MDHearing Neo XS vs Oticon Zeal

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.

The Oticon Zeal is a premium invisible-in-ear prescription hearing aid priced at $4,798. In HearAdvisor's lab testing, it earned an A grade with a SoundScore of 4.7/5, placing it in the top 11% of prescription hearing aids tested and ranking #5 of 36 devices in its category. Speech performance is where the Zeal truly excels. It achieved an excellent 4.9/5 in speech-in-quiet testing, scoring 1.56 points above the category average—among the strongest results we've measured. Speech-in-noise performance is solid at 3.0/5, which is 1.08 points above the category average of 1.96/5, making it notably better than typical prescription aids in challenging listening environments. Music streaming quality scores 3.3/5, sitting 0.66 points above category average and providing solid fidelity for phone audio. However, the Zeal shows some limitations in other areas. Own-voice comfort is mixed at 2.0/5, falling 0.75 points below the category average—users sensitive to how their own voice sounds may notice this. Feedback handling, while solid in absolute terms at 3.3/5, measures 1.41 points below the category average of 4.71/5. The Zeal is best suited for users who prioritize outstanding speech clarity in both quiet and moderately noisy settings, and who value quality audio streaming. Those particularly sensitive to own-voice perception or who need maximum feedback stability may want to discuss these tradeoffs with their hearing care provider.