Insurance Funding Process

Approved for funding by most Medicare, Medicaid and Private Insurance*

Talk To Me Technologies’ Speech-Generating Devices are classified as Durable Medical Equipment (DME): Equipment that provides therapeutic benefits to a patient in need because of certain medical conditions and/or illnesses.

Scroll through the slide show below to see the process of fudning through insurance.

Is a communication device right for me?

  • Your Speech-Language Pathologist (SLP) will evaluate your communication needs and help you make a decision about which device would best meet those needs.

  • A Talk To Me Technologies AAC Consultant can support you and your SLP during this process by showing you various devices and vocabulary options at one of your therapy sessions or in another setting if preferred.

  • Once you and your SLP have narrowed down the options, TTMT can offer you a complimentary device loan to “test drive” if desired.

What Happens Next?

  • You will receive a TTMT Welcome Packet containing some paperwork for you to sign to get going with a loaner device or to move to an insurance funded purchase of your own device.

  • TTMT can check your insurance coverage and requirements at this point through what’s called a Funding Inquiry.

What will be needed?

  • Welcome Packet paperwork signed by you.

  • Copies of your insurance cards.

  • A report from your SLP recommending the device.

  • In some instances, insurance may require you to schedule an appointment with your doctor to discuss getting a communication device.

  • Your TTMT AAC Consultant will help you understand what is required by your insurance plan and make sure all the required pieces are gathered to submit to TTMT’s Funding Department so that the Funding process can begin.

How does the funding process work?

  • Once all necessary paperwork and documentation is received by us, we will create a Funding file for you. That file will be routed to our Funding Department here at TTMT, and assigned to a TTMT Funding Coordinator.

  • Your assigned Funding Coordinator will begin by verifying your insurance, followed by obtaining a prescription from your doctor.

  • Once your Funding Coordinator receives the prescription from you doctor, he/she will go through the formal process of asking your insurance company (or companies) for prior approval of the device.

What then?

  • Your Funding Coordinator waits for your insurance(s) to respond with their decision.

  • Your Funding Coordinator will be in regular contact with your insurance(s) and will answer any questions that come up.

  • Your Funding Coordinator will be in contact with you when there is news to share.

  • Upon receiving a written approval from your insurance(s), our team will begin manufacturing your device and preparing it for shipment to you!

At home with your AAC Device

  • Once your device has shipped, our claims team will work with your insurance to submit the claim for payment. A claims coordinator will be assigned to your file and will reach out with any questions.

Common funding roadblocks

During the process, It's important to notify our team of any of the following changes, which will affect insurance coverage.

  1. Hospital Stay
  2. Address Changes
  3. Rehabilitation Care
  4. Hospice Care
  5. Insurance Changes
  6. Skilled Nursing Care

Important insruance terms to know.

Out-of-Network

Physicians, hospitals, or other healthcare providers who do not participate in an insurer’s provider network.

In-Network

Providers or health care facilities that are part of a health plan’s network of providers.

Deductable

The amount you pay for covered health care services before your insurance plan starts to pay. With a $2,000 deductible, for example, you pay the first $2,000 of covered services yourself. After you pay your deductible, you usually pay only a co-payment or coinsurance for covered services.

Coinsurance

The amount you pay for covered health care after you meet your deductible, until you’ve met your plan’s maximum out-of-pocket for the year. This amount is determined by your insurance carrier.

*Contact us for complete details on particular insurance coverage. Talk To Me Technologies complies with applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.