Written by Lauren Sherman, Fortune Recommends Writer
Treating hearing loss with hearing aids can significantly improve quality of life by enhancing communication, reducing social isolation and loneliness, and even preventing cognitive decline (1, 2, 3, 4). In the United States, more than 37 million adults suffer from hearing loss, yet only about one in four who need hearing aids actually use them. (5) One accessible hearing loss solution is over-the-counter (OTC) hearing aids, which do not require a prescription and are often budget-friendly. (6)
Nano hearing aids have drawn attention in the market for offering OTC hearing aids at affordable prices. While Nano claims to provide reliable hearing solutions, its reputation has been clouded by numerous customer complaints and legal issues. Recently, the company faced a lawsuit from the state of Vermont over misleading marketing practices, raising concerns about its products and business operations. (7)
In our Nano hearing aid review, we’ll explore the pros and cons of these devices and examine the company’s history. We’ll also provide insights based on expert opinions and customer feedback to help you decide if these hearing aids are right for you.
The latest Nano hearing aids (Nano Audacity RIC)
The Audacity RIC is Nano’s newest and most advanced OTC hearing aid. It is designed for people with mild to moderate hearing loss. The Audacity RIC features a receiver-in-canal (RIC) design, Bluetooth connectivity with streaming, and can be controlled through a smartphone app. Despite these features, Nano’s history of customer complaints and issues with reliability should be carefully considered before purchasing.
Nano hearing aid models
Compare Nano hearing aids
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| Nano Audacity RIC | Nano First Ear Pro BTE | Nano First Ear Pro CIC | Nano First Ear Plus BTE | Nano First Ear Plus ITE | Nano First Ear Plus CIC | |
| Rating | ||||||
| Price | $697 | $497 | $397 | $297 | $347 | $297 |
| Type (OTC or prescription) | OTC | OTC | OTC | OTC | OTC | OTC |
| Style | Receiver-in-canal (RIC) | Behind-the-ear (BTE) | Completely-in-canal (CIC) | BTE | In-the-ear (ITE) | CIC |
| Battery type | Rechargeable | Rechargeable | Rechargeable | Rechargeable | In-the-ear (ITE) | Rechargeable |
| Bluetooth | Yes | No | No | No | No | No |
Key product features
What you should know
The Nano Audacity RIC is an OTC hearing aid with modern features like Bluetooth and app control at a lower price than traditional hearing aids.
- The Audacity RIC offers Bluetooth connectivity, app control, and directional microphones, which sets it apart from previous Nano models.
- At $697, it’s in the mid to lower price range compared to other OTC hearing aids.
- This model is best for people with mild to moderate hearing loss who want a budget-friendly hearing aid.
- Battery life is limited, especially if you plan to use Bluetooth streaming frequently, which may be a drawback for active users.
Nano Audacity RIC hearing aids overview
The Audacity RIC is Nano’s latest OTC hearing aid, introducing features that bring it closer in line with other hearing aid brands. One of the key upgrades is Bluetooth connectivity, which allows users to stream audio from their smartphones directly to the hearing aid. This is particularly useful if you want to integrate your hearing aids with daily activities like phone calls, music, or podcasts.
The Audacity RIC also has a smartphone app, giving users more control over volume and sound settings. This app-based control significantly improved from earlier models, which lacked customization options. With the app, you can control volume and Bluetooth functions and switch between the three pre-programmed listening modes: Quiet, Restaurant, and Outdoor.
The receiver-in-canal style of the Audacity RIC helps improve sound clarity by placing the speaker directly in the ear canal. Users often prefer this design for its more natural sound delivery. (8) The Audacity RIC’s multi-mode directional microphones are designed to adjust to different listening situations. However, user reviews indicate while the directional microphones perform decently in quieter settings, they struggle to filter out background noise in loud environments.
One notable drawback of this model is the battery life, which is shorter than many other OTC hearing aids. The Audacity RIC offers up to 17 hours of battery life without streaming, but heavy Bluetooth use can reduce it to around three hours per charge. While the portable charging case can provide two full charges, many competitors’ devices offer three or more charges. Both the hearing aids and charger take about 2.5 hours to fully power. The hearing aids will automatically turn on when removed from the charging case and off when returned. They can also be manually turned on and off. While the hearing aids are not given an IP rating, they are described in the user manual as “moisture-, shock-, and fall-proof.”
