Resound Vivia 9 60S microRIE vs Starkey Genesis AI

The ReSound Vivia 9 60S microRIE is a premium prescription behind-the-ear hearing aid released in 2025, currently available at $3,798. In our lab testing, it earned a B grade with a SoundScore of 3.9/5, ranking #29 of 39 prescription hearing aids tested. This device shows a mixed performance profile. Its standout strength is own-voice comfort, scoring 3.4/5—a solid result that sits 0.70 points above the category average. Speech clarity in quiet environments also performs at category average with a score of 3.4/5. Feedback handling is strong in absolute terms at 4.2/5, though this falls 0.52 points below the category average, reflecting the high bar set by competing prescription devices. The Vivia 9's most notable weakness is speech understanding in noisy environments, where it scored just 1.1/5—a low result that trails the category average by 0.96 points. Music streaming performance is mixed at 2.6/5, sitting slightly below average. These limitations are worth considering given the premium price positioning. For listeners who prioritize comfortable own-voice perception and primarily encounter quieter listening situations, the Vivia 9 may be suitable. However, those frequently in challenging noise environments should note that several alternatives in this price range—including the Phonak Sphere Infinio and Oticon Intent—deliver stronger overall performance in our testing. Budget-conscious shoppers may also find comparable sound quality at lower price points with options like the Jabra Enhance Pro 20 at Costco.

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.