Choosing a hearing aid isn’t just about picking a device—it’s about finding the right fit for your lifestyle, hearing loss level, and comfort preferences. Whether you're just beginning your search or looking to upgrade, understanding the different types of hearing aids is the first step toward making an informed decision.
Hearing aids come in a variety of shapes and styles. Some sit entirely within your ear canal, while others hook behind your ear and offer more powerful amplification. Each type has pros and cons, and the best option for you may depend on how discreet you want the device to be, how severe your hearing loss is, and how comfortable you are handling small electronics.
Key Takeaways
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Hearing aids come in various styles, including in-the-ear, behind-the-ear, and receiver-in-canal models.
Different types support different levels of hearing loss, cosmetic preferences, and lifestyle needs.
Working with a hearing specialist can help you choose the best option for your situation.
In-the-Ear (ITE) Hearing Aids
ITE hearing aids are custom-made to fit inside your ear. They come in several subtypes, including:
Invisible-in-Canal (IIC)
These are the smallest and most discreet hearing aids available. IIC devices fit deeply into the ear canal and are virtually invisible to others. They’re best suited for mild to moderate hearing loss. However, due to their small size, they may lack features like manual volume control or Bluetooth connectivity, and they require good dexterity to insert and remove.
Completely-in-Canal (CIC)
CIC hearing aids are also very discreet, fitting entirely within the ear canal. While slightly more visible than IICs, they offer similar cosmetic appeal and are suitable for mild to moderate hearing loss. Many CIC models now include optional wireless features and remote control access, but they can still be vulnerable to moisture and wax buildup.
In-the-Canal (ITC)
ITC hearing aids sit partly in the ear canal and partly in the outer ear. They’re slightly larger than CIC devices, which makes them easier to handle. Their increased size also allows for more features, such as directional microphones or manual controls, and they accommodate a wider range of hearing loss.
Low-Profile and Full-Shell ITE
These models fill more of the visible part of the outer ear and are easier to manage, especially for people with dexterity issues. They can include larger batteries, stronger amplification, and additional features like telecoils or Bluetooth connectivity. The trade-off is that they’re more visible and may cause a slight “plugged-up” sensation.
Behind-the-Ear (BTE) Hearing Aids
BTE hearing aids rest behind the ear and connect to the ear canal via a thin tube or earmold. They’re typically more powerful and durable than in-ear models.
Receiver-in-Canal (RIC) / Receiver-in-the-Ear (RITE)
These are among the most popular styles today. The receiver (speaker) sits inside the ear canal, while the microphone and amplifier sit behind the ear. This separation improves sound quality and reduces feedback. RIC devices are often compatible with rechargeable batteries, smartphone apps, and advanced features like directional microphones, noise cancellation, and telecoils.
BTE with Earmold
This traditional BTE design uses a custom-fitted earmold to deliver sound. It’s especially useful for people with severe to profound hearing loss, as it offers powerful amplification and durability. BTEs with earmolds are also commonly used for children since they can be adjusted as the child grows. While not the most discreet, they are highly functional and dependable.
Specialty Hearing Devices
Hearing Amplifiers
Technically not hearing aids, amplifiers (also called personal sound amplification products or PSAPs) boost environmental sounds for people without diagnosed hearing loss. They can be helpful in specific situations—like birdwatching or lectures—but they do not meet FDA standards for treating hearing loss. They're not recommended for people who need medical-grade hearing support.
CROS and BiCROS Hearing Aids
Designed for individuals with single-sided deafness, CROS systems transmit sound from the non-hearing ear to the better-hearing ear. BiCROS models provide amplification in both ears when some hearing loss is present in the stronger ear as well. These systems are often recommended by audiologists after specialized testing.
Bone-Anchored Hearing Aids (BAHAs)
BAHAs are surgically implanted devices used for people with conductive hearing loss, mixed hearing loss, or single-sided deafness. They work by transmitting sound vibrations directly to the inner ear through the skull bone, bypassing damaged or non-functional parts of the ear canal or middle ear.
Factors to Consider When Choosing a Hearing Aid
Selecting the right hearing aid involves more than just the level of hearing loss. Here are a few questions to help narrow your options:
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How important is discretion to you?
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Do you have difficulty with small buttons or batteries?
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Are you comfortable using smartphone apps or Bluetooth technology?
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What types of listening environments are most challenging (e.g., noisy restaurants, one-on-one conversations)?
Your answers can help determine whether an in-ear model or behind-the-ear model makes the most sense.
Find the Hearing Aid That's Right For You
Talk to a Hearing Specialist
A licensed audiologist or hearing aid specialist can help evaluate your hearing needs, test your hearing, and walk you through the options that suit your lifestyle. Don’t feel pressure to choose on your own—getting professional guidance is key to long-term success and satisfaction.
For a convenient first step, consider taking the Audicus Online Hearing Test to get a preliminary read on your hearing profile.
Related Resources
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Over-the-Counter Hearing Aids
Frequently Asked Questions
What is the most discreet type of hearing aid?
Invisible-in-canal (IIC) hearing aids are the smallest and most hidden devices available. They fit deep inside the ear canal and are nearly impossible to see.
Which hearing aids are best for severe hearing loss?
Behind-the-ear (BTE) models with custom earmolds and high-power amplification are often recommended for severe or profound hearing loss. They offer durability and advanced sound processing.
Can I wear hearing aids with glasses?
Yes, but some behind-the-ear styles may feel bulky when worn with glasses. If comfort is a concern, consider an in-the-ear model or discuss fitting options with your audiologist.
Do all hearing aids connect to smartphones?
Not all, but many modern models do. If Bluetooth connectivity is important to you, look for hearing aids labeled as "Made for iPhone" or compatible with Android devices.
How do I know which type of hearing aid is right for me?
The best way to decide is by working with a hearing professional who can assess your hearing, lifestyle, and preferences. They’ll guide you toward models that match your specific needs.
