Check out our comparison of the Lexie B3 Powered by Bose vs MDHearingAid Neo XS. Listen to audio samples and see how the two hearing aids differ in terms of sound performance, features, accessories, and more.
Compare comprehensive test results and expert opinions.
Lexie B3 OTC hearing aids deliver Powered by Bose sound, Bluetooth streaming, IP68 durability, and app-based personalization for clearer conversations.
Read full reviewNeo XS is an instant-fit in-ear OTC hearing aid that offers improvements in MDHearing's product line in terms of rechargeable battery life, audio processing, and size. However, our lab testing found its performance underwhelming.
Read full reviewLexie B3 achieved a SoundScore of 4.48/5 in HearAdvisor lab testing. The OTC Hearing Aid category average SoundScore was 3.47/5.
MDHearing Neo XS achieved a SoundScore of 2.47/5 and a SoundGrade of C in HearAdvisor lab testing. It ranked #47 of 61 OTC Hearing Aid devices tested. The OTC Hearing Aid category average SoundScore was 3.47/5.
Lexie B3 hearing aids offer excellent protection from moisture and debris with an IP68 rating. The portable charge case also appears well built and should easily hold up to daily use.
Neo XS do not have an ingress rating but they appear to be well built. The charging case feels sturdy and should offer good protection when Neo XS are recharging or otherwise not in use.
B3 offer an impressive 32 hour battery life per charge, which is more than many products on the market. The portable charging case also offers up to 3 additional charges before needing to be plugged in. As such, we found the overall battery offering excellent.
Neo XS offers internal rechargeable batteries lasting up to 18 hours. This should be enough to get you through your day without needing a recharge.
Lexie B3 are Bluetooth compatible with both iOS and Android devices, allowing for wireless app control, audio streaming, and hands-free calling.
The Lexie app has a user-friendly interface and modern, appealing design. It includes practical features like volume control and a tone balance. We especially liked that B3 now includes a hearing assessment to better personalize the audio performance to your hearing.
I found B3 very comfortable, and the flexible earwires easily molded to my face which helped provide good retention and speaker placement in my ears.
Neo XS are relatively comfortable in ear. However, using the button caused minor discomfort as it required some force which pushed the hearing aid deeper into my ear.
B3 are relatively small and have a modern receiver-in-canal design. One potential downside is that they are currently only available in a mat grey color.
Neo XS are smaller than other MDHearing aids and many OTC products. If you are interested in discrete hearing aids Neo XS are nearly invisible in your ears.
Lexie B3 has a value score of 4.3/5 based on lab performance and public display price.
MDHearing Neo XS has a value score of 3.4/5 based on lab performance and public display price.
I did not run into any issues while using B3 or the Lexie mobile app. First-time users may need some practice to get accustomed to inserting the receiver-in-ear style properly.
Neo XS are relatively small hearing aids which may be difficult for individuals with vision and or dexterity issues. This should not be a problem for most but MDHearing does offer assistance from licensed professionals if needed.
B3 are over-the-counter hearing aids and are designed to be fit without a hearing care provider. However, Lexie offers remote care which includes both technical and hearing support from their team of Lexie Experts for the lifetime of your hearing aid.
MDHearing does not offer in-person support or remote programming. You do however receive free lifetime phone and online help from their licensed hearing professionals. This is a nice offering especially if you are new to hearing aids.
Listen to direct output recordings from our acoustic test lab.
Compatible accessories for each hearing aid
The Lexie B3 comes with a rechargeable storage case that charges via USB-C and provides about three extra full charges, for up to 5 days of total runtime. The hearing aids take about 3 hours to recharge and can run up to 32 hours per charge without streaming. Magnetic seating and status lights help confirm the aids are placed correctly and charging.