Hear.com Horizon Go IX vs Starkey Genesis AI

The Hear.com Horizon Go IX is a premium prescription behind-the-ear hearing aid released in 2024, priced at $6,500. In HearAdvisor's lab testing, it earned an A grade with a SoundScore of 4.4/5, ranking #19 among 39 prescription hearing aids tested. Speech performance is a clear strength for the Horizon Go IX. It scores 4.0/5 in speech-in-quiet conditions—0.64 points above the category average—delivering strong audibility in conversational settings. Speech-in-noise performance also exceeds the category average by 0.46 points, though at 2.6/5 the absolute score remains mixed, meaning challenging listening environments may still pose difficulties. Own-voice comfort is the device's most notable weakness, scoring just 1.8/5—a low result that falls 0.90 points below the category average. Users sensitive to how their own voice sounds may find this limiting. Feedback handling scores 4.4/5, which is strong in absolute terms, though slightly below the category average of 4.72/5. Music streaming performance is essentially average at 2.7/5. At this price point, shoppers face stiff competition. Several alternatives in the same premium tier—including the Phonak Sphere Infinio, Oticon Intent, and Widex Allure RIC 440—deliver higher overall scores. Devices like the Rexton Reach R-Li T80 at Costco offer comparable or better sound performance at lower prices. The Horizon Go IX is best suited for users who prioritize speech clarity and have access to this product through hear.com's network, but those flexible on brand should compare alternatives 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.