HearingAssist Control vs MDHearing Neo XS

The HearingAssist Control is a behind-the-ear OTC hearing aid priced at $549, earning a B grade with a SoundScore of 3.3/5 in our lab testing. This places it in the lower portion of the OTC category, ranking #51 of 65 devices tested. In our testing, the Control demonstrates notable strengths in speech performance. Speech in quiet scores 0.59 points above the category average at 3.4/5, representing solid absolute performance. Speech in noise comes in at 2.0/5—above the category average by 0.56 points, though only mixed in absolute terms. Feedback handling is excellent at 5.0/5, meaning the device remained stable without audible squealing during our standardized challenge tests. The device shows significant weaknesses in other areas. Music streaming scored 0.0/5, which is 1.92 points below the category average and indicates this device does not support or perform well with phone audio streaming. Own-voice comfort is also below average at 2.1/5 (0.41 points below category average), which may be noticeable during extended conversations. The HearingAssist Control may suit users who prioritize speech clarity over streaming functionality and who don't require premium sound quality across all use cases. However, buyers in this price range should note that several competitors—including the Yeasound RIC800 and Sony CRE-E10—deliver substantially higher overall scores. Those seeking similar speech performance at a lower cost may also consider the iHear MatriX.

The MDHearing Neo XS is a budget-priced OTC hearing aid in the invisible-in-ear style, available for $397. In HearAdvisor lab testing, it earned a C grade with a SoundScore of 2.9/5, ranking #63 of 65 OTC hearing aids tested. Performance results reveal a mixed profile. The Neo XS shows strength in own-voice comfort, scoring 3.2/5—0.69 points above the category average—meaning wearers may experience less of the "boomy" quality that can accompany hearing aid use. Feedback handling is excellent at 5.0/5, sitting 0.46 points above average, so users should experience stable performance without whistling during typical wear. However, speech clarity is a significant limitation. Speech in quiet scores just 1.0/5, falling 1.77 points below the OTC category average. Speech in noise also scores 1.0/5, 0.48 points below average. Music streaming scored 0.0/5, which is 1.92 points below the category average—this device is not suited for audio entertainment. At this price point, several alternatives offer notably stronger performance. The Elehear Beyond (4.36/5), Apple AirPods Pro 2 (4.06/5), and Zepp Clarity Omni (3.88/5) all deliver better overall sound quality in the same price range. The Neo XS may appeal to those prioritizing own-voice comfort and feedback stability over speech intelligibility, but most users seeking meaningful hearing benefit should consider higher-scoring options.