The over-the-counter (OTC) hearing aid market continues to grow in 2025, offering consumers more affordable and accessible hearing solutions than ever before. Among the most well-known budget brands is Nano Hearing Aids, with prices ranging from $297 to $597 per pair.

But are Nano’s hearing aids truly worth it? Despite their popularity, Nano has faced lawsuits, mixed customer reviews, and performance issues. This in-depth review by CHOSGO Hearing examines the truth behind Nano’s claims and whether you should consider an alternative.

1. Overview: What Is Nano Hearing Aids?

Nano Hearing Aids markets itself as an affordable OTC brand providing hearing assistance for people with mild to moderate hearing loss.

While their low prices attract attention, Nano’s reputation has been shaped by customer complaints, sound quality limitations, and a 2023 lawsuit filed by the Vermont Attorney General for misleading advertising. The case was resolved in February 2025, with Nano claiming to have improved under new management since 2021.

2. Pricing and Product Options

Nano offers several OTC models ranging from $297 to $597 per pair, featuring rechargeable designs and compact styles.

Current Product Line

  • First Ear Plus CIC – Rechargeable completely-in-canal design with up to 60 hours of use
  • First Ear Pro CIC – Compact version with slightly stronger amplification
  • Audacity RIC – Behind-the-ear Bluetooth-enabled model with app control
  • Sigma Model – Higher-end option with more advanced technology

Nano’s new CIC lineup (2024) is smaller and more discreet, designed for users with mild to moderate hearing loss. However, independent reviewers note that sound processing remains basic compared to leading OTC competitors like CHOSGO SmartR or MDHearing VOLT.

3. Customer Reviews and Satisfaction

Nano holds a 3.6-star rating on Trustpilot from over 3,700 reviews, reflecting a divided user base.

👍 Positive Reviews Highlight:

  • Affordable pricing versus prescription models
  • Comfortable fit for daily wear
  • Improved ability to hear conversations and TV
  • Easy ordering and fast delivery

👎 Negative Reviews Report:

  • Difficulty reaching customer service
  • Complex return and refund process
  • Whistling or feedback sounds during use
  • Weak noise control and limited customization
  • Durability issues after several months

Nano’s website shows mostly 5-star feedback, but third-party reviews remain mixed—many users report that the hearing aids amplify all sounds equally, without distinguishing voices from background noise.

4. Legal Issues and Company Reform

In January 2023, Nano Hearing Aids faced a lawsuit from the Vermont Attorney General for misleading consumers by advertising non-medical PSAP devices as FDA-approved hearing aids.

Key allegations included:

  • False claims of FDA approval
  • Misrepresentation as “American-made”
  • Misleading online hearing test results
  • Difficult return policies
  • Sales to underage consumers

By February 2025, Nano settled the case and stated that these issues stemmed from prior ownership. Under new management since 2021, the company claims to have improved its practices, though consumer confidence remains low.

5. Sound Quality and Performance

Independent lab testing and audiologist feedback reveal inconsistent sound quality across Nano’s models:

  • CIC models often sound “boomy” with limited noise reduction.
  • Feedback occurs during insertion, requiring quick placement.
  • Speech clarity is poor in noisy environments.

The behind-the-ear Audacity RIC model performs better overall, but still lacks advanced adaptive sound processing found in AI-enhanced models from CHOSGO or Sony.

6. Customer Service Experience

Customer service remains one of Nano’s weakest points.

Reported Issues:

  • Long delays for returns and refunds
  • Difficulty contacting live support
  • Limited assistance for product setup

Recent Improvements:

  • 24/7 customer support available under the Elite Protection Plan
  • Faster warranty replacements
  • New refund and exchange policy

While there are signs of progress, most users agree that Nano’s service still lags behind competitors.

7. Pros and Cons Summary

✅ Pros

  • Affordable and accessible OTC pricing
  • Rechargeable options available
  • Discreet CIC design
  • 45-day trial period
  • FDA registration for OTC compliance

❌ Cons

  • Basic amplification and limited customization
  • Poor noise filtering in real-world environments
  • History of legal controversies
  • Customer service complaints
  • Durability issues and short lifespan

8. Best Alternatives to Nano Hearing Aids

If you’re seeking better sound clarity, comfort, and reliability, several trusted brands offer superior technology:

Brand

Highlight

CHOSGO SmartR

AI-powered sound optimization, invisible design, all-day comfort

MDHearing VOLT

Proven reliability and strong customer service

Jabra Enhance Plus

Best sound clarity with app control and Bluetooth

Audicus

Premium experience with personalization options

Sony CRE-C10

Crisp sound and comfortable open-fit design

💡 CHOSGO SmartR stands out for its AI noise reduction, self-fitting app control, and ultra-small form factor, making it one of the most advanced OTC hearing aids of 2025.

9. Expert Opinions

Audiologists and consumer experts consistently advise caution when choosing Nano Hearing Aids.

“Nano made hearing aids affordable, but not advanced enough for consistent performance.”
— Dr. Helen Morris, Audiology Research Consultant (2025)

Experts recommend brands with proven sound calibration, adaptive noise reduction, and responsive customer service, such as CHOSGO or MDHearing.

10. Final Verdict

Nano Hearing Aids provide an entry-level option for those on a tight budget, but their sound quality, reliability, and service remain below industry standards.
Although recent management changes show improvement, Nano still trails behind modern AI-powered OTC solutions.

Recommended For:

  • Budget-conscious buyers with mild hearing loss
  • Temporary or backup hearing use

Not Ideal For:

  • Users needing adaptive noise management
  • Those prioritizing comfort, clarity, or long-term reliability

For a smarter investment in 2025, CHOSGO SmartR Hearing Aids deliver AI-driven clarity, comfort, and dependable support — everything Nano aims for, but doesn’t quite achieve.

About CHOSGO Hearing

CHOSGO is a global leader in AI-powered OTC hearing technology, focused on delivering clear, comfortable, and affordable hearing solutions.
By combining intelligent sound processing with modern design, CHOSGO helps users reconnect with life’s conversations and sounds with confidence.

🔗 Learn more at chosgohearing.com