Best Hearing Aids for Severe Hearing Loss in 2023

• Best Sound Technology: Oticon Real
• Best Overall for Profound Hearing Loss: Phonak Naída Paradise
• Longest Battery Life: Signia Motion
• Best for Reducing Background Noise: ReSound ENZO Q
• Best for Seniors: Starkey Evolv AI
• Best for Tinnitus: Widex Moment

Severe hearing loss can transform even the most familiar environments into silent, isolating landscapes. Severe hearing loss cannot be “cured” with hearing aids, but they can provide significant improvements in speech recognition and background noise reduction. Also, if tinnitus is present, the right hearing aid can minimize the effects of the constant ringing or buzzing.

The Food and Drug Administration (FDA) approved over-the-counter (OTC) hearing aids for mild to moderate hearing loss only. OTC hearing aids are not appropriate for severe or profound hearing loss. Hearing aids made for this degree of hearing loss are known as “power hearing aids,” and are only available by prescription. They are usually behind-the-ear style devices, although occasionally receiver-in-canal styles are appropriate. Smaller, in-the-ear devices, the type commonly seen in OTC hearing aids, are not powerful enough to treat this degree of hearing loss.

The World Health Organization reports that 430 million people have “disabling” hearing loss globally. The impact is broad and profound, affecting many areas of mental and physical health. Here, we review six models from prescription-based hearing aid manufacturers powerful enough to treat severe to profound hearing loss; Oticon, Phonak, Signia, ReSound, Starkey, and Widex. All models in this review must be obtained through a hearing professional. Pricing, warranties, trial periods, and level of service will depend on the supplier.

Our experts spent more than 2,000 hours researching more than 30 hearing aids and reading hundreds of product reviews. We only focused on hearing aids that meet the strict criteria set by the FDA. We consulted audiologists for their expert opinions on the devices and considered customer experiences and company reputations as well.

In 2022, we surveyed 600 people who use hearing aids to learn which features they prioritize and common challenges they have faced when buying, using, or maintaining their hearing aids. In 2023, we tested 18 hearing aid models for durability, battery life, ease of use, and sound quality.

Based on our research and hands-on testing experience, we awarded each company a score on a scale of 1 to 5. Here are some of the questions we asked when calculating the final scores:

• Are the hearing aids available online, or do you need to purchase them through a retailer or hearing center?
• What technology and features are included?
• Do you have access to an audiologist?
• Does the product have positive customer reviews from multiple online sources?
• Do you have access to first-rate customer service during the purchase process and beyond?
• Is the cost comparable to competitors’ prices?
• Does the company offer a product or money-back guarantee?
• What is the manufacturer’s warranty?
• Do you have access to a hearing test in person or online?
• Do you get a trial period?
• Does the company offer financing options?
• How easy are the hearing devices to use?
• Are the hearing aids rechargeable?

This story has also been fact-checked and reviewed by a medical professional to ensure accuracy.

For more about how we research and evaluate hearing aids, visit our hearing aid methodology page.

*Cost may vary by supplier

** Additional warranties may be offered by supplier

Severe hearing loss isn’t just an inability to hear low volume sounds, it can significantly impact an individual's ability to comprehend conversational speech at a normal volume. For many facing this challenge, sound isn't just turned down, it's transformed, with crucial auditory nuances being lost.

Causes of Severe Hearing Loss

According to the National Institute on Aging (NIH), there are several factors that contribute to severe hearing loss:

• Exposure to Loud Noises Prolonged exposure to high-decibel environments, such as machinery or concerts, or even sudden loud noises like gunfire or explosions, can damage the inner ear.
• Medications and Drugs Some medications are ototoxic, meaning they can harm our auditory system. The most common ones to cause hearing loss are chemotherapy drugs and IV antibiotics, noted Dr. Magann Faivre.
• Infections or Diseases Illnesses like meningitis or measles can result in hearing loss, as can untreated or frequent ear infections.
• Genetic Factors Some individuals inherit hearing loss from their family lineage.
• Age-Related Degeneration As we age, the tiny hair cells in our inner ear that help translate sound waves into nerve signals wear out and become less effective.

