Some insurance plans cover a portion of the cost for AAC devices and communication aids, which can be a huge relief for families with children who rely on these tools.
A study mentioned in the article found that 60% of insurance plans cover at least some portion of the cost for AAC devices.
Many insurance companies consider AAC devices and communication aids to be medically necessary, which can make them more likely to be covered.
Insurance companies may require a doctor's note or other documentation to verify the medical necessity of an AAC device or communication aid.
Device Eligibility and Classification
AAC devices that count as Durable Medical Equipment (DME) typically use a recorded voice or a computerized voice for face-to-face communication.
These devices may employ different types of message formulation, such as text to speech, symbol-based communication, or both.
A computer or tablet needs to be "locked down" to ensure that the only function is speech generation.
Equipment that can provide functions other than speech, like sending emails or making phone calls, is often not covered.
However, it's possible to "unlock" an approved AAC device by paying a fee to connect it to the internet.
Support and Resources
Device vendors can be a great resource in helping you navigate the process of getting an AAC device covered by insurance. They often have funding specialists and online resources available to assist you.
Don't be afraid to ask for help from the vendor - they want you to succeed and will work with you to ensure your report is well-crafted. Most vendors have funding links and numbers for major companies.
To get coverage for tablet-based AAC apps, you'll need to go through a vendor that sells "bundled iPads" with locked-down devices. This ensures the device is used only for face-to-face communication, which is what insurance covers.
You'll need to call the device a "tablet-based, dynamic display communication device" in your insurance report, not an iPad. Insurance doesn't cover "consumer electronics."
Frequently Asked Questions
Is an AAC device a medical device?
Yes, an augmentative and alternative communication (AAC) device, such as an electronic tablet, is considered a medical device when used for communication purposes. It is classified as durable medical equipment (DME) and must be dedicated for a member's communication needs.
Sources
- https://www.anthem.com/dam/medpolicies/abc/active/guidelines/gl_pw_a053612.html
- https://aaccommunity.net/caac_slp/insurance-resources/
- https://groups.google.com/g/aacparents/c/bOoio2YaKug
- http://www.augcominc.com/whatsnew/ncs4.html
- https://aaccommunity.net/2022/01/aac-in-nursing-facilities-is-it-covered/
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