Jabra Enhance Select 500 vs MDHearing Neo XS
Side-by-side HearAdvisor lab results with SoundGrades, expert pick badges, and the same visualizations we use in product reviews.
Choice

Jabra Enhance Select 500
The Jabra Enhance Select 500 is a premium behind-the-ear OTC hearing aid priced at $1,995 that earns an A grade with a SoundScore of 4.2/5 in our lab testing. Ranking #13 of 65 OTC hearing aids tested, it places in the top 18% of its category. This 2024 release demonstrates strong speech-in-quiet performance, scoring 4.3/5—a full 1.50 points above the OTC category average. Speech-in-noise scores 1.8/5, which is above the category average by 0.31 points but remains low in absolute terms, reflecting a common challenge across OTC devices. Feedback handling is excellent at 4.6/5, slightly above the already-high category average. Music streaming scores 2.9/5, which is 0.98 points above the category average but only mixed in absolute terms—adequate for casual listening but not audiophile-quality. Own-voice comfort at 2.2/5 falls 0.31 points below the category average, which may be noticeable for users sensitive to how their voice sounds. The Enhance Select 500 supports iPhone and Android streaming, hands-free calling, and uses rechargeable batteries. It's a solid choice for those prioritizing clear speech in quieter environments and reliable feedback control. However, buyers seeking better value might consider the Jabra Enhance Select 300 or Lucid Engage, which offer similar sound performance at lower price points. This model has earned HearAdvisor's Expert's Choice Award in both 2023 and 2024.

MDHearing Neo XS
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.
Performance metrics
Scale 1-5 (Tuned)
Lab metric by fit
Scale 1-5 (Tuned)
Speech level
Adjust input dB (Tuned)
Amplification (REIG)
Insertion gain at 65 dB (Tuned)
Fitting configuration for tuned fit