RIC vs. BTE hearing aids: Which should you choose

Last update on Jun, 04, 2021

When it comes to hearing solutions, the options are plenty

Looking for a hearing aid comparison to find the best hearing aid style for your needs? You can choose from many different types of hearing aids, including RIC (Receiver-in-the-Canal) and BTE (Behind-the-Ear) hearing aids. While these two popular hearing aid styles may look similar on the outside, there are several key differences worth understanding.

Let’s dive deeper into the key features and benefits of note when comparing receiver-in-canal vs. behind-the-ear hearing aids. This can help when choosing the right hearing aids for your unique needs.

Heather Hellberg

Heather Hellberg

Miracle-Ear Audiologist

Check out BTE and RIC in our centers

Your store

RIC vs. BTE: Similarities

Both RIC and BTE hearing aids feature a hard case, or shell, that rests behind the ear. This case houses most (or in some cases, all) of the hearing aid’s electronic components, such as the microphone, amplifier, digital chip and speaker.

Both styles also feature an earpiece that’s placed in the ear—this earpiece can be either a custom earmold or a non-custom ear dome. The earpiece connects to the hearing aid via tubing, an ear hook or a thin wire, depending on the style.

In terms of technology, both BTE and RIC hearing aids are equipped to make the most of modern living. You can find the following capabilities in both styles, depending on the model:

HCP talking to customers

Want to try hearing aids yourself?

Our hearing experts will explain hearing aids key features and how they can improve your life.

RIC vs. BTE: Which one is right for me?

Both types of hearing aids come in a variety of models to suit different lifestyles and listening needs. Here are a few things to consider before comparing hearing aid features.

One of the most important differences in BTE vs. RIC hearing aids is the location of the speaker (or receiver). In Behind-the-Ear hearing aids, the speaker is inside the hard case along with the other electronic components. Receiver-in-the-Canal hearing aids, on the other hand, place the speaker at the end of a thin electrical wire connected to the case. The speaker is then enclosed inside a flexible ear dome or earmold placed in the ear.

BTE hearing aids compared to a coin
Since all electronic parts have to be housed inside the case, BTE hearing aids have traditionally been the larger style. The bigger case can also accommodate larger batteries for more amplification power (see more below). However, the big-and-bulky reputation of BTE styles is slowly fading: many models today now boast a slimmer, sleeker design similar to RIC hearing aids.

The traditionally elongated shape of BTE hearing aids allows them to house a strong amplifier and large battery
They can substantially magnify sounds in both the high-frequency and low-frequency ranges.
RIC hearing aids can also offer considerable range, but those with severe hearing loss will still need the bigger boost from a BTE style.

RIC hearing aids: Pros and cons

Below, we’ll cover some of the benefits and drawbacks of receiver-in-canal hearing aids.

Since the case of a receiver-in-canal hearing aid doesn't need to house the speaker, it’s typically slimmer and smaller than most BTE models. RIC styles also boast a thin electrical wire instead of an ear hook or tubing, which—when combined with a small, translucent ear dome—makes them barely visible to others.

Sounds tend to be clearer and more natural with RIC hearing aids, as the speaker rests closer to the ear canal. And distancing the speaker from the microphone minimizes another common complaint: feedback.

RIC hearing aids’ open- and semi-open-fit ear domes also allow low-frequency sounds to escape, resulting in a more natural-sounding speaking voice.

The smaller size of receiver-in-canal hearing aids may make it more difficult to insert or remove the devices, adjust settings and clean them—especially for those with limited fine motor skills. And while RICs can accommodate a range of hearing loss levels, they do not offer as much amplification as BTE styles.

The placement of the speaker in the ear canal also makes a RIC device more vulnerable to moisture and wax buildup, requiring regular maintenance to minimize damage or sound issues.

BTE hearing aids: Pros and cons

Below, we’ll cover some of the benefits and drawbacks of behind-the-ear hearing aids.

Behind-the-Ear hearing aids offer the most powerful sound amplification out of any style, making them suitable for all levels of hearing loss—particularly those with profound and/or high-frequency hearing loss.

Since all of the sensitive electronics are in the case outside of the ear, BTE styles are less susceptible to moisture and wax—the two leading causes of hearing aid damage. Even when those elements are present, they can be easily cleared out of the tubing with an air blower or washed from the earmold by detaching and soaking it in warm, soapy water. The result? Fewer repairs and a longer lifespan.

BTE hearing aids’ traditionally larger size also makes them easier to insert/remove, adjust settings and replace the battery—a big benefit for those with dexterity concerns.

Traditional behind-the-ear hearing aid models—particularly those that offer maximum amplification—still tend to be bigger and thicker. Besides being more visible, the larger case may feel heavier or more uncomfortable for some wearers. And while ear domes are available for select BTE styles, many BTE hearing aids require earmolds, which are typically more noticeable and can lead to a more plugged-up feeling.
Suitable for all levels of hearing loss
BTE hearing aids have the most powerful sound amplification
Woman holding a surf board at the beach

Not sure?

Find the best solution for you. Our specialists will conduct a free hearing test and determine the next steps with you.

RIC vs. BTE: Which one is right for me?

Both types of hearing aids come in a variety of models to suit different lifestyles and listening needs. Here are a few things to consider before comparing hearing aid features.

Active living often means more moisture and sweat, which can be easily removed from the ear hook or tubing with an air blower. The BTE’s custom earmold also easily detaches and can be soaked in warm, soapy water. Custom molds offer a secure, snug fit—a good choice for those on the move.

RIC’s smaller, more discreet design makes it less noticeable to others. And RIC styles typically offer a more pure, natural sound experience—both for outside sounds and your own speaking voice.

A more traditional BTE hearing aid with a custom earmold will give you the biggest boost in sound at both high and low frequencies. Both the BTE’s case and earmold come in a variety of colors to suit your preference.

Both BTE and RIC hearing aids are available in models that offer direct streaming of phone calls, video and music from your favorite Bluetooth devices. Learn more about the capabilities of Bluetooth-enabled hearing aids.
Expert tip:
Always have a licensed hearing professional evaluate your hearing before purchasing any hearing solution
Woman using Miracle-Ear hearing aid app

Schedule a free hearing evaluation

Discover which hearing aid style best suits your unique hearing needs. Book a complimentary hearing test with our hearing care experts and take the first step toward better hearing.

More from the blog

Discover a world of sounds.
View all

Get support and advice

Book an appointment online

Book now

Take a free online hearing test

Start test

Find a hearing aid center near you

Search now