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Alternative and Augmentative Communication: Steps to Funding

Alternative and Augmentative Communication (AAC) encompasses all the ways individuals communicate besides speech. People of all ages who have difficulties with speech or language skills can benefit from AAC. "Augmentative" refers to methods that add to speech, while "alternative" refers to methods that replace speech entirely. Some individuals may use AAC throughout their lives, while others might only need it temporarily (ASHA, n.d.).

However, obtaining an AAC device or Speech Generating Device (SGD) can be challenging due to the cost and accessibility. So, where do you begin when seeking funding for an AAC device?

Talk with Your Speech-Language Pathologist (SLP)

A Speech-Language Pathologist (SLP) is your first step in finding the right AAC system or application. They can assess your needs, help identify the best device or system, and provide education on how to use it effectively. Additionally, SLPs are knowledgeable about different funding options and may guide you toward loaner device programs or funding resources available in your area.

Funding Options for AAC Devices

There are various funding options available for AAC devices, although availability and out-of-pocket costs can differ by state and insurance provider. Some of the most common funding avenues include:

  • Insurance Coverage: Many insurance plans cover AAC devices, though the process may involve paperwork, assessments, and approval.
  • Loaner Programs: Early intervention services may offer loaner AAC devices for short-term use to assess the most suitable option.
  • State-Provided Devices: Some states provide AAC devices for eligible individuals, often through programs or grants.
  • Device Company Programs: Some AAC companies offer payment plans or assistance with finding funding sources.

Types of AAC Systems

AAC systems can be categorized into low-tech, no-tech, and high-tech options, depending on the needs and abilities of the individual:

  • No-Tech and Low-Tech Options: These are simple, accessible methods that require minimal technology:
    • Gestures and facial expressions
    • Writing, drawing, or spelling out words
    • Pointing to photos, pictures, or written words
  • High-Tech Options: These involve more advanced technology, offering greater communication capabilities:
    • Apps on tablets or iPads designed for communication
    • Speech-generating devices (SGDs) that use a computer or specialized device to produce speech

If you have concerns about expressive language or are interested in acquiring a dedicated AAC device, the best first step is to speak with your speech-language pathologist. They can assist with the process of selecting the right device and guide you through the funding options available.

Reagan Barnes, M.S., CCC-SLP

Author

Reagan is a Speech-Language Pathologist at Parkwood Clinic. She earned a Master’s Degree in Speech-Language Pathology from Eastern Washington University.

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