Hearing Aid Styles Explained [Pros and Cons]

With all the different hearing aid styles on the market, it can be difficult to know which is best for you.

There are numerous factors to consider, and it is the job of your local hearing provider to help you navigate your options and determine which style will be best.

Lifestyle, budget, hearing loss, and cosmetic preferences are just a few factors to be considered.

In this post I will review the different styles so you can get a better idea of which might be right for you.

Prefer a video? 14 minute watch time: Hearing Aid Styles Explained

What are the different styles of hearing aids?

Hearing aids can range from being completely invisible in-the-ear, to large and powerful behind-the-ear devices.

Each of these styles or form factors has an acronym by which it can be identified.

For example, the smallest style available is called an IIC, which is an acronym for invisible-in-canal.

Here is a list of hearing aid styles, from smallest to largest:

In each of the sections below I’ll review the different kinds of hearing aids available, along with pictures of the different hearing aid types.

IIC invisible-in-canal style hearing aids

IIC
iic style hearing aid
PROS
CONS
  • The most discreet fit possible
  • Lack of occlusion
  • Reduced wind noise
  • Less likely to feedback

Advantages of IIC hearing aids

The most discreet fit possible: If ultimate discretion is important, there really is no other choice. Sitting deep in the second bend of the ear canal, IICs are the most hidden hearing aids. The IIC is one of the new types of hearing aids in the last decade for people who want their hearing aids hidden.

Lack of occlusion: Many who wear custom hearing aids complain of feeling like their head is in a barrel when they talk. This sensation is known as the occlusion effect.

Because IICs sit deep in the bony portion of the ear canal, occlusion is less of an issue with this style.

Reduced wind noise: The microphone of an IIC sits deep in the ear protected from the wind, preventing wind from being amplified.

Less likely to feedback: Because IICs fit just millimeters from the ear drum, less volume is needed from the hearing aid. As a result, it’s less likely to feedback or whistle.

Disadvantages of IIC hearing aids

Short battery life, 2-5 days: IIC devices use the smallest batteries, and as a result the battery life is very short. Every 2-5 days you have to change the battery.

Small parts require great dexterity: Because IICs are so small, changing batteries and general maintenance requires excellent dexterity. If you have poor feeling in your fingers IICs may not be a great choice.

Limited features due to size: In order to make IICs as small as possible, the manufacturer can only leave room for essential features. As a result, you won’t find advanced features like Bluetooth or background noise reduction in this style.

More likely to break down needing repairs: The ear is a tough environment for the parts inside hearing aids. As a result, these parts are slowly worn down and will need repair.

Not suitable for severe to profound hearing loss: IICs are so small that they can’t provide the power that larger hearing aids can. This means if you have severe to profound hearing loss IICs will not work for you.

CIC completely-in-canal style hearing aids

CIC
cic type hearing aid
PROS
CONS
  • Relatively discreet
  • Easier to manipulate than an IIC because it’s larger
  • Will fit a larger amount of ears vs an IIC
  • Can sometimes be “instant-fit”

Advantages of CIC hearing aids

Relatively discreet: Though not the most discreet style available, this is still one of the least noticeable styles. Usually, just the faceplate of the hearing aid will be visible to others, and maybe part of the pull string used to remove the hearing aid.

Easier to manipulate than an IIC because it’s larger: Although still requiring good dexterity, CICs are easier to handle and maintain as they are a few millimeters larger than CICs.

Will fit a larger amount of ears vs an IIC: Most people that want to wear CIC hearing aids can, and a good fit can be achieved. This is in contrast to the IIC style, which requires a particular diameter, bend, and length of the ear canal to fit properly.

Can sometimes be “instant-fit”: The instant-fit CIC is a relatively new style of hearing aid. An instant-fit CIC is not a custom-built product, it is available “off-the-shelf.” Instant-fit CICs fit entirely within the ear canal just like a CIC does, and sometimes deeper.

There are two main benefits to instant-fit CIC hearing aids. First, there is no wait time to get the hearing aid built. Second, occlusion is reduced as a result of the aid not being custom-molded.

Few manufacturers offer an instant-fit hearing aid at the current time, but here’s a video of the most popular one, Signia Silk.

Disadvantages of CIC hearing aids

There are numerous downsides to the CIC style. All of of the above disadvantages from the IIC style also apply to the CIC style, in addition to:

Users wearing CICs are more likely to complain of occlusion: The CIC doesn’t fit deep within the bony portion of the ear canal like the IIC does. As a result, wearers often complain of a “plugged up” sensation.

