Types of Hearing Aids — Styles, Features and What to Consider

Hearing aids come in several distinct styles, ranging from devices that sit behind the ear to very small ones that sit entirely inside the ear canal. Each style has different characteristics in terms of size, how sound is delivered, battery type, and ease of handling. The style that works best for any individual depends on their hearing profile, ear anatomy, lifestyle, and personal preferences — your audiologist will help guide that conversation.

A Note Before You Start

No hearing aid style is universally "the best." What works well for one person may not suit another. The information below is intended to help you become familiar with the options so you can have a more informed conversation with your audiologist. Hearing aid technology changes regularly, and what is available to you will depend on current offerings from multiple manufacturers.

Hearing Help is an independent clinic, meaning we are not aligned with or contracted to any single brand. This allows us to discuss a wide range of devices across different manufacturers and price points.

The Main Hearing Aid Styles

BTE — Behind-the-Ear

A BTE hearing aid sits in a small casing that rests behind the ear. Sound is processed in the casing and delivered into the ear canal through a thin tube connected to a custom-moulded earmould or a standard dome tip.

Characteristics:

• Typically the largest style, though modern BTE devices are considerably more compact than older versions

• Earmould or dome sits inside the ear canal; the processing unit sits behind the ear

• Generally easier to handle than smaller devices — useful for people who prefer larger controls

• Can accommodate a wider range of hearing difficulty levels

• Rechargeable and disposable battery versions are available

• Some people find them comfortable to wear with glasses; others prefer a different style — this is worth discussing with your audiologist

BTE devices are widely used and come in a range of sizes and power levels.

RIC / RITE — Receiver-in-Canal or Receiver-in-the-Ear

A RIC (also called RITE) device is similar in concept to a BTE in that the main processing unit sits behind the ear. The key difference is that the receiver (the component that delivers sound) sits inside the ear canal itself, connected to the behind-the-ear unit by a thin wire.

Characteristics:

• Smaller and more discreet than a traditional BTE for many wearers

• The thin wire and small dome tip is less visible than a full earmould for some styles

• Direct placement of the receiver in the ear canal can, for some people, contribute to a more natural sound quality — though individual experience varies

• Suitable for a broad range of hearing profiles

• Rechargeable versions are widely available in this style

• The receiver in the ear canal is exposed to moisture and earwax, which means it requires regular care and occasional replacement

RIC devices are among the most commonly fitted styles in Australia at present.

ITE — In-the-Ear

An ITE hearing aid is custom-made to fit within the outer portion of the ear (the bowl-shaped area called the concha). The entire device — microphone, processor, and receiver — sits in the ear.

Characteristics:

• Custom-made from an impression of your ear, so it fits your ear specifically

• No component sits behind the ear, which some wearers prefer

• Larger than canal-worn styles, which can make the controls easier to manage for some people

• Visible in the ear, though some people prefer the look of an in-ear device

• Not as discreet as smaller canal styles

• May be less suitable for severe or profound hearing difficulty (though this depends on the specific device and individual hearing profile)

ITE devices may suit people who find behind-the-ear components uncomfortable, or who want something custom-fitted but easier to handle than smaller styles.

ITC — In-the-Canal

An ITC device is a smaller, custom-made device that sits mostly inside the ear canal, with a small portion visible at the canal opening.

Characteristics:

• More discreet than a full ITE

• Custom-made from an ear impression

• Smaller controls than ITE devices — may require more dexterity to handle

• Some ITC models include wireless connectivity features; availability varies by manufacturer and model

• May not be suitable for all ear canal shapes or all levels of hearing difficulty

CIC — Completely-in-Canal

A CIC device is a small, custom-made hearing aid that sits deep within the ear canal, with little or nothing visible at the canal entrance.

Characteristics:

• Among the most discreet styles available

• Entirely custom-made from an ear impression

• Very small size means the controls are minimal — volume adjustments are often managed via an app

• No space for rechargeable batteries in most CIC models; typically uses small disposable batteries

• Requires good dexterity to insert and remove — the small size can make handling challenging for some people

• May not be suitable for people with narrow ear canals, significant earwax build-up, or more significant levels of hearing difficulty

CIC devices suit people for whom discretion is a primary consideration and who are comfortable managing very small devices.

IIC — Invisible-in-Canal

An IIC device is the smallest custom hearing aid style. It sits so deep in the ear canal that it is very discreet and difficult for others to see when worn.

Characteristics:

• Extremely discreet

• Inserted and removed using a small pull cord

• As with CIC, requires good dexterity and regular care

• Suitable for a narrower range of hearing profiles and ear canal sizes

• Your audiologist will advise whether your ear canal anatomy and hearing profile are suitable for this style

Key Features to Consider

Beyond the physical style, hearing aids vary considerably in the technology they use. Some features that may be relevant to your situation include:

Rechargeable vs. disposable batteries Rechargeable devices are placed in a charging case overnight. Disposable battery devices use small zinc-air batteries that need to be replaced regularly. Some people strongly prefer one over the other — this is worth raising with your audiologist.

Wireless connectivity Many modern hearing aids can connect to smartphones, televisions, and other devices via Bluetooth or similar technology. This can be useful for phone calls, streaming audio, and managing settings via an app. Connectivity features vary by manufacturer and model.

Directional microphones Most contemporary hearing aids include microphone systems designed to help focus on sounds in front of the wearer in noisy environments. How effective these features are in practice varies by device and individual.

Tinnitus features Some hearing aids include built-in sound generation features that some people with tinnitus find useful as part of a broader support approach. Your audiologist can discuss whether this is relevant for you.

Remote support Some clinicians offer the ability to make hearing aid adjustments remotely, which can be convenient for follow-up fine-tuning.

How Does an Audiologist Help You Choose?

Your audiologist will consider a range of factors when discussing styles and devices with you:

• Your hearing profile — the type and degree of hearing difficulty, as shown on your audiogram

• Ear anatomy — the shape and size of your ear canal affects what styles are physically suitable

• Lifestyle — how active you are, the listening environments you spend most time in (quiet rooms, noisy workplaces, social gatherings), and whether you frequently use a phone or television

• Dexterity and vision — smaller devices require more manual dexterity to handle and maintain

• Budget and funding — what is available through the Hearing Services Program, private health insurance, or your own budget

• Personal preference — your feelings about visibility, comfort, and features all matter

There is rarely one "correct" answer. Your audiologist will explain the trade-offs of different options and help you find a starting point that suits your individual circumstances. Many people find their preferences evolve over time as they become more comfortable with their devices.

Discuss Your Options With an Audiologist

Understanding the range of hearing aid styles is a useful starting point, but the right fit for you is something an audiologist can only determine after a proper assessment and a conversation about your individual needs and preferences.

Hearing Help is an independent audiology clinic on the Redcliffe Peninsula. We offer a comprehensive range of hearing aids across multiple manufacturers, through both private and Hearing Services Program pathways. Get in touch to book an assessment or to ask any questions.