streaming. In Audio Engineering Society Convention 131. Audio Engineering Society.
  6. Kochkin, S. (2010). MarkeTrak VIII: Consumer satisfaction with hearing aids is slowly increasing. The Hearing Journal, 63(1):19-20.
  7. Kuk, F., Crose, B., Korhonen, P., Kyhn, T., Mørkebjerg, M., Rank, M. L., ... & Ungstrup, M. (2010). Digital wireless hearing aids, Part 1: A primer. Hearing Review, 17(3):54-67.
  8. Rawool, V. W. (2012). Hearing conservation: In occupational, recreational, educational, and home settings. Thieme, 2012.
  9. Kuk, F., Keenan, D., & Lau, C. C. (2009). Comparison of vent effects between a solid earmold and a hollow earmold. Journal of the American Academy of Audiology, 20(08):480-491.
  10. Kates, J. M., & Arehart, K. H. (2015). The hearing-aid audio quality index (HAAQI). IEEE/ACM transactions on audio, speech, and language processing, 24(2), 354-365.
  11. Arehart, K. H., Kates, J. M., & Anderson, M. C. (2011). Effects of noise, nonlinear processing, and linear filtering on perceived music quality. International Journal of Audiology, 50(3):177-190.
  12. Dillon H. (2012). Hearing Aids. Thieme.
  13. Jenstad, L. M., Van Tasell, D. J., & Ewert, C. (2003). Hearing aid troubleshooting based on patients' descriptions. Journal of the American Academy of Audiology, 14(07):347-360.
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