Treatments for Severe Hearing Loss

Addressing severe hearing loss requires more than just amplifying sounds. It's about restoring the richness and clarity of the whole auditory world. Treatments include:

• Hearing Aids Customizable devices that amplify sound waves to help the wearer hear more clearly.
• Cochlear Implants Suitable for those who don't benefit from regular hearing aids, these are surgically implanted devices that directly stimulate the auditory nerve.
• Assistive Listening Devices Accessory tools like remote microphones that work alongside hearing aids to help individuals hear better in specific situations, like in a classroom or theater.
• Speech Therapy American Sign Language (ASL) training and lip-reading, or speechreading, can further assist individuals in adapting to their hearing loss.

Severe vs. Profound Hearing Loss

While both severe and profound hearing loss limit an individual's auditory experience, they differ in intensity. Hearing loss is measured in decibels (dB). For comparison, according to the American Speech-Language-Hearing Association (ASHA), normal hearing is the ability to hear sounds below 15 dB, with slight hearing loss measured between 15 to 25 dB. Severe hearing loss typically indicates a loss of 71 to 90 dB, meaning conversational speech, which is usually around 60 to 70 dB, becomes inaudible, and only loud noises, like lawnmowers (80 to 100 dB), can be heard.

Profound hearing loss is measured at a loss of 91 dB or more. Those with profound hearing loss may be able to hear ambulance or police car sirens (110 to 129 dB), or they may not hear loud sounds at all and may require more specialized devices or therapeutic treatments.

Navigating the world of hearing aids can be overwhelming, especially when the stakes are high — as in the case of severe to profound hearing loss. A study published in September–October 2022 in the journal Geratric Nursing showed that hearing loss can lead to social isolation, cognitive decline (including dementia), and a higher risk of falls. In fact, hearing aid use has been shown to reduce these effects and can even reduce the risk of dementia.

Hearing Aids for Tinnitus

Tinnitus, often described as a persistent ringing, buzzing, or hissing in the ears, frequently accompanies severe hearing loss. A study published in the March 2023 journal Medicina found that 78 percent of those with severe hearing loss also experienced tinnitus, while only 31 percent with mild loss did. Those experiencing this disconcerting sound may find some relief with hearing aids designed to manage both severe hearing loss and tinnitus. These devices not only amplify ambient sounds, according to the American Tinnitus Association, they also offer sound therapy options that can significantly lower the perceived burden and intensity of tinnitus.

OTC Hearing Aids for Severe Hearing Loss?

OTC hearing aids are an appealing option due to their accessibility and affordability, but they are generally only suitable for individuals with mild to moderate hearing loss. Severe hearing loss necessitates more precise calibration and customization, something OTC models typically lack.

PSAPs for Severe Hearing Loss?

Personal Sound Amplification Products (PSAPs) are not technically hearing aids. They amplify environmental sounds, much like binoculars for the ears. While some users might find them helpful for specific situations, such as bird watching or attending lectures, PSAPs are not designed to address severe hearing loss.

When considering hearing aids for severe hearing loss, cost is often a prominent concern. With advanced technology and customization requirements, these devices can come with a significant price tag. Prices typically range from $2,000 to $6,000, depending on the brand, features, and the level of power and customization needed. Let’s look at some options for navigating these costs.

Medical Insurance Coverage

Most medical insurance plans don’t cover the full cost of hearing aids. Some do provide partial coverage or discounts. Regular Medicare doesn't cover hearing aids, but some Medicare Advantage (Part C) plans offer hearing benefits. Always review your policy or consult with your insurance provider to determine what’s covered. If you have a flexible spending account (FSA) or health savings account (HSA), hearing aids are eligible as an expense.

Financing Options

Many audiologists and hearing aid centers offer financing options for patients. These might include:

• Payment Plans Spread out the cost of the hearing aids over several months or even years.
• Credit Options Some providers partner with credit companies to offer low-interest financing specifically for medical devices, including hearing aids.
• Leasing Programs A newer option in the market, some companies allow you to lease hearing aids, offering the flexibility to upgrade every few years as technology advances.

