MDHearing Neo XS Hero

MDHearing Neo XS Expert Review

Budget OTC
Released 
2023

Summary

The MDHearing Neo XS is a budget-priced OTC hearing aid featuring an invisible-in-ear design at $397. In HearAdvisor's lab testing, it earned a SoundGrade of C, ranking in the bottom tier of OTC hearing aids tested.

Speech performance represents the most significant limitation of this device. In our testing, speech in quiet and speech in noise scores fell well below the category average, which may meaningfully impact real-world communication benefit for users with moderate hearing loss. The invisible form factor, while cosmetically appealing, appears to constrain the acoustic performance achievable in this design.

On the positive side, the Neo XS demonstrated above-average own-voice comfort and excellent feedback handling in our standardized tests. Users sensitive to the "plugged up" sensation common with in-ear devices may appreciate the occlusion characteristics. The device also showed no feedback instability during our challenge protocols.

At this price point, consumers have alternatives worth considering. Devices like the Elehear Beyond ($) scored significantly higher in our testing with a 4.35 SoundScore. Even lower-priced options like the HSKLock Hearing Aid at $69 achieved comparable sound performance. The Neo XS may appeal to buyers prioritizing invisible aesthetics over speech clarity, but those seeking the best hearing benefit per dollar should compare performance scores carefully before purchasing.

In the initial fit condition with vented sleeve coupling, the MDHearing Neo XS delivered well below average speech performance in both quiet and noisy environments. The device showed strength in feedback handling, achieving a perfect 5.0 score with no instability during testing. Own-voice comfort measured above average at 3.20, suggesting the vented coupling provides reasonable occlusion management. However, the overall fit score of 1.36 reflects the significant speech intelligibility limitations that may reduce practical benefit for users seeking improved hearing in everyday conversations.

The tuned fit condition showed no improvement over initial fit, with identical scores across all metrics. The coupling remained unchanged at vented sleeve, and the fit score stayed at 1.36. This suggests the device offers limited adjustability or that maximum performance was already achieved in the initial configuration. Speech scores remained well below average in both quiet and noise conditions, while feedback handling and own-voice comfort maintained their above-average positions. The lack of improvement with tuning indicates what you hear out of the box is essentially the device's full capability.

Lab Review Scores

C
SoundGrade
Initial Score
2.5
Tuned Score
2.5
Speech in quiet
best
1.0
5.0
Own voice
best
3.2
5.0
Speech in noise
best
-0.2
5.0
Feedback handling
best
5.0
5.0
Music streaming
best
0.0
5.0

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Lab recordings

Adjust volume to make "No hearing aids" as loud as it would be in the real world, without hearing aids. Remove hearing aids while auditioning. High-quality headphones will improve results!
MDHearing Neo XS Lab

Lab notes

Initial Fitting
Tuned Fitting
Ear Coupling
Initial Fitting
Sleeve Vented
Tuned Fitting
Sleeve Vented

Specs

Invisible in Ear
Invisible in Ear
Rechargeable Batteries
Rechargeable Batteries