I think ideal for you would be vented custom molds. If that’s not feasible, then you’ll need to experiment with various domes. If power domes are too occlusive, you can experiment with cutting a slit in them to alter the fit.
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Titanium slimtips around activevent receivers.
WH
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Do you think I can benefit from ActiveVent (to my existing Lumitys) in my quest for better hearing in noisy environment?
All Phonak HA’s since the “Marvel” have had the “Receivers” in them, but they need licenses to allow them to function.
The “receivers” are licenses that are wirelessly transferred to your two hearing aid … one at a time, which enables the HA’s to use the any Roger device.
The licenses can also be transferred back to any “iN” unit and then transferred to different HA’s
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This is a example of a slim tip … you might do will with one with a very small pressure vent .
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Thanks
Super confusing lingo by phonak.
This is my interpration in relation to Roger ON:
install = connect or perhaps pair
reveiver = hearing aid
Roger ON = wireless external microphone thingy
License i still don’t understand.
This might help you 
I believe it was originally developed for the military for troop communication
https://www.google.com/search?client=firefox-b-1-d&q=what+is+phonak+roger
Your hearing loss is very much in need of power domes or custom molds. Open or vented domes just will not work right with your hearing loss.
The hearing aids are programmed to certain acoustics (domes, molds ect) for your hearing loss. Randomly changing acoustics defeats the programming to hear better.
Good luck
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I have the Jabras. I was underwhelmed when I first used them in noise. I had a couple of dinners in a noisy place, both times sitting at a fairly large table for six.
I went back to Costco and got two hearing in noise programs, the original one and a new on with the noise reduction set to maximum. I have since been back to a couple of noisy restaurants but at tables for four. The new program works very well in this setting, reducing background noise but amplifying speech near me.
I am still testing, but am quite impressed.
If you have a Costco nearby, you could ask to demo the Jabras with noise reduction to max to see if this helps you.
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I agree with @Raudrive … any change in coupling (dome or mold) requires the HA’s to be reprogrammed !
I think you also need closed , power , or molds with very small vent for your hearing loss
My loss is less than yours and I use ether closed domes or I also have acrylic mold with small vent … over time you will become accustomed to the occlusion … small sacrifice to hear better .
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Your losses are a bit beyond moderate. While a few in your situation have tried them and liked them you may wind up under-fit and unhappy you are out $500. The avg life of an activevent is a bit more than 6 months for me. 6 months on one side and a year on the other. (I think it is cerulean). So an on-going expense.
WH
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White Hat, have you tried the Jodi-vac? It might prolong the life of your Active-vents.
I just ordered one off Amazon to use with the new custom moulds. The audiologist had one and I like how it functions.
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Installing gets the code that allows you to pair with any given Roger.
You then pair as a separate step.
Receivers can be built in or plug in external. As an example, if you get an oticon aid, you may be able to use an external receiver to use a Roger. Before the built in receivers, all the aids used this to access Roger. Before the “in” versions of the Rogers came out, you’d have to buy these external (“X”) receivers as well, then use a device that removed the code and installed it into aids with integrated receivers.
Roger on is one version of the Roger line of microphones. There seem to be a half dozen. A pen shaped one, on, select, table, maybe one or two others I’m forgetting.
WH
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I’ll have to ask the VA about that. The receivers are free to me, but it is a bit of a hassle each time.
WH
I had Resound Omnia for several years and it didn’t helped me in any noisy environment at all. Recently switched to Audien Ion Pro and I’m amazed how huge the difference is. Love their noise cancelling feature, I can def hear people clearly even in busy places. I wasn’t really expecting much from an OTC brand but it really works for me.
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Judging from your questions I’d recommend seeing an audiologist to trial a Roger system. They work best when their performance is verified using REMs and your audiologist will be able to train you in how to use the device properly. Roger On has a lot of functionality but it isn’t useful unless it is set up correctly.
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I could be a bit controversial, but… what about trialing only one Sphere 90 for $1500 for the ear with the higher WRS (Word Recognition Score) in quiet?
The poorer ear would stay with Lumity, and after that test then trialing a Roger mic with a pair of existing Lumities?
Another option ia waiting for the Aug 2026 for new generation of Phonak HAs, and then buying Spheres.
In meantime, probably in autumn 2025 Or early 2026, new w hearing aids from another manufacturers could be released (I think about Oticon).
It all depends on how fast you need the new HAs.
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