ITC In-the-canal style hearing aids

ITC
in the canal hearing aid style
PROS
CONS
  • Large enough for on-board controls
  • Easier to handle than IIC and CIC styles
  • Improved battery life vs IIC and CIC
  • Large enough for features like directional microphones

Advantages of ITC hearing aids

Large enough for on-board controls: ITCs have room for at least a push-button, which allows you to change settings of the hearing aids, like the volume. While most hearing aids today can auto-adjust or be controlled through an app, on-board controls provide more flexibility and can be nice to have.

Easier to handle than IIC and CIC styles: Significantly larger than IIC and CIC styles, ITC hearing aids are much easier to handle and maintain.

Improved battery life vs IIC and CIC: Usually using a size 312 battery, users commonly report at least a week of battery life with ITC hearing aids.

Large enough for features like directional microphones: ITC hearing aids are the smallest custom style that will allow for technology like directional microphones. This important feature serves to improve speech clarity in noisy situations and is beneficial to have.

Disadvantages of ITC hearing aids

More likely to break down needing repairs: Like all custom hearing aids, ITC hearing aids are more prone to breaking down. These repairs are covered by a warranty, but it is hard being without your hearing aids while they’re repaired.

More likely to amplify wind noise: Unlike CIC and IIC hearing aids, in which the microphone sits inside the ear canal and is hidden from the wind, the microphone on an ITC hearing aid sits in the concha (bowl) of the ear canal and is exposed to wind. As a result, when wind passes over the ear, the microphones can sometimes amplify the wind which can be quite annoying.

ITE in-the-ear style hearing aids

ITE
PROS
CONS
  • Large enough for on-board controls
  • Very easy to handle
  • Great battery life of 7-14 days
  • Large enough for on-board controls
  • Large enough for features like directional microphones

Advantages of ITE hearing aids

Very easy to handle: The ITE is in my opinion the easiest hearing aid style to handle. It has relatively large parts which are easy to see and maintain. Another benefit is, in most ears, ITE hearing aids really “pop” into place nicely and are easy to remove.

Great battery life of 7-14 days: Compared to the other custom styles, ITE hearing aids usually use a large battery and can sometimes provide power for weeks.

Large enough for on-board controls: Whatever on-board controls you prefer, from a push-button, to volume control, the ITE style can accommodate everything.

Large enough for features like directional microphones: Due to the large size of ITE hearing aids, there is no compromise necessary when it comes to features. Whether it’s Bluetooth or directional microphones, ITEs can house the most advanced technology available.

Disdvantages of ITE hearing aids

Very noticeable: This may not be a con at all! But it’s worth noting that if discretion is important, you’ll probably not be happy with how noticeable ITE hearing aids are.

More likely to amplify wind noise: The microphone on an ITE hearing aid is exposed to wind as it passes over the ear. This can sometimes lead to the wind being amplified and making a sort of “shh” sound.

…Finally, a disadvantage that applies to all custom hearing aids- they’re usually more expensive than the non-custom styles (below).

Because custom hearing aids are built to each individual’s ear, hearing providers cannot buy this style in bulk, which serves to lower the cost of non-custom devices.

Another factor which increases the price of custom devices, is the fitting process is longer, requiring more of the local hearing provider’s time.

RIC receiver-in-canal style hearing aids

RIC
RIC type hearing aid
PROS
CONS
  • Most natural sound quality
  • Most comfortable fit
  • Wide fitting range
  • Very discreet fitting
  • Large enough for latest technology like Bluetooth & rechargeability

Advantages of RIC hearing aids

Most natural sound quality: With a custom hearing aid (like any of the above styles), the ear canal is closed off. As a result, almost all sound the wearer hears has been reproduced as it passes through hearing aid.

In contrast, RIC hearing aids allow for the ear canal to remain open, allowing certain sounds to pass through the ear canal as they naturally would without being amplified. This results in a more natural sound quality.

Most comfortable fit: As a result of the ear canal being left mostly open, RIC hearing aids feel more comfortable than other styles. In fact, many wearers report that they completely forget they are wearing their RIC hearing aids.

Wide fitting range: RIC hearing aids are one of the few styles that can accommodate individuals with mild, all the way to profound hearing losses. How is this possible? While most people wear RIC hearing aids with a silicone dome, this is not the only way to wear it. A RIC hearing aid can also use a custom earmold, which drastically increases the power it’s capable of giving.