How to Save Money

Here are some money-saving strategies to consider:

• Veterans Benefits Veterans are often eligible for at least partial coverage on hearing aids through the Department of Veterans Affairs (VA), but they may get full coverage if eligible.
• State Vocational Rehabilitation Programs These programs can help cover the cost for those who need hearing aids to perform their jobs effectively.
• Non-profit Organizations Organizations like the Starkey Hearing Foundation or Lions Clubs International offer assistance programs or discounted devices for those in need.
• Consider Buying an Older Model Newer isn't always better. Previous models can offer considerable savings and still provide excellent sound quality.
• Avoid Unnecessary Features Ensure you're only paying for features you’ll use. For instance, if you don’t use a smartphone, you might not want to pay for a hearing aid with Bluetooth capabilities.

Selecting the perfect hearing aid is more than just about amplification; it's about finding a device that integrates seamlessly into your daily life, offering comfort, clarity, and convenience. When selecting a hearing aid, it’s important to consider these crucial factors:

Cost

While undoubtedly a significant factor, it's essential to view the cost within the context of value. Higher-end models are pricier, but if they provide superior sound quality, durability, and essential features, they may offer better long-term value than a less expensive brand.

Fit

The physical fit of a hearing aid is critical for comfort. Research found that one of the top reasons people stop using their hearing aids is due to poor fit and discomfort. Consider the different styles available. For severe or profound hearing loss, that will generally be the larger BTE and RIC options with custom earmolds. Your audiologist can guide you on the best fit based on your hearing loss level and ear anatomy.

Technology

Modern hearing aids boast advanced technologies that provide clearer sound in various environments, from quiet settings to crowded gatherings. The best way to ensure your hearing aids will align with your daily life and auditory challenges is to research the technology built into each model and how that technology will address your most pressing needs.

Features

From noise reduction and wind suppression to Bluetooth connectivity and rechargeable batteries, hearing aids come with an array of features. If you lead an active lifestyle, durability and water resistance will be important. List out your non-negotiables and desirable features to guide your choice.

Ease of Use

For those unfamiliar with tech, or those with dexterity challenges, the usability of hearing aids becomes a prime concern. Consider factors like battery changes and manual volume adjustments, which can be difficult for someone with arthritis, or technology like smartphone apps for making adjustments and Bluetooth syncing with other devices.

Warranty

Hearing aids are an investment, and a warranty can offer peace of mind. Talk to your hearing aid provider about the warranty's length, what it covers (repairs, replacements, or both), and any associated costs. Prescription hearing aids generally come with a one-, two-, or three-year warranty.

Trial Period

A trial period allows you to test the hearing aid in real-world settings. Some suppliers will offer a trial period, generally 30 to 45 days, while others will not.

Feedback and Reviews

What are other users saying? Their insights can provide a clearer picture of what to expect from your hearing aids and from the company that makes them. Reviews can give you some idea of previous customers’ experiences, whether with the device or the customer service.

A prescription is required for hearing aids that are powerful enough to treat severe hearing loss, emphasizing the importance of purchasing through a medical office or specialized hearing center. Websites for prescription hearing aid manufacturers will often contain a search feature to help locate a specialist in your area.

Audiologist or ENT office

Your local audiologist or hearing specialist is the primary point of contact for severe hearing loss solutions. After a thorough hearing test and diagnosis, they can provide recommendations tailored to your specific needs. Often, their offices will have a range of suitable hearing aids available for purchase, increasing the chances that you’ll find a device that fits perfectly and can be calibrated to your unique hearing profile. “For true severe to profound hearing losses, most audiologists will discuss cochlear implants as an option for the patient to hear their best,” added Magann Faivre.

Hearing Aid Centers

Specialized centers or clinics deal exclusively with hearing solutions. These centers often offer more choices by carrying a wide range of brands and models. They also typically have in-house audiologists who can guide you through the selection process and then assist in the fitting.

Zip Hearing carries all of the brands mentioned in this review and has more than 500 in-person centers nationwide. Yes Hearing carries five of the brands in this review and allows you to order your hearing aids online. A specialist then delivers your new devices to your home, where they can be fitted and programmed to your needs.

The effects of severe to profound hearing loss can be greatly minimized with the use of power hearing aids. These technologically advanced medical devices are costly — around $2,000 to $6,000 per pair — and can only be obtained from a hearing professional. OTC hearing aids are not appropriate for the treatment of severe hearing loss.

Our reviews team recommends six models of prescription hearing aids: Oticon Real, Phonak Nada Paradise, Signia Motion, ReSound ENZO Q, Starkey Evolve AI, and Widex Moment. These models hold the power and necessary features for even the most severe hearing loss.