Combined with Nano’s history of customer complaints regarding product reliability and its poor customer service record, the Audacity RIC’s features may not fully compensate for its shortcomings. In 2023, Vermont’s Attorney General filed a lawsuit against Nano for misleading marketing practices. This lawsuit alleged that Nano’s advertisements misrepresented its products, claiming they were FDA-approved and American-made when they were not. (7)
Related post: How do hearing aids work?
What customers are saying
Nano Hearing Aids earn 3.7 out of five stars from an average of over 3,700 reviews on TrustPilot. These reviews aren’t specific to the Audacity RIC, but rather the brand. Many positive reviews mention quick delivery, easy setup, and good sound quality.
“After I read the manual and watched the video, I put my Nano Audacity RIC on. It took a few minutes to adjust them to my liking, but with them being paired to my phone, it was pretty easy to get the desired results. They are working very well, and I hope to use them for a long time. Well done,” says John S., TrustPilot.
Several unhappy customers say they received faulty or defective devices, had difficulty obtaining refunds, and struggled with long response times from customer support.
“Bought these twice. The first time, one stopped working after two weeks. They replaced them but said I should upgrade for another $100 (I did!), and they sent me the ‘better’ pair. After a month, one is discharged in about an hour. Also, and most importantly, I have never been able to eliminate the dreadful screeching that happens too often. So, even if they worked, I would stop using them,” says Lad S., TrustPilot.
Who Nano Audacity RIC hearing aids might work for:
- People with mild to moderate hearing loss who are looking for an affordable OTC option.
- Users who want Bluetooth hearing aids with streaming and smartphone control features.
- Individuals who prefer the RIC design for clearer sound delivery.
- Active adults who want a hearing aid with rechargeable batteries and a portable charging case.
Who Nano Audacity RIC hearing aids are not recommended for:
- People who rely on long battery life to use streaming features frequently.
- Those seeking strong customer support and reliable warranty services.
- Individuals with severe hearing loss who need more advanced, customizable hearing aids.
How we rate hearing aids
We score hearing aids based on the following criteria:
- Performance: Sound quality, noise reduction, feedback control, programmability, and connectivity.
- Features: Durability, battery options, hearing loss range, wireless connectivity, water resistance, and safety features.
- Value: Insurance coverage and financing options.
- Customer experience: Shipping, warranty, and customer support.
Where to buy Nano hearing aids
Nano hearing aids are available for purchase directly from the Nano website.
Warranties and policies
Nano’s one-year limited manufacturing warranty covers defects in materials and workmanship under normal use for the first year after purchase. If a defect occurs, Nano will either repair the device using new or refurbished parts or replace it with a new or refurbished product. The warranty only applies in regions where Nano sells directly or through authorized resellers. Shipping and handling fees may be charged unless prohibited by law. Any replacement product will carry the remainder of the original warranty or a 30-day warranty, whichever is longer.
Nano offers a 45-day return policy for customers unsatisfied with their hearing aids. To begin the return process, you must contact their Advanced Support team within 45 days of receiving your hearing aids. You will then be issued a Return Merchandise Authorization (RMA), which is required for any refund. Once you have the RMA, you must return the hearing aids, charging case, and all original components in their original condition within 30 days. Customers are responsible for return postage. Refunds are processed within seven to 10 business days after Nano receives and inspects the returned items. Hearing aid accessories are not eligible for a refund.
Specs
| Price | $697 |
| Type | OTC |
| Style | RIC |
| Battery | Rechargeable |
| Bluetooth | For app and streaming |
| Trial period | 45 days |
| Warranty | One year |
Additional models from Nano
Key product features
What you should know
- Because it does not have an app for adjustments, all adjustments are made directly on the devices.
- Hearing aids do not automatically turn on and off when removed or inserted into the charger like the Audacity. The absence of these features might limit its appeal to those looking for more customization and functionality in their hearing aids.
- These rechargeable hearing aids last up to 20 hours on one charge. The portable charger and devices take about 2.5 hours to charge fully, and the case provides two full charges.
- Behind-the-ear (BTE) design ensures a comfortable fit, even for those who wear glasses.
