MDHearingAid Neo XS vs. Signia Styletto AX

Check out our comparison of the MDHearingAid Neo XS vs Signia Styletto AX. Listen to audio samples and see how the two hearing aids differ in terms of sound performance, features, accessories, and more.

Score
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MDHearingAid Neo XS
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$397 per pair
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Signia Styletto AX 7AX
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$4,398 per pair
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Product Overview

Form Factor
Completely In the CanalForm FactorThis type of custom-fitted hearing aid is mostly hidden inside the ear. In people with smaller ear canals this type of hearing aid may not be possible. This type of aid is often fitted without directional microphones or telecoils.
Receiver In The EarForm FactorThis type of hearing aid sits behind the ear. A wire runs along the top of the ear and down to a speaker sitting inside the ear canal. An custom-fitted mold may be required.
Expert Rating
Score
0.0
Score
0.0
User Rating
3.7
1 reviews
Hearing Loss LevelHearing Loss LevelThis represents HearingTracker's best guess on suitability. Please consult a licensed audiologist to confirm your own candidacy for this device.
MildModerateSevereProfound
MildModerateSevereProfound
Product Features
Hands-freeRechargeableiPhoneAndroidTelecoil
Hands-freeRechargeableiPhoneAndroidTelecoilIP68

Expert Ratings

Compare comprehensive test results and expert opinions.

Neo XS
Styletto AX
Neo XS
2.8BELOW AVERAGE

Neo 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.

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Styletto AX
4.3ABOVE AVERAGE

The Signia Styletto AX is a slim, lightweight hearing aid designed for comfort and style, suitable for mild to severe hearing loss. It features advanced technology such as Augmented Focus for improved speech clarity in noisy environments, Own Voice Processing 2.0 for natural-sounding self-voice, and offers both iPhone and limited Android connectivity, along with a rechargeable battery.

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Neo XS
2.5BELOW AVERAGE

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.

Styletto AX
4.2ABOVE AVERAGE

Signia Styletto AX achieved a SoundScore of 4.22/5 and a SoundGrade of A in HearAdvisor lab testing. It ranked #13 of 35 Prescription Hearing Aid devices tested. The Prescription Hearing Aid category average SoundScore was 3.91/5.

Neo XS
3.8BELOW AVERAGE

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.

Styletto AX
5.0EXCELLENT

Signia Styletto AX have an impressive build quality, featuring a top-of-the-line IP68 ingress rating. They also come with a robust portable charging case.

Neo XS
4.0AVERAGE

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.

Styletto AX
4.0AVERAGE

Styletto AX hearing aids provide up to 16 hours of use per charge, longer without regular streaming. Recharging takes up to 4 hours, which is longer than some other models, but this isn't a significant drawback given their nearly all-day battery capabilities.

Neo XS
Styletto AX
5.0EXCELLENT

Styletto AX are Bluetooth compatible with both iOS and Android devices, allowing for audio streaming and hands-free calling.

Neo XS
Styletto AX
5.0EXCELLENT

Signia's hearing aid app stands out with its user-friendly interface and modern, appealing design. It includes practical features like the ability to control the focus of your hearing aids and a mask mode to enhance speech clarity. Additionally, the app offers wellness features, utilizing hearing aid motion sensors for activity tracking.

Neo XS
3.5BELOW AVERAGE

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.

Styletto AX
5.0EXCELLENT

I found Styletto AX to be very comfortable thanks to their slim and ergonomic design. Your hearing care provider should ensure they are fitted for optimal comfort and hearing benefit.

Neo XS
4.0BELOW AVERAGE

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.

Styletto AX
4.8EXCELLENT

Styletto AX features a unique, slim design and is available in a variety of colors, from discreet to bold. However, its longer body may be less desirable for those with smaller ears.

Neo XS
3.3BELOW AVERAGE

MDHearing Neo XS has a value score of 3.4/5 based on lab performance and public display price.

Styletto AX
3.2BELOW AVERAGE

Signia Styletto AX has a value score of 3.2/5 based on lab performance and public display price.

Neo XS
3.0BELOW AVERAGE

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.

Styletto AX
4.6EXCELLENT

I did not run into any issues while using Styletto AX hearing aids. They are very easy to use once setup by your hearing care provider. First-time users may need some practice to get accustomed to inserting the receiver-in-ear style properly.

Neo XS
2.0BELOW AVERAGE

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.

Styletto AX
5.0EXCELLENT

You should receive quality hearing care and support from your provider. The Signia App should enhance your experience with AI assistance and user-friendly virtual appointments, given your provider offers telehealth services.

Lab Recordings

Listen to direct output recordings from our acoustic test lab.

Busy CafeBusy CafeSpeech intelligibility improvement in loud environments
Quiet OfficeQuiet OfficeSpeech intelligibility improvement in quiet and moderate environments
Streaming MusicStreaming MusicStreaming music provides a full range of bass and treble
HearingTracker partners with HearAdvisor to provide recordings and performance data from an acoustic laboratory that follows standard scientific procedures. All hearing aids are fitted and performance-tested for mild sloping to moderate hearing loss. All audio samples cutoff above 10kHz.

Accessories

Compatible accessories for each hearing aid

Battery Charger
Charger with Qi-Charger Pad

Charger with Qi-Charger Pad

Battery Charger
Bluetooth Streamer
StreamLine Mic

StreamLine Mic

Bluetooth Streamer+2

A wireless clip-on mic that streams audio to hearing aids from any Bluetooth device.

