HearingAssist Control vs Starkey Genesis AI

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 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 #31 of 36 prescription hearing aids tested. This device demonstrates solid speech clarity in quiet environments, scoring 3.5/5—0.13 points above the category average. Its standout feature is excellent feedback handling, achieving a perfect 5.0/5 score. Speech-in-noise performance lands at 2.3/5, which is 0.36 points above the category average but remains mixed in absolute terms. Music streaming scored 2.8/5, slightly above average (+0.16 points) though still in mixed territory. Own-voice comfort presents a notable weakness, scoring 2.2/5—0.55 points below the category average. This may be a consideration for users sensitive to how their own voice sounds while wearing hearing aids. The Genesis AI showed meaningful improvement with professional tuning, with the normalized score jumping from 3.5/5 (Initial) to 4.3/5 (Tuned), suggesting that proper fitting is particularly important for this device. At this premium price point, competitors including the Phonak Sphere Infinio (5.0/5), Oticon Intent (4.85/5), and Oticon Real (4.75/5) deliver stronger overall sound performance. The Genesis AI may suit users who prioritize Starkey's ecosystem, hands-free calling features, and robust feedback control, but those seeking top-tier sound quality in this price range have higher-scoring alternatives to consider.