Best Hearing Aids for Severe to Profound Hearing Loss

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Hearing loss is one of the most common conditions among seniors. In fact, it is estimated that nearly 30 million people over the age of 60 have some form of hearing loss. Among this group, nearly two million suffer from severe or profound hearing loss, a variety of the condition that makes it difficult to partake in everyday activities like conversing or listening to the radio.

Luckily, there are special types of hearing aids designed to accommodate people with severe or profound hearing loss. In this rundown, we’ll take a look at some of the best options available.

Best Hearing Aids for Severe to Profound Hearing Loss

What Is Severe Hearing Loss?

Not all hearing losses are created equally. Similar to vision impairment, there are different degrees of loss that require different prescriptions. This is something you should keep in mind when looking to purchase a hearing aid, as different devices are made to accommodate different degrees of hearing loss. Most hearing aids are suitable for those with mild to severe hearing loss; however, only certain devices can accommodate the needs of someone with severe to profound hearing loss.

Here is an overview of the different types of hearing loss.

Degrees of Hearing Loss

Type of Hearing Loss Hearing Threshold Symptoms Common Sounds You Might Miss
Normal Hearing 0 – 25 dB
  • Imperceptible symptoms, if any
  • A leaky faucet
Mild Hearing Loss 25 – 40 dB
  • Difficulty hearing quiet conversations
  • A ticking clock
  • Rustling leaves
Moderate Hearing Loss 40 – 60 dB
  • Difficulty understanding speech at normal volumes
  • Higher volumes required to hear the TV or radio
  • Vacuum cleaner
  • Bird calls
Severe Hearing Loss 60 – 80 dB
  • Cannot hear normal speech without amplification
  • A toilet flushing
  • Passing cars
Severe-Profound Hearing Loss 80 – 90 dB
  • Comprehension of speech is impossible without technological assistance
  • A food blender
  • A baby crying
Profound Hearing Loss 90 dB and greater
  • Comprehension still difficult with amplified speech devices
  • A lawnmower
  • A motorcycle

What Causes Severe Hearing Loss?

For most people, hearing loss is caused by a combination of noise exposure, genetics, and age. Naturally, this is why the condition is much more common in older adults; however, there are also several external factors that can contribute to hearing loss:

Once these sensitive parts of your ear are damaged, there is often no way to repair them, so it’s important to take care of your ears. With that said, a quality hearing aid can go a long way towards restoring one’s ability to hear, especially for those with severe to profound hearing loss.

Phonak hearing aids use the latest technology to help seniors hear.
Phonak hearing aids

What To Look For in a Hearing Aid for Severe Hearing Loss

I had my work cut out for me when it came to reviewing these hearing aids. There are so many more good options for those with severe to profound hearing loss than there were in the past.

I have fit many patients with profound hearing loss. One thing to keep in mind is that if you have been wearing one brand of hearing aids for many years, it may be difficult to switch to another brand because your brain is already used to the sound quality and sound processing of a particular brand. You know what’s best and what works for you. If you’re in the market for new power hearing aids, here are the qualities that I looked for to consider:

Oticon Hearing Aids
Oticon Hearing Aids

The Best Hearing Aids for Severe Hearing Loss

1. Phonak - Best Accessories

Phonak - Logo
4.5 / 5
View Packages
What We Like Most:
  • Nationwide Hearing Aid Specialists
  • Contracted with Veterans Administration
  • Fine-Tune Hearing Aids via Smartphone App


Phonak has been a leader in power hearing aids for many years, often starting as a choice for pediatric patients with profound hearing loss. Even more impressive is its array of accessories that are compatible with hearing aids for those with severe to profound hearing loss.

Our Favorite Model: Phonak’s Naída Marvel delivers rich sound to those with moderate to profound hearing loss. Additionally, with the myPhonak app, you can control your hearing aids from your smartphone, and even stream audio from your phone to your hearing aids.

