Eargo 8 vs Starkey Genesis AI

The Eargo 8 is a premium-priced OTC hearing aid ($2,399) that earns a B grade with a SoundScore of 3.3/5 in our lab testing. This invisible-in-ear device represents Eargo's 2025 flagship offering, featuring a rechargeable design that sits completely within the ear canal. In our testing, the Eargo 8 showed mixed performance across key metrics. Speech clarity in quiet environments is a relative strength, scoring 0.27 points above the OTC category average. Own-voice comfort also performs well, measuring 0.69 points above average at 3.2/5—a solid result that suggests reduced occlusion effects during conversation. However, speech understanding in noisy environments scored 1.2/5, which is both low in absolute terms and 0.27 points below the category average. The most significant limitation we measured was music streaming, which scored 0.0/5—nearly 2 points below the OTC average. This makes the Eargo 8 unsuitable for users who prioritize streaming audio quality. Feedback handling is strong in absolute terms at 4.2/5, though slightly below the category average. At its premium price point, the Eargo 8 faces stiff competition. Several devices in our database deliver comparable or better sound performance at lower prices, including alternatives from Eargo's own lineup. The Eargo 8 is best suited for users who prioritize invisible cosmetics and own-voice comfort over streaming capability and value, and who primarily need help hearing speech in quieter settings.

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 #33 of 39 prescription hearing aids tested. In our testing, the Genesis AI demonstrated excellent feedback handling, scoring a perfect 5.0/5—0.28 points above the category average. This makes it exceptionally stable during movement and physical activities. Speech in quiet performance is solid at 3.5/5, sitting 0.05 points above the category average. Speech in noise scores 2.3/5, which is 0.21 points above the category average but remains mixed in absolute terms. Own-voice comfort is a weaker area, scoring 2.2/5—0.50 points below the category average. Users sensitive to the sound of their own voice may notice this limitation. Music streaming quality is mixed at 2.8/5, essentially matching the category average with a +0.04 point difference. The Genesis AI shows meaningful improvement with professional tuning, with the normalized score rising from 3.5/5 at initial fit to 4.2/5 when tuned—a 0.8-point gain. The device offers rechargeable batteries and streaming compatibility with both iPhone and Android, plus hands-free functionality. However, at this premium price point, several competitors in the same range deliver notably higher sound performance scores, which prospective buyers should consider when evaluating options.