Fortell AI Hearing Aids vs RxEars Rxi

The Fortell AI Hearing Aids are a premium prescription behind-the-ear device priced at $6,800, earning an A grade with a SoundScore of 6.0/5 in HearAdvisor lab testing—an exceptional result that places this device at the top of the prescription hearing aid category. Speech performance is where the Fortell AI truly distinguishes itself. Speech in noise scores an outstanding 6.0/5, a full 3.89 points above the category average of 2.11/5—the kind of margin that represents a meaningful difference in challenging listening environments like restaurants or group conversations. Speech in quiet also excels at 4.6/5, sitting 1.20 points above the category average. Music streaming performs strongly at 4.2/5, coming in 1.44 points above average for the category. The device does have a notable limitation: own-voice comfort scores just 1.5/5, falling 1.20 points below the category average. This low absolute score suggests wearers may notice occlusion effects when speaking. Feedback handling is excellent at 4.8/5, essentially matching the category average. Best suited for: Users who prioritize understanding speech in difficult listening situations and value streaming quality, and who can tolerate potential own-voice occlusion. Given the premium price point, buyers should weigh whether the exceptional speech-in-noise performance justifies the investment compared to alternatives like the Oticon Intent or Oticon Zeal, which offer strong performance at lower price points.

The RxEars Rxi is a budget-priced prescription hearing aid in an invisible-in-ear style, earning an A grade with a SoundScore of 4.1/5 in our lab testing. At $499, it ranks #24 of 39 prescription hearing aids tested, placing it in the top 59% of its category. This device demonstrates notable strengths in speech understanding in quiet environments, scoring 4.3/5—a strong result that sits 0.89 points above the category average of 3.40/5. Feedback handling is excellent at 4.7/5, providing stable performance during movement without the whistling that can plague some hearing aids. Speech in noise performance is mixed at 2.1/5, essentially matching the category average. The RxEars Rxi has significant limitations to consider. Own-voice comfort scores low at 1.6/5, falling 1.10 points below the category average—users may notice their own voice sounds unnatural or boomy. Music streaming is not supported, scoring 0.0/5, which is 2.76 points below the category average. This device uses disposable batteries rather than rechargeables. The RxEars Rxi is best suited for users who prioritize discreet cosmetics and clear speech understanding in quieter settings, and who don't need music streaming capabilities. Those sensitive to own-voice quality or who frequently listen to streamed audio should explore alternatives.