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All Signia Nx hearing aids can stream music and phone calls directly from iPhones so why would you need this accessory? If you want true hands-free phone calls you need this mic, otherwise you’ll need to use the mic in your iPhone so your callers can hear you. It is definitely not a must (in fact most people get by fine with out this), but it’s a great option if you want to leave your phone in your pocket while you talk. If you’re an Android user, this is the only way you can stream phone calls and music from your phone to the hearing aids. Currently there are no hearing aids on the market that stream directly from Android to hearing aids without a middle man device like the Signia Streamline Mic.