MDHearing Neo XS vs Olive Union Air

The MDHearing Neo XS is a budget OTC hearing aid featuring an invisible-in-ear design, priced at $397. In our lab testing, it earned a C grade with a SoundScore of 2.9/5, ranking #63 of 65 devices in the OTC hearing aid category. This device presents a mixed performance profile. Its standout strength is excellent feedback handling at 5.0/5, scoring 0.46 points above the category average—meaning users should experience minimal whistling or squealing during everyday use. Own-voice comfort is also solid at 3.2/5, sitting 0.69 points above average, which suggests the device manages occlusion reasonably well for its invisible design. However, speech clarity is a significant weakness. Speech in quiet scored just 1.0/5, falling 1.77 points below the category average, while speech in noise scored 1.0/5, sitting 0.48 points below average. Music streaming scored 0.0/5, coming in 1.92 points below average—indicating this device is not suitable for audio entertainment. These low absolute scores mean users may struggle to achieve meaningful speech benefit in our standardized test conditions. The invisible-in-ear form factor and rechargeable batteries offer convenience, but buyers should weigh this against the limited speech performance. Several competitors in the same price range—including the Elehear Beyond (4.34/5) and Apple AirPods Pro 2 (4.04/5)—deliver substantially better sound quality. The Neo XS may appeal to those prioritizing discretion and feedback-free wear over speech clarity, but most users seeking improved communication would benefit from exploring higher-performing alternatives.

The Olive Union Air is a budget-priced OTC hearing aid that earned a B grade with a SoundScore of 3.9/5 in our lab testing, placing it in the top 31% of OTC hearing aids at #21 of 65 devices tested. At $250, it represents a competitive entry point in the over-the-counter hearing aid market. In our testing, this visible-in-ear style device demonstrated notable strengths in music streaming, scoring 3.6/5—a solid result that sits 1.67 points above the OTC category average. Feedback handling was excellent at 5.0/5, meaning users should experience minimal whistling or squealing during normal use. Speech understanding in quiet environments also performed well at 3.3/5, measuring 0.46 points above the category average. The Olive Union Air does show limitations in more challenging listening situations. Speech in noise scored 1.0/5, falling 0.48 points below the category average—a common weakness among budget OTC devices that may affect conversations in restaurants or busy environments. Own-voice comfort measured 2.2/5, slightly below average, which some users may notice when speaking. This device is best suited for individuals who prioritize music and media streaming, need reliable feedback control, and primarily listen in quieter environments. Those who frequently encounter noisy social situations may want to consider devices with stronger speech-in-noise performance.