Fortell AI Hearing Aids vs Signia Active Mini IX

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 Signia Active Mini IX is a premium prescription hearing aid with a visible-in-ear design, priced at $4,696. In HearAdvisor's lab testing, it earned an A grade with a SoundScore of 4.5/5, ranking #14 of 39 prescription hearing aids tested—placing it in the top 33% of its category. This device demonstrates strong speech clarity performance in our testing. Speech in quiet scored 4.1/5, which is +0.71 points above the category average of 3.40/5. Speech in noise measured 2.6/5—above the category average by +0.46 points, though only mixed in absolute terms at 2.6/5. Music streaming is a notable strength at 3.6/5, outperforming the category average by +0.84 points. Own-voice comfort scored a solid 3.2/5, sitting +0.50 points above average. However, feedback handling represents a limitation for this device, scoring 2.5/5—a mixed result that falls -2.22 points below the category average of 4.72/5. Users sensitive to feedback may want to discuss this with their hearing care provider. The Signia Active Mini IX delivers excellent overall sound performance with particular strengths in speech clarity and streaming audio quality. It's best suited for users who prioritize these capabilities and can work with their provider to manage the feedback handling limitations. The earbud-style design offers a modern, discreet appearance for those who prefer visible-in-ear devices.