Eargo SE vs Starkey Genesis AI

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 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.