Olive Union Air vs Starkey Genesis AI
Side-by-side HearAdvisor lab results with SoundGrades, expert pick badges, and the same visualizations we use in product reviews.

Olive Union Air
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.

Starkey Genesis AI
The Starkey Genesis AI is a premium behind-the-ear prescription hearing aid released in 2023, priced at $4,798. In HearAdvisor's lab testing, it earned a B grade with a SoundScore of 3.7/5, ranking #33 of 39 prescription hearing aids tested. In our testing, the Genesis AI demonstrated excellent feedback handling, scoring a perfect 5.0/5—0.28 points above the category average. This makes it exceptionally stable during movement and physical activities. Speech in quiet performance is solid at 3.5/5, sitting 0.05 points above the category average. Speech in noise scores 2.3/5, which is 0.21 points above the category average but remains mixed in absolute terms. Own-voice comfort is a weaker area, scoring 2.2/5—0.50 points below the category average. Users sensitive to the sound of their own voice may notice this limitation. Music streaming quality is mixed at 2.8/5, essentially matching the category average with a +0.04 point difference. The Genesis AI shows meaningful improvement with professional tuning, with the normalized score rising from 3.5/5 at initial fit to 4.2/5 when tuned—a 0.8-point gain. The device offers rechargeable batteries and streaming compatibility with both iPhone and Android, plus hands-free functionality. However, at this premium price point, several competitors in the same range deliver notably higher sound performance scores, which prospective buyers should consider when evaluating options.
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Performance metrics
Scale 1-5 (Tuned)
Lab metric by fit
Scale 1-5 (Tuned)
Speech level
Adjust input dB (Tuned)
Amplification (REIG)
Insertion gain at 65 dB (Tuned)
Fitting configuration for tuned fit