Accessories: Naida Marvel hearing aids are compatible with Roger accessories. Roger products are accessories that allow you to participate more easily in multiple talker conversations. There are three styles of Roger available. The Roger Pen can be held by the listener and be discreetly pointed at whichever person is speaking, allowing you to control and quickly switch focus between speakers. The Roger Select and Roger Table Mic II are disc-shaped mics designed to sit in the middle of a table and facilitate participation in group conversations. The mic itself chooses which speaker to focus on and automatically switches the direction of focus when the speaker changes, meaning that you can get the benefit of multi-talker conversation, hands-free.

Cost: Phonak hearing aids must be purchased from a hearing care specialist, so the price will vary depending on which one you visit. With that said, a pair Naída Marvel will likely run you around $3,000 per pair for entry-level technology and $6,000 for high-end technology.

Batteries: The Naída Marvel uses traditional batteries that will likely need to be replaced every seven to 10 days.

Support: You can chat with a Phonak hearing expert by calling the number listed on their website. You can also find hearing exercises on the site to help you learn the ins and outs of your device.

Returns and Warranties: Phonak offers a one- to three-year limited warranty on all of its devices. Most retailers also offer a 45-day trial period for your device. It’s best to confirm your exact warranty and trial period prior to purchase.

  • Official Hearing Aid of the VA
  • 1-Year International Warranty
  • Advanced Noise Cancellation
  • Bluetooth Streaming
  • Must Be Purchased from a Hearing Specialist

Ideal For: Phonak hearing aids are ideal for people with severe to profound hearing loss who still live active lifestyles, especially those who would benefit from Roger accessories in the workplace. These hearing aids can augment your hearing in nearly any setting, from the office, to restaurants, or to your living room. If you think you might be a cochlear implant candidate in the future, Phonak is also a good choice, because the hearing aid and accessories can be used with an Advanced Bionics cochlear implant.

2. Oticon - Best for Profound Hearing Loss

What We Like Most:
  • Risk-Free Trial
  • Connectivity Technology
  • Range of Hearing Solutions


Oticon suited for people of all ages and for all types of hearing loss, from mild to severe. What impressed us most about Oticon, however, was the great sound quality and feedback (whistling) management in their power hearing aids.

Our Favorite Model: Oticon bills its Xceed device as the world’s most powerful hearing aid, and it’s plain to see why. The Xceed sound processing focuses on allowing you to hear all of the noises around you for a true-to-life hearing experience. With its proprietary OpenSound Optimizer, the Xceed also prevents whistling and static, allowing you to focus on the sounds that matter most to you, whether this is a conversation with loved ones or a song on the radio.

Cost: The cost for Oticon’s Xceed will vary based upon the retailer; however, a pair will likely cost you somewhere between $3,000 and $6,000.

Batteries: The Xceed uses traditional batteries.

Support: You can use the “find a provider” tool on the Oticon website to find a list of hearing healthcare providers nationwide where you can get an assessment and fitting by a trained hearing professional.

Returns and Warranties: With any of its devices, most providers offer a 30- to 45-day risk-free trial, during which time you can return your device for a full refund. There are also different yearlong warranties available, depending upon which device you choose and the retailer from which you purchase it.

  • Great Sound Quality
  • Stellar Noise Cancellation
  • Smart Features
  • Discreet Behind-the-Ear Design
  • Risk-Free Trial
  • Somewhat High Price Tag
  • Must Be Purchased Through a Hearing Professional

Ideal For: The Oticon Xceed is great for any person with severe to profound hearing loss. Additionally, for the more plugged-in users, the Xceed can be paired with iPhones without any additional accessories and can be paired to any smartphone for hands-free streaming and talking.

3. ReSound - Best for iPhone Connectivity

3.5 / 5
View Packages
What We Like Most:
  • Free Online Hearing Test
  • 1 to 4 Year Warranty
  • Highly Customizable


ReSound hearing aids are centered around the idea of replicating natural sounds for their users. For those with mild to profound hearing loss, they offer expertly designed behind-the-ear models that amplify into whatever audible range you need. Resound was the first company to offer direct from iPhone streaming in its hearing aids, and it excels at this.

