Oticon More vs Starkey Genesis AI

The Oticon More is a premium behind-the-ear prescription hearing aid that earned an A grade with a SoundScore of 4.6/5 in our lab testing, placing it in the top 22% of the 36 prescription hearing aids we've evaluated. Released in 2021, this device remains competitive and has received HearAdvisor's Expert's Choice Award in both 2023 and 2024. In our testing, the Oticon More demonstrated strong speech clarity performance. Speech in quiet scored 4.0/5, which is 0.73 points above the category average—a notable margin that reflects genuine audibility advantages in everyday conversations. Speech in noise measured 2.7/5, which is above the category average by 0.75 points, though only mixed in absolute terms, meaning challenging listening environments may still require effort. Own-voice comfort scored a solid 3.1/5 (+0.35 vs category average), and music streaming measured 3.0/5 (+0.36 vs category average), both performing above typical prescription aids. Feedback handling scored 3.5/5, which is solid in absolute terms, though below the category average of 4.71/5 by 1.21 points—something to discuss with your hearing care provider. At $4,598, this is a premium-priced device offering iPhone and Android streaming, hands-free calling, and your choice of rechargeable or disposable batteries. The Oticon More is well-suited for those prioritizing speech clarity who want a proven performer from an established manufacturer. Competitors in this price range include the newer Oticon Intent (4.85/5) and Oticon Real (4.75/5), which may be worth comparing during your fitting appointment.

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 #31 of 36 prescription hearing aids tested. This device demonstrates solid speech clarity in quiet environments, scoring 3.5/5—0.13 points above the category average. Its standout feature is excellent feedback handling, achieving a perfect 5.0/5 score. Speech-in-noise performance lands at 2.3/5, which is 0.36 points above the category average but remains mixed in absolute terms. Music streaming scored 2.8/5, slightly above average (+0.16 points) though still in mixed territory. Own-voice comfort presents a notable weakness, scoring 2.2/5—0.55 points below the category average. This may be a consideration for users sensitive to how their own voice sounds while wearing hearing aids. The Genesis AI showed meaningful improvement with professional tuning, with the normalized score jumping from 3.5/5 (Initial) to 4.3/5 (Tuned), suggesting that proper fitting is particularly important for this device. At this premium price point, competitors including the Phonak Sphere Infinio (5.0/5), Oticon Intent (4.85/5), and Oticon Real (4.75/5) deliver stronger overall sound performance. The Genesis AI may suit users who prioritize Starkey's ecosystem, hands-free calling features, and robust feedback control, but those seeking top-tier sound quality in this price range have higher-scoring alternatives to consider.