Fortell AI Hearing Aids vs Signia Active Pro 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 Pro IX is a premium prescription hearing aid with a visible-in-ear design, priced at $3,199. In HearAdvisor's lab testing, it earned an A grade with a SoundScore of 4.6/5, ranking #8 among 39 prescription hearing aids tested. This device delivers strong speech clarity performance. Speech in quiet scores 4.3/5, which is +0.85 points above the category average—a notable strength for everyday conversations. Speech in noise measures 2.9/5, which is +0.74 points above the category average, though the absolute score reflects mixed performance in challenging listening environments. Own-voice comfort scores a solid 3.3/5, sitting +0.60 points above average, suggesting reasonable naturalness for wearers. Music streaming quality is mixed at 2.9/5, only slightly above the category average (+0.14 points). Feedback handling scores 3.4/5—solid in absolute terms but -1.32 points below the category average of 4.72/5, indicating this device may be more prone to feedback than typical prescription aids in our standardized tests. The Active Pro IX features rechargeable batteries and supports both iPhone and Android streaming with hands-free capability. It earned HearAdvisor's 2024 Expert's Choice Award. Buyers in this premium price tier should note that competitors like the Phonak Sphere Infinio and Oticon Intent score higher overall. Those seeking similar performance at lower cost may want to explore options like the Rexton Reach R-Li T80 at Costco.