/ ALS / CP
talking keyboards aid aphasia, providing speech synthesis, voice and augmentative
Funding resources for
We believe the TextSpeak is the most affordable
Generating Device available today. In
fact, in many cases we provide pricing reduced by
800%-1000%....or more than $5000, over competitive solutions.
do I purchase?
have developed the TextSpeak series of products with the
expectation that they will be purchased directly from our
customers... so we have maintained the most affordable
prices possible. Payment is normally arranged from Purchase
Orders, pre-payment, check or credit-card. We offer a
30 day return policy period for you to evaluate and be sure
you are sure we offer you the best solution.
TextSpeak Keyboards are considered a "Speech
Generating Device" (SGD) and can qualify for medical insurance coverage,
both private and Medicare under
described below. Many insurance companies, and
provide 80% to 100% coverage and can reimburse you for
payments made to own a TextSpeak product. If you have
private insurance, please contact your insurance provider.
They will offer guidelines to help you understand how they
can reimburse you for costs you have paid.
insurance coverage for SGD requires a doctors
In addition, most
insurance companies will ask for the "HCPCS"
qualifying medical device code when filing your claim.
type of Medical Device is a TextSpeak TS-04 Keyboard?
Series is a "Speech Generating
category of device is identified as:
/ CPT Code E-2508
E2508 - SPEECH
GENERATING DEVICE, SYNTHESIZED SPEECH, REQUIRING MESSAGE
FORMULATION BY SPELLING AND ACCESS BY PHYSICAL CONTACT WITH
on Medicare more
Medicare is the nation’s largest health insurance
program, giving coverage to people aged 65 years or
older, disabled people receiving Social Security
Disability Insurance (SSDI), and people with End-Stage
Renal Disease (permanent kidney failure treated with
dialysis or a transplant).
Medicare refers to AAC devices as “Speech
Generating Devices”, or SGDs. Medicare classifies SGDs
as “durable medical equipment”, and they are
available to Medicare beneficiaries when the following
four (4) criteria are met:
1) The beneficiary is enrolled in Medicare Part B
2) The beneficiary lives in his/her family home, or
an assisted living facility (but not in a hospital,
skilled nursing facility, or hospice)
3) The beneficiary is determined, following an
assessment by a speech-language pathologist, to
require an SGD to meet daily functional communication
A speech generating device (E2500, E2508 - E2511,
E2502 - E2506) is covered when all of the following
criteria (1-7) are met:
4) The beneficiary's physician prescribes the SGD
- Prior to the delivery of the SGD, the patient has
had a formal evaluation of their cognitive and
communication abilities by a speech-language
pathologist (SLP). The formal, written evaluation must
include, at a minimum, the following elements:
- Current communication impairment, including the
type, severity, language skills, cognitive
ability, and anticipated course of the impairment;
- An assessment of whether the individual's daily
communication needs could be met using other
natural modes of communication;
- A description of the functional communication
goals expected to be achieved and treatment
- Rationale for selection of a specific device and
- Demonstration that the patient possesses a
treatment plan that includes a training schedule
for the selected device;
- The cognitive and physical abilities to
effectively use the selected device and any
accessories to communicate;
- For a subsequent upgrade to a previously issued
SGD, information regarding the functional benefit
to the patient of the upgrade compared to the
initially provided SGD; and,
- The patient's medical condition is one resulting in
a severe expressive speech impairment; and,
- The patient's speaking needs cannot be met using
natural communication methods; and,
- Other forms of treatment have been considered and
ruled out; and,
- The patient's speech impairment will benefit from
the device ordered; and,
- A copy of the SLP's written evaluation and
recommendation have been forwarded to the patient's
treating physician prior to ordering the device; and,
- The SLP performing the patient evaluation may not be
an employee of or have a financial relationship with
the supplier of the SGD.
If one or more of the SGD coverage criteria 1-7 is not
met, the SGD will be denied as not medically necessary.
Codes E2500, E2508 - E2511, and E2502 - E2506 perform the
same essential function - speech generation. Therefore,
claims for more than one SGD will be denied as not
View the Medicare
RMRP and NCD web site for more details.
Medicare requires that a speech-language
pathologist (SLP) conduct, write, and sign the
recommendations for specific AAC equipment and forward
it to your physician for the agreement of medical
There is a particular way SLPs should conduct the
evaluation. Medicare created a SGD
Assessment Protocol as a guide so that speech
language pathologists will conduct complete assessments
and prepare written reports that address all of the
points identified in the RMRP.
Medicare utilizes one of four (4) Durable
Medical Equipment Regional Carrier (DMERC) to
process their claims.
health insurance providers now cover 80% of the cost of this
your insurance provider and ask if they cover...
"Speech Generating Devices (HCPCS Code E2510KX)"