They are used but, they are in excellent condition work as good as new. It is ready to program fit your hearing lost. This picture is the actual haring aids and actual color.The item will come with. 1-Signia Pure Charge&Go 7NX Ric Hearing aid. Important to use this product. It need to requires programming to your hearing loss needs priority to use. You will need to have your audiologist reprogram to fit Your hearing loss. You must provide to me either a signed statement from a physician or a signed waiver before I will deliver this item to you. This item is in the category "Health & Beauty\Medical & Mobility\Daily Living Aids\Hearing Assistance\Hearing Aids". The seller is "soundxcity" and is located in this country: US. This item can be shipped to United States.