Remote Adjustments
Signia App

Signia App

Remote Adjustments+2

The Signia App provides a remote control, directional hearing control, telecare access, and access to connectivity and streaming settings.

Remote Control
miniPocket

miniPocket

Remote Control

Enables push-button remote control of hearing aid functions.

Signia App

Signia App

Remote Control+2

The Signia App provides a remote control, directional hearing control, telecare access, and access to connectivity and streaming settings.

Remote Microphone
StreamLine Mic

StreamLine Mic

Remote Microphone+2

A wireless clip-on mic that streams audio to hearing aids from any Bluetooth device.

Smartphone App
Signia App

Signia App

Smartphone App+2

The Signia App provides a remote control, directional hearing control, telecare access, and access to connectivity and streaming settings.

Smartphone Streamer + Hands Free
StreamLine Mic

StreamLine Mic

Smartphone Streamer + Hands Free+2

A wireless clip-on mic that streams audio to hearing aids from any Bluetooth device.

TV Streamer
StreamLine TV

StreamLine TV

TV Streamer

Streams television sound to hearing aids over a distance of up to 30 feet (10 meters).

Hardware

Bluetooth® AudioBluetooth® AudioThis hearing aid is capable of streaming Bluetooth® audio certain phones and/or devices.
No
  • Made for iPhone (MFi)
Hands-Free CallingHands-Free CallingIt is possible to have a hands-free phone call with this hearing aid. You are not required to hold the phone up to your mouth.
No
  • Accessory required
IP RatingIP RatingIP Ratings rate sealing effectiveness of hearing aids against intrusion from foreign solid matter (dirt, dust) and moisture.
No
IP68
Push ButtonPush ButtonThe hearing aid features a push button which allows toggling across different sound processing programs
  • Program control
  • Volume Control
No
Rechargeable BatteriesRechargeable BatteriesCharge your batteries overnight in a docking station and get a full day's use (in most cases) of battery life the following day.
Lithium-ion
Lithium-ion

Software Features

Adjustment BandsAdjustment BandsThese are frequency-divided sections that can be adjusted in a hearing aid in order to amplify sounds. Although there are rarely more than 10 frequencies measured in a hearing assessment, having more bands that can be adjusted may allow for improved speech understanding and user comfort.
No
12
Adjustment SynchronizationAdjustment SynchronizationThis feature allows for a more pleasant listening experience by ensuring that both hearing aids process sound the same way. If one hearing aid changes its processing in response to noise or speech, it will send a wireless signal to the other hearing aid so both process sound in the same way.
No
Yes
Automatic Phone ProgramAutomatic Phone ProgramHearing aids with this feature can detect when a phone is placed near them and automatically switch to a phone program. In this setting, the hearing aids will reduce background noise and increase the volume of the phone.
No
Yes
DirectionalityDirectionalityDepending on the types and number of microphones a hearing aid has, the hearing aid may be able to boost sounds from specific directions (by reducing sounds from other directions). This can be helpful to focus on a speaker directly in front of the hearing aid user, as well as to give the user information about where different sounds are coming from.
No
Yes
Echo ReductionEcho ReductionThis feature improves speech audibility by reducing the “blurring” of speech sounds that can occur in the presence of echoes.
No
Yes
Extended bandwidthExtended bandwidthHearing aid provides amplification at frequencies (pitches) higher than the typical hearing aid.
No
12kHz
Extended Dynamic RangeExtended Dynamic RangeExtended dynamic range typically makes louder sound clearer. This may help with the reproduction of loud music or loud speech in a very noisy environment.
No
Yes
Feedback SuppressionFeedback SuppressionIf any sound amplified by the hearing aid escapes the ear canal, it may reach the hearing aid’s own microphone and cause a harsh whistling noise. Some hearing aids are able to recognize when this feedback occurs and reduce or eliminate it.
Yes
Yes
Frequency LoweringFrequency LoweringUnderstanding certain speech sounds is dependent on the high frequency parts of these sounds. For individuals with high frequency hearing loss, this feature can take high frequency speech information and move it to lower frequencies where it will be audible.
No
Yes
Listening ProgramsListening ProgramsNumber of manually accessible listening programs (using push button, remote, app, or other switching method)
No
6
Noise ReductionNoise ReductionThis feature uses modern hearing aids’ processing power to examine the incoming sound signal, determine if noise is present and reduce the volume of the troublesome sound to increase comfort.
Yes
SoundSmoothing™: 3
Own Voice ComfortOwn Voice ComfortAmplification is applied differently to your own voice versus the other voices around you. This allows adequate amplification of people you want to hear and no over-amplification of your own voice.
No
Yes
Processing ChannelsProcessing ChannelsThese are all the frequency-divided sections the hearing aid is able to examine at a single time. The hearing aid uses this information to determine whether the contents of each section are noise, speech, or something else and amplify the sound in each section accordingly.
No
32
Tinnitus ReliefTinnitus ReliefTinnitus, or ringing in the ears, can be addressed by hearing aids in several different ways, such as introducing a soft therapeutic signal or targeted notched noise.
No
Yes
Unique Amplification StrategyUnique Amplification StrategyHearing aids all process sounds a little bit differently. Sometimes it varies even within one model.
No
Yes
Wind Noise ReductionWind Noise ReductionAs wind blows against the microphones of hearing aids, unpleasant noise may be generated. Some hearing aids have the ability to recognize this wind noise and reduce its level. Such reductions may also affect the audibility of desired sounds, like speech.
No
Yes