Does private insurance provide reimbursement for communication services, including AAC devices and services?
That depends entirely on the scope-of-coverage provisions within an individual’s policy. If speech and language services are a covered benefit, then AAC services-and potentially AAC devices-could be construed as a form of speech/language services. If the policy has specific exclusion of speech/language services or durable medical equipment (DME), the insurer may not be obligated to cover AAC devices and/or services. Even when the scope of coverage includes speech and language services and/or DME, the insurer will only provide reimbursement when the services/devices are determined to be medically necessary.
Related Questions
- Are "maintenance" services eligible for coverage under insurance, special education, or other payment/reimbursement systems?
- How can communication services, including AAC devices, be documented as "educationally necessary"?
- How can communication services, including AAC devices, be documented as "medically necessary"?
