Lexie B2 Plus vs MDHearing Neo XS

The Lexie B2 Plus is a mid-priced OTC hearing aid that earns an A grade with a SoundScore of 4.4/5, placing it in the top 9% of OTC devices tested in our lab. At $899, this behind-the-ear style device delivers strong performance in several key areas while showing some limitations worth considering. In our testing, the Lexie B2 Plus excels in speech clarity for quiet environments, scoring a strong 4.3/5—significantly above the OTC category average by 1.49 points. Own-voice comfort is a particular standout at 4.8/5, well above the category average by 2.29 points, meaning wearers are unlikely to experience the hollow or booming quality of their own voice that can make some hearing aids uncomfortable. Speech in noise performance scores 2.1/5, which is above the OTC category average by 0.58 points but remains mixed in absolute terms—typical for this device class. Music streaming scores 2.6/5, similarly above average by 0.68 points while remaining modest overall. Feedback handling at 2.8/5 falls below the category average by 1.74 points, which may require attention during phone calls or when wearing hats. The Lexie B2 Plus is a solid choice for users prioritizing speech clarity in quieter settings and natural own-voice comfort. It features rechargeable batteries and streaming compatibility with both iPhone and Android devices. This two-time Expert's Choice Award winner (2023, 2024) competes against devices like the higher-scoring Sony CRE-E10 in its price range, but offers a compelling balance of comfort and core speech performance.

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.