HearingAssist Control vs Starkey Genesis AI

The HearingAssist Control is a mid-priced OTC behind-the-ear hearing aid available at $549. In our lab testing, it earned a B grade with a SoundScore of 3.3/5, placing it in the top 77% of OTC hearing aids tested. This device demonstrates solid speech performance, scoring above the category average in both quiet and noisy environments. Speech in quiet earned a solid 3.4/5, while speech in noise scored 2.0/5—above average for the category but only mixed in absolute terms. Feedback handling is excellent at 5.0/5, meaning wearers should experience minimal whistling during normal use. The HearingAssist Control has notable limitations. Music streaming scored 0.0/5, indicating this device does not support audio streaming functionality—a significant gap compared to many competitors in this price range. Own-voice comfort scored 2.1/5, which is below the category average and may result in a hollow or boomy perception of your own voice. For shoppers considering this price tier, alternatives like the Yeasound RIC800 (4.73/5) and Sony CRE-E10 (4.66/5) offer substantially higher overall sound performance. The HearingAssist Control may suit buyers prioritizing speech clarity and feedback stability who don't need streaming capabilities, but most users would benefit from exploring higher-scoring options at similar price points.

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.