Our Favorite Model: ReSound’s most advanced model, the Enzo 3D is made specifically for those with severe to profound hearing loss. This hearing aid provides direct from iPhone streaming, which can be a lifesaver for patients struggling with hearing on the phone. The Enzo 3D will also have great background noise reduction so that you can focus on what matters most.

Cost: There are several different iterations of ReSound’s Enzo 3D, all of which come at different price points. With that said, you should expect to pay a minimum of $3,000 for a pair of these hearing aids.

Batteries: The Enzo Q uses standard-sized disposable batteries.

Support: ReSound offers a free online hearing test, in addition to user guides both via articles and videos. On the Resound app, in addition to being able to adjust your hearing aids, you can book an appointment with your provider, or find tutorials and cleaning and care videos and instructions.

Returns and Warranties: While warranties and returns will vary depending upon the retailer, all ReSound products can be tried before they are purchased. Additionally, all ReSound hearing aids will be covered under a warranty of one to four years, depending upon the specific model.

  • Tinnitus Relief
  • Natural Sound Replication
  • Adjust Settings through ReSound App
  • Find My Hearing Aid Feature
  • Compatible with Cochlear Implants
  • Online Video Tutorials
  • Must Be Purchased through a Hearing Professional

Ideal For: ReSound hearing aids are ideal for iPhone users, individuals who already have or may get a Med-El Cochlear implant, and for those who have tried other solutions for severe to profound hearing loss and have been dissatisfied by the audio quality of said hearing aids. ReSound hearing aids offer great streaming connectivity and natural sound quality.

4. Philips - Best Budget Hearing Aid

Philips portable oxygen concentrators
What We Like Most:
  • Available at Costco
  • Twin Microphone Design
  • Dedicated Customer Support Service Line


Philips offers a variety of hearing aids, from tiny in-ear units to traditional behind-the-ear devices. All of them are powered by Philips HearLink technology, which allows you to hear well even in noisy environments, something many hearing aids struggle to accomplish. Philips hearing aids are made by Demant, the same parent company that makes Oticon aids. Although Oticon’s aids feature newer features, Philips offers a more budget-friendly option.

Our Favorite Model: For those with severe to profound hearing loss, the Philips BTE PP offers stellar audio quality in a simple behind-the-ear design. Using directional microphones, this hearing aid delivers clean audio of speech, even in environments with lots of background noise. It can also connect wirelessly to phones and other smart devices.

Cost: The Philips BTE PP is available at Costco, in addition to other hearing specialist centers. At Costco, you’ll spend about $2,400 for a high-end pair of these hearing aids.

Batteries: The Philips BTE PP uses traditional, disposable batteries.

Support: Philips offers a hearing aid service line that can provide information regarding the use and maintenance of your hearing aids. If you purchase your hearing aids at Costco, you can be reasonably certain you will find a location to get in-person support if you travel to any major city in the U.S.

Returns and Warranties: Warranties and returns will vary depending upon the retailer. At 180 days, Costco has one of the most generous return policies in the industry.

  • Easy to Use
  • Available at Costco
  • Compatible with iPhones
  • Excellent in Noisy Environments
  • Wide Range of Designs
  • Limited Warranty Information

Ideal For: Philips hearing aids would be ideal for the user looking for a simple model. Their BTE PP model delivers solid audio performance in an easy-to-use package.

In Closing

For those with severe to profound hearing loss, a hearing aid is one of the most essential ways to continue living life to the fullest. When looking into a hearing aid, be sure to weigh your options carefully, as high-powered devices like these do not come cheaply. Luckily, most retailers will offer some sort of trial period, ensuring that you’ll be able to find the right hearing aid for your needs.

Written By
Kasey Craig, Au.D.

Kasey is passionate about explaining hearing loss and communication strategies to her patients and their families, helping them get back to effective and fun communication. Her experience in public and private healthcare in the U.S. and abroad gives her perspective and familiarity about all sides of the hearing aid market. She studied linguistics at Rice University and got her Au.D. (Clinical Doctorate in Audiology) at the University of South Florida. When she is not helping her patients make the best decisions about their hearing health care and hearing aids, she enjoys photography and painting, in addition to hiking the hills of Scotland with her partner and kids.

Learn more about Kasey here.