- Four customizable hearing programs adjust to different listening environments—normal conversation, noisy places, loud places, and music listening.
- While this model covers basic needs such as noise cancellation and ease of use, it lacks more advanced features found in many other OTC hearing aids, such as Bluetooth connectivity and directional microphones.
Who it might be good for: People seeking affordable, rechargeable BTE hearing aids without advanced features like Bluetooth or an app.
Key product features
What you should know
- It lacks advanced features like Bluetooth connectivity and app-based controls, which are becoming standard in similarly priced alternatives.
- These invisible hearing aids have a discreet design.
- It offers up to 18 hours of battery life on a single charge and features automatic on/off functionality, simplifying the user experience.
- It comes with the same four listening programs seen in the Pro BTE, allowing for customization depending on the listening environment.
- Portable charging case adds convenience by providing two full recharges after a two-hour charge.
Who it might be good for: Users seeking a nearly invisible, discreet hearing aid with automatic on/off functionality
Key product features
What you should know
- It lacks modern features like Bluetooth connectivity or app-based controls, which are becoming more common in similarly priced alternatives.
- It offers up to 20 hours of use per charge and includes a portable charging case capable of providing three full recharges, making it suitable for daily wearers.
- It includes feedback cancellation and basic noise management features to enhance sound clarity, but it only comes with two listening programs, limiting customization.
Who it might be good for: Individuals seeking an affordable BTE hearing aid with simple, easy-to-use rocker switch controls
Key product features
What you should know
- While the device is value priced at $347 per pair, it lacks advanced features such as Bluetooth connectivity and app-based control
- Offers the longest battery life in the Nano lineup, with up to 38 hours of listening time per charge.
- The portable charging case provides three full recharges, so this device is ideal for users on the go.
- Includes basic features like feedback cancellation and noise management, along with two listening programs to help adjust to different environments.
Who it might be good for: Users seeking a simple, modern, earbud-style hearing aid with a long-life rechargeable battery
Key product features
What you should know
- While it includes basic noise control and two listening programs, it lacks more advanced features like Bluetooth connectivity or app control.
- $297 per pair.
- Its rechargeable design provides up to 18 hours of use on a single charge, and it features automatic on/off functionality, making it convenient to operate right out of the charging case.
- The compact, nearly invisible design ensures a discreet fit, ideal for those looking for a low-profile hearing aid.
Who it might be good for: Users seeking an affordable, basic, nearly invisible hearing aid.
Nano vs. competitors
Nano’s questionable reputation may lead you to consider other OTC options, like Jabra hearing aids. The Jabra Enhance Select 500 is ideal for Bluetooth connectivity and advanced sound processing. These hearing aids offer excellent customization through the companion app, but they come at a steeper price tag of $1,795 for the basic package or $1,995 for the premium package.
MDHearing hearing aids are another OTC option. The MDHearing Volt, with its rechargeable battery and simple design, is well-suited for those seeking reliable performance at a mid-range price.
Audien’s Atom 2 stands out for its budget-friendly price, making it a great option for individuals looking for a basic, affordable hearing aid.
The Eargo 7 is a strong choice for people who prefer a nearly invisible hearing aid with flexible sound adjustments and premium comfort and are not bothered by the high price.
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| Nano Audacity RIC | Jabra Enhance Select 500 | Audien Atom 2 | MDHearing Volt | Eargo 7 | |
| Rating | |||||
| Price | $697 | $1,795 or $1,995, depending on package | $189 | $397 | $2,950 |
| Type (OTC or prescription) | OTC | OTC | OTC | OTC | OTC |
| Style | RIC | RIC | ITE | RIC | CIC |
| Battery type | Rechargeable | Rechargeable | Rechargeable | Rechargeable | Rechargeable |
FAQs
Are Nano hearing aids any good?
Nano hearing aids have received mixed reviews. While Nano offers affordable over-the-counter hearing aids with features like Bluetooth and app control, many users report reliability and sound quality issues. Additionally, the company has a history of complaints regarding poor customer service and product performance.
Is Nano a true hearing aid or an amplifier?
