Rexton Reach R-Li T80 at Costco vs Starkey Genesis AI

The Rexton Reach R-Li T80, available at Costco for $1,500, is a behind-the-ear prescription hearing aid that earned an A grade with a SoundScore of 4.6/5 in our lab testing. This places it in the top 28% of the 39 prescription hearing aids we've tested and earned it our 2024 Expert's Choice Award. In our testing, this device demonstrated solid speech clarity performance. Speech in quiet scored 3.9/5, which is 0.46 points above the category average. Speech in noise measured 2.5/5—above the category average by 0.39 points, though still mixed in absolute terms. Own-voice comfort was a particular strength at 3.6/5, scoring 0.90 points above the category average, which may appeal to users sensitive to how their own voice sounds while wearing hearing aids. Feedback handling proved excellent at 4.8/5, just above the category average of 4.72/5. Music streaming scored 2.7/5, which is 0.06 points below the category average—a minor gap but worth noting for users who frequently stream audio content. The Reach R-Li T80 features rechargeable batteries and supports both iPhone and Android streaming with hands-free capability. At its price point, it outperforms same-priced competitors like the Jabra Enhance Pro 20 at Costco (4.01/5) and the Orka Two (4.00/5). This device is well-suited for users seeking strong overall sound performance with excellent feedback stability and above-average speech clarity through the Costco channel.

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.