MDHearing Neo XS vs Sennheiser Conversation Clear Plus

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 Sennheiser Conversation Clear Plus is a premium amplification product priced at $850 that earns an A grade with a SoundScore of 4.1/5 in our lab testing. This visible-in-ear device ranks #1 among the 8 amplification products we've tested, earning Expert's Choice Awards in both 2023 and 2024. Streaming and audio quality stand out as exceptional strengths. Music streaming scores an excellent 5.0/5, a remarkable 3.84 points above the category average of 1.16/5. Feedback handling also achieves a perfect 5.0/5, providing excellent stability during use. Speech performance is above the category average, with speech in noise scoring a solid 3.1/5 (+1.74 points vs category) and speech in quiet at 2.6/5 (+0.45 points vs category)—though the latter remains mixed in absolute terms. The primary limitation is own-voice comfort, which scores a low 0.6/5—well below the category average of 2.64/5. This suggests users may notice more occlusion-related effects when speaking. The closed dome coupling used in both initial and tuned configurations contributes to the device's strong feedback performance but does impact own-voice naturalness. The Conversation Clear Plus is best suited for users who prioritize excellent streaming audio quality and stable feedback-free performance over own-voice comfort. Those seeking similar sound quality at a lower price point may consider alternatives like the Apple AirPods Pro 2 or Jabra Enhance Plus. Features include rechargeable batteries, iPhone and Android streaming, and hands-free functionality.