We work with Medicare, Medicaid and many commercial insurance plans.
Insurance Funding Process
Smartbox's 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.
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.
Download forms
Welcome Packet
English
Click to download.
Welcome Packet
Spanish
Click to download.
Medicare Welcome Packet
English
Click to download.
Medicare Welcome Packet
Spanish
Click to download.
Funding Inquiry Release of Information
English
Click to download.
Funding Inquiry Release of Information
Spanish
Click to download.
Mounting Checklist
Click to download.
Notice of Privacy Practices
Click to download.
Product Pricing
For more in-depth product pricing information, please visit our pricing page.
| Grid Pad | Talk Pad | Wego | Eye Gaze |
| Grid Pad 13 from $8,495.00 | Talk Pad 10 from $7,995.00 | Wego 5 from $7,995.00 | Grid Pad 13 Vida from $16,395.00 |
| Grid Pad 16 From $8,495.00 | Talk Pad 8 From $7,995.00 | Wego 13 From $7,995.00 | Grid Pad 16 Vida from $16,395.00 |
| Grid Pad Go From $8,495.00 | Grid Pad 13 Lumin-i from $16,395.00 | ||
| Grid Pad 16 Lumin-i from $16,395.00 | |||
| Grid Pad 13 Evo from $16,395.00 | |||
| Grid Pad 16 Evo from $16,395.00 |
Grid Pad
Talk Pad
Wego
Eye gaze
We understand insurance, and we get it right.
Insurance rules change, but our success with getting devices covered is steady. We know exactly what it takes to obtain payment from sources like Medicare, Medicaid and private insurance.
We proudly boast a 98.7% clean claims rate, which means 98.7% of the time we get claims paid – the first time.
Compare this to the 71% industry average* and you'll understand why we feel our investment in research and efficiency puts us at the top of our game.
*www.ngsmedicare.com
*www.ngsmedicare.com
Smartbox gets it.
We know how frustrating it is to understand insurance enough to know what is and what isn't accurate, what qualifies and what doesn't, what actually applies to your specific case and what doesn't.
You don't have time for this! We do, and more... our company prioritizes time for staff research and continuous review of trends. Because of this, we frequently know about changes in insurance rules even before our clients