Eargo 8 vs Starkey Genesis AI

The Eargo 8 is a premium-priced OTC hearing aid featuring an invisible-in-ear design with rechargeable batteries, priced at $2,399. In our lab testing, it earned a B grade with a SoundScore of 3.4/5, placing it in the top 71% of the OTC Hearing Aid category. Sound performance presents a mixed picture. The Eargo 8 delivers solid speech-in-quiet performance at 3.1/5, scoring 0.27 points above the category average—making it a reasonable choice for conversational settings without background noise. Own-voice comfort is another strength, measuring 0.69 points above average at 3.2/5, which may appeal to users who are sensitive to hearing their own voice through hearing aids. Feedback handling is strong in absolute terms at 4.2/5, though slightly below the category average. However, the device shows notable weaknesses in challenging listening environments. Speech-in-noise performance is low at 1.2/5, falling 0.27 points below the category average—users who frequently encounter noisy restaurants, busy offices, or social gatherings may find this limiting. Music streaming scored 0.0/5, significantly below the category average, making this device unsuitable for users who prioritize audio entertainment through their hearing aids. The Eargo 8 is best suited for users who prioritize discreet, invisible-in-ear styling and primarily need assistance in quieter conversational settings. However, at this premium price point, buyers should be aware that similarly-priced alternatives and even some lower-cost options may offer comparable or better overall sound performance.

The Starkey Genesis AI is a premium behind-the-ear prescription hearing aid released in 2023, priced at $4,798. In HearAdvisor's lab testing, it earned a B grade with a SoundScore of 3.7/5, ranking #31 of 36 prescription hearing aids tested. This device demonstrates solid speech clarity in quiet environments, scoring 3.5/5—0.13 points above the category average. Its standout feature is excellent feedback handling, achieving a perfect 5.0/5 score. Speech-in-noise performance lands at 2.3/5, which is 0.36 points above the category average but remains mixed in absolute terms. Music streaming scored 2.8/5, slightly above average (+0.16 points) though still in mixed territory. Own-voice comfort presents a notable weakness, scoring 2.2/5—0.55 points below the category average. This may be a consideration for users sensitive to how their own voice sounds while wearing hearing aids. The Genesis AI showed meaningful improvement with professional tuning, with the normalized score jumping from 3.5/5 (Initial) to 4.3/5 (Tuned), suggesting that proper fitting is particularly important for this device. At this premium price point, competitors including the Phonak Sphere Infinio (5.0/5), Oticon Intent (4.85/5), and Oticon Real (4.75/5) deliver stronger overall sound performance. The Genesis AI may suit users who prioritize Starkey's ecosystem, hands-free calling features, and robust feedback control, but those seeking top-tier sound quality in this price range have higher-scoring alternatives to consider.