MDHearing Neo XS vs Rexton Reach R-Li T80 at Costco

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 Rexton Reach R-Li T80, available exclusively at Costco for $1,500, is a behind-the-ear prescription hearing aid that earned an A grade and ranks #11 of 36 devices in its category in our lab testing. This 2024 release earned HearAdvisor's Expert's Choice Award, reflecting its strong overall performance. In our standardized testing, the Reach R-Li T80 delivered a SoundScore of 4.6/5, placing it in the top 28% of prescription hearing aids. Speech clarity stands out as a particular strength, scoring 3.9/5 in quiet environments—0.54 points above the category average. Own-voice comfort also impressed at 3.6/5, a full 0.85 points above average, suggesting wearers may experience less of the "talking in a barrel" sensation that can occur with hearing aids. Feedback handling is excellent at 4.8/5. Speech-in-noise performance scores 2.5/5, which is above the category average by 0.54 points but remains mixed in absolute terms—a common challenge across prescription devices. Music streaming similarly scores 2.7/5, slightly above average but not a standout feature. This device supports both iPhone and Android streaming, offers hands-free functionality, and uses rechargeable batteries. For Costco members seeking a prescription hearing aid with reliable speech clarity, strong own-voice comfort, and excellent feedback control at a mid-tier price point, the Reach R-Li T80 represents solid value in our testing framework.