Very discreet fitting: Many people new to hearing aids are opposed to hearing aid styles in which part of the aid sits outside the ear. People are pleasantly surprised when they try on a RIC. It is a discreet style and most people will never notice if you are wearing a RIC. The receiver wire that leads into the ear canal is very thin and the hearing aid behind the ear can be matched to most hair colors.

Large enough for latest technology like Bluetooth & rechargeability: When you buy a RIC hearing aid, you never have to wonder if you’re getting state of the art technology. Anytime a manufacturer releases new technology, it’s always available in their RIC hearing aid styles first. With everyone glued to their phones these days, many people want Bluetooth style hearing aids, and if that sounds like you then the RIC is probably the style you should buy.

But wait, there’s more! Here’s 10 more reasons to wear RIC hearing aids.

Disadvantages of RIC hearing aids

Receiver wire needs replacing: The receiver wire is the weakest link on a RIC hearing aid. It is normal to replace a receiver wire every year or two, sometimes even more. These wires get brittle over time, or simply get overwhelmed with wax or oil and need to be replaced. Receivers usually have a multi-year warranty which matches the warranty of the hearing aids. However, once the warranty has expired receivers can range from $75-$150 each.

BTE behind-the-ear style hearing aids

BTE
PROS
CONS
  • Most reliable style
  • Low maintenance
  • Most powerful style
  • Large enough for latest technology like Bluetooth & rechargeability
  • Easy to put on and take off
  • Wide fitting range

Advantages of BTE hearing aids

Most reliable style: BTE hearing aids are considered the “workhorses” of hearing aid styles. Because both the microphone and receiver are housed behind the ear, this style tends to last longer than others and requires less repairs.

Low maintenance: There isn’t much that can go wrong with a BTE. They require simple and routine cleaning to prevent excessive wax and moisture buildup.

Most powerful style: The BTE style is always the strongest style a hearing aid manufacturer makes. BTEs are known to “pack a punch” that other styles can’t match. For this reason, BTEs are preferred by wearers with profound hearing losses.

Large enough for latest technology like Bluetooth & rechargeable batteries: Just like the RIC style, BTE hearing aids have room for the latest technologies like Bluetooth, directional microphones, and rechargeable batteries.

Easy to put on and take off: It doesn’t get much easier than a BTE, especially when worn with a large custom mold. Just put the mold in the ear and flip the hearing aid up behind your ear and you’re good to go.

Wide fitting range: Just like RIC hearing aids, BTEs have a pretty wide fitting range. They can be worn “open-fit” with a small silicone dome in the ear, or with a custom earmold to provide more power.

Disadvantages of BTE hearing aids

Tubing needs replacing: Though a low maintenance style, the tubing on BTEs needs to be replaced routinely or it gets hard and cracks. As a result, the tubing leaks sound and begins to feedback or whistle. Many hearing providers instruct BTE wearers on how to change this tubing at home and it can be ordered online pretty inexpensively.

Very noticeable: Again, not necessarily a con! In fact, many BTE wearers want their hearing aids to be seen so others know to speak clearly and face them while speaking. But if discretion is important, consider the RIC style with an earmold, as it’s usually a more streamlined design.

Hearing aid earmold styles

If you buy a BTE or RIC and have a severe to profound hearing loss, your hearing provider will probably recommend you get a custom-built earmold. A custom-built earmold allows the hearing aid to provide more power for your hearing loss.

With the help of your hearing provider, you’ll have to decide which earmold type you want to wear. The earmold styles you’ll have to choose from are generally similar in appearance to all the above mentioned custom in-the-ear styles. It’s just a matter of finding the size that you are comfortable with.

Although an older article, there’s a great resource to learn more about earmolds and all the variations and implications for selecting the right mold style.

So which type of hearing aid should you choose?

After taking into account all factors, there could be several different kinds of hearing aids that seem like they may be a good fit for you.

My recommendation? Start with the one that sounds the most ideal to you.

If you love the idea of IICs and feel like they’d make you happiest and you’d be more likely to wear them, then try those first!

Anytime you buy hearing aids you should have a trial period. If you aren’t satisfied with a particular hearing aid style, then you can exchange and try another.

Hearing aids today are more dynamic and capable than they’ve ever been, and hearing aid satisfaction rates continue to rise.

With patience and a trusted hearing provider to guide you, I’m confident you’ll be able to find the right style!

Jeff Hall Jeff Hall Jeff is a California licensed hearing aid dispenser and the President of ZipHearing- one of the largest discount hearing aid suppliers in the United States. Jeff lives in San Diego, CA with his wife and young daughter.

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6 comments
  1. Posted by Sylvia J Davis on 08/09/2019 at 11:35 am | Reply |
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