Nano sells OTC hearing aids, not amplifiers. These hearing aids are designed to help people with mild to moderate hearing loss and include features typically found in hearing aids, such as noise reduction and Bluetooth connectivity. Hearing aids are designed to correct impaired hearing. At the same time, amplifiers are intended for people with normal hearing to amplify sounds in certain situations, such as recreational activities like birdwatching or hunting. (9)
Do you need a prescription for Nano hearing aids?
No, you do not need a prescription to purchase Nano hearing aids. These devices are sold as over-the-counter products that are FDA-registered and OTC-compliant.
Are Nano hearing aids covered by Medicare?
No, Medicare does not include coverage for hearing aids or the services related to fitting and maintaining them. (10) Some Medicare Advantage plans may offer limited hearing aid coverage, so it’s worth checking with your healthcare provider before purchasing them.
Our experts
Dr. Swathi Varanasi
Dr. Swathi Varanasi, or Dr. Swathi for short, is a pharmacist passionate about the intersection of personalized medicine and innovation. With experience spanning patient care, biotech, CRO, academia, and CPG, Dr. Swathi Varanasi has paved the way for healthcare professionals to pursue non-traditional career paths through creating postdoctoral training programs, industry internships, and online educational programs. She co-founded and serves as Chief Scientific Officer of the Life Sciences Division at botanical biotech, Element Apothec, and serves as a Principal Investigator at contract research organization, Citruslabs.
Krista Manning
Krista Manning is an accomplished medical copy editor and fact-checker who stands out in the pharmaceutical, health, and wellness domains. With a meticulous eye for detail and a command of medical language, Krista ensures the accuracy and clarity of content. Beyond her professional expertise, Krista is an advocate for mental health awareness. Recognizing the crucial intersection of psychological and physical well-being, she actively contributes to projects that promote mental health awareness within the healthcare narrative. Krista’s commitment extends beyond the pages she edits, emphasizing the holistic nature of health communication.
Lauren Sherman
Fortune Recommends Writer
About Author
Sources
- Alrasheed, A. M., Junaid, M., Ardi, K. T., Ebraheem, F. A. M., & Alaidaroos, O. Z. (2023). Quality of Life Among Adults With Hearing Loss Who Were Prescribed Hearing Aids in Aseer Province, Saudi Arabia: A Cross-Sectional Tertiary Center-Based Study. Cureus, 15(9), e45922. https://doi.org/10.7759/cureus.45922
- The Benefits Of Using Hearing Aids To Improve Communication With Loved Ones. Adirondack Audiology. May 21, 2023. https://adirondackaudiology.com/the-benefits-of-using-hearing-aids-to-improve-communication-with-loved-ones/
- Weinstein, B. E., Sirow, L. W., & Moser, S. (2016). Relating Hearing Aid Use to Social and Emotional Loneliness in Older Adults. American journal of audiology, 25(1), 54–61. https://doi.org/10.1044/2015_AJA-15-0055
- Hearing aids slow cognitive decline in people at high risk. NIH. Aug. 8, 2023. https://www.nih.gov/news-events/nih-research-matters/hearing-aids-slow-cognitive-decline-people-high-risk
- Quick Statistics About Hearing, Balance, & Dizziness. National Institute on Deafness and Other Communication Disorders. Update Sept. 20, 2024. https://www.nidcd.nih.gov/health/statistics/quick-statistics-hearing
- OTC Hearing Aids: What You Should Know. FDA. https://www.fda.gov/medical-devices/hearing-aids/otc-hearing-aids-what-you-should-know
- Attorney General Sues Over-The-Counter Hearing Aid Company Nano For Misleading Consumers. Office of the Vermont Attorney General. Jan. 3, 2023. http://ago.vermont.gov/blog/2023/01/03/attorney-general-sues-over-counter-hearing-aid-company-nano-misleading-consumers#
- Hoffman CL. RIC vs. BTE Hearing Aids: Determining the Right Fit for You. Hoffman Audiology. June 20, 2023. https://hoffmannaudiology.com/blog/ric-vs-bte-hearing-aids-determining-the-right-fit-for-you
- Hearing Aids and Personal Sound Amplification Products: What to Know. FDA. https://www.fda.gov/consumers/consumer-updates/hearing-aids-and-personal-sound-amplification-products-what-know
- Hearing Aids. Medicare. https://www.medicare.gov/coverage/hearing-aids