Eargo SE vs MDHearing Neo XS

The Eargo SE is a premium-priced OTC hearing aid at $1,699, featuring an invisible-in-ear design and earning a B grade with a SoundScore of 3.1/5 in our lab testing. This places it in the top 85% of the OTC hearing aid category, ranking #56 of 65 devices tested. In our testing, the Eargo SE demonstrated solid performance in speech clarity for quiet environments, scoring 3.2/5—0.43 points above the category average. Feedback handling was excellent at 4.6/5, meaning users should experience stable performance without whistling issues. However, the device showed limitations in challenging listening situations, with speech in noise scoring 1.3/5, which falls 0.23 points below the category average. A notable weakness is the complete absence of music streaming capability, scoring 0.0/5 compared to the category average of 1.92/5. Own-voice comfort scored 2.4/5, slightly below the category average. These mixed results suggest the Eargo SE prioritizes its discreet form factor over comprehensive audio features. The Eargo SE may appeal to users who prioritize an invisible design and primarily need help hearing conversations in quieter settings. However, given its premium price point and the availability of alternatives like the Jabra Enhance Select 50R that deliver stronger overall scores at lower prices, value-conscious consumers may want to explore other options before committing.

The MDHearing Neo XS is a budget OTC hearing aid featuring an invisible-in-ear design, priced at $397. In our lab testing, it earned a C grade with a SoundScore of 2.9/5, ranking #63 of 65 devices in the OTC hearing aid category. This device presents a mixed performance profile. Its standout strength is excellent feedback handling at 5.0/5, scoring 0.46 points above the category average—meaning users should experience minimal whistling or squealing during everyday use. Own-voice comfort is also solid at 3.2/5, sitting 0.69 points above average, which suggests the device manages occlusion reasonably well for its invisible design. However, speech clarity is a significant weakness. Speech in quiet scored just 1.0/5, falling 1.77 points below the category average, while speech in noise scored 1.0/5, sitting 0.48 points below average. Music streaming scored 0.0/5, coming in 1.92 points below average—indicating this device is not suitable for audio entertainment. These low absolute scores mean users may struggle to achieve meaningful speech benefit in our standardized test conditions. The invisible-in-ear form factor and rechargeable batteries offer convenience, but buyers should weigh this against the limited speech performance. Several competitors in the same price range—including the Elehear Beyond (4.34/5) and Apple AirPods Pro 2 (4.04/5)—deliver substantially better sound quality. The Neo XS may appeal to those prioritizing discretion and feedback-free wear over speech clarity, but most users seeking improved communication would benefit from exploring higher-performing alternatives.