Hearing aid providers are faced with the challenge of recommending the most appropriate technology level for each patient. Premium technology is more costly but is claimed to yield better hearing outcomes than basic technology, despite the lack of independent evidence to support these claims. This research explored differences in effectiveness for premium and basic technology hearing aids used by older adults in blinded field trials. Outcome measures captured the reported benefits or deficits yielded by each type of hearing aid in the individual’s everyday life situations. All tested devices were helpful. However, premium and basic technology devices were equally effective.