ReSound OMNIA RIE vs Starkey Genesis AI

The ReSound OMNIA RIE is a premium prescription behind-the-ear hearing aid released in 2022, currently priced at $4,498. In HearAdvisor's lab testing, it earned a B grade with a SoundScore of 3.9/5, ranking #29 of 36 devices in the Prescription Hearing Aid category. This device shows a mixed performance profile in our testing. Its standout strength is speech clarity in quiet environments, scoring 3.7/5—a solid result that sits 0.42 points above the category average. Own-voice comfort also performs above average at 3.0/5, which may appeal to users concerned about how their own voice sounds while wearing hearing aids. However, the OMNIA RIE struggles significantly in challenging listening situations. Speech-in-noise performance scored just 1.0/5, falling 0.96 points below the category average—a notable limitation for users who frequently encounter noisy restaurants, gatherings, or other difficult acoustic environments. Feedback handling, while strong in absolute terms at 4.1/5, also trails the category average by 0.61 points. Music streaming delivers mixed results at 2.7/5, essentially matching the category average. The OMNIA RIE offers versatile connectivity with both iPhone and Android streaming, hands-free calling capability, and the flexibility of both rechargeable and disposable battery options. At its premium price point, however, several competitors in the same price range—including the Phonak Sphere Infinio and Oticon Intent—deliver substantially higher overall scores. This device may suit users who prioritize quiet conversation clarity and own-voice comfort over challenging noise performance.

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.