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Resound Nexia Expert Review

Premium RxReleased 2023
See Price at ZipHearing

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How We Test

The ReSound Nexia is a premium behind-the-ear prescription hearing aid released in 2023, currently available at $4,298. In HearAdvisor's lab testing, it earns a B grade with a SoundScore of 3.87/5, ranking #21 among 35 prescription hearing aids tested.

The Nexia delivers solid speech clarity in quiet environments, scoring 3.8/5—0.37 points above the category average. It also excels in feedback handling with a perfect 5.0/5 score and provides notably comfortable own-voice perception at 3.6/5, which is 0.87 points above average for prescription devices. These strengths make it well-suited for conversations in calm settings and for wearers sensitive to hearing their own voice.

However, the Nexia shows significant limitations in noisy environments. Its speech-in-noise score of 0.4/5 falls 1.13 points below the category average—a substantial gap that prospective buyers should consider carefully. Music streaming performance is mixed at 2.8/5, slightly above average but modest in absolute terms.

At this price point, several competitors in the same premium tier deliver stronger overall performance, including the Oticon Intent (4.70/5) and Phonak Sphere Infinio (4.64/5). The Nexia may appeal to those who prioritize quiet-environment clarity and own-voice comfort over noise management, but shoppers seeking balanced performance across listening situations should compare alternatives before deciding.

Reliable & Repeatable Lab Results

Quality data starts with quality recordings. HearAdvisor worked with GRAS to build a no-compromise front end so every test is repeatable and reliable.

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Steve in HearAdvisor Lab
HearAdvisor Verdict
BTop 68% of Prescription Hearing Aid
Bottom Line

The Resound Nexia delivers excellent feedback handling and natural own-voice quality, best suited for quiet conversation settings rather than noisy environments.

Strengths
  • Perfect feedback handling5.0/5
  • Natural own-voice quality+0.87 vs category
  • Above-average speech clarity in quiet3.8/5
Drawbacks
  • Very weak speech-in-noise performance0.4/5
  • Premium price point at $4,298
  • Mixed music streaming quality2.8/5
Lab Test Summary

In initial fit testing with a tulip dome and medium-power receiver using ReSound's Audiogram+ formula, the Nexia achieved a normalized Initial Score of 3.8/5. Speech in quiet measured 3.7/5, while feedback handling reached a perfect 5.0/5. Own-voice comfort was solid at 3.6/5. The device struggled significantly with speech in noise at 0.4/5, and music streaming measured 2.2/5. This configuration provides good baseline performance for quiet conversations with minimal setup effort.

What is HearAdvisor's Initial Fit?

The Initial Fit approximates the most likely settings and eartips for a typical moderate hearing loss. Results are measured across the same 72 acoustic scenes in our custom-built lab, then scored on a 5-star scale using an auditory model.

Lab Review Scores
B
SoundGrade
Initial Score
3.8
Tuned Score
3.9
Speech in quiet
best
3.7
5.0
Own voice
best
3.6
5.0
Speech in noise
best
0.4
5.0
Feedback handling
best
5.0
5.0
Music streaming
best
2.2
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!
Resound Nexia Lab
Lab Notes
Initial Fitting
Tuned Fitting
Ear Coupling
Tulip Dome
Tulip Dome
Receiver
Medium-power
Medium-power
Fitting Formula
Audiogram+ (Manufacturer proprietary targets)
Audiogram+ (Manufacturer proprietary targets)
Listening Program
All-Around (Automatic)
All-Around (Automatic)
Volume Setting
Manufacturer defaults
Adjusted to match NAL-NL2 targets at 55, 65, and 75 dB SPL
Software Version
Software v1.17
Software v1.17
Tuning Adjustments
Programmed to N3 audiogram, Feedback calibrated, Experience Level set at "Experienced Non-Linear", Gain Level (%) set at "100%", Other settings at manufacturer defaults
Programmed to N3 audiogram, Feedback calibrated, Experience Level set at "Experienced Non-Linear", Gain Level (%) set at "100%", Other settings at manufacturer defaults
Notes
n/a
n/a
Specs
Behind Ear
Behind Ear
Rechargeable Batteries
Rechargeable Batteries
iPhone Streaming
iPhone Streaming
Android Streaming
Android Streaming
Hands-Free
Hands-Free
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