BTE vs. RIC Hearing Aids: What’s the Difference?

When it comes to hearing solutions, the options are plenty. 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 styles may look similar on the outside, there are several key differences worth understanding. Let’s dive deeper into their defining features and benefits.


First things first: The 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 ear mold 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:
Direct streaming from your smartphone
Tinnitus treatment/relief
Fully rechargeable (no batteries to replace)
Remote adjustment of volume/programs via a mobile app

BTE vs. RIC: Three key differences

1. Speaker location

One of the most important differences between RIC and BTE 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.

2. Size

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.

3. Amplification

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 aa considerable range, but those with severe hearing loss will still need a bigger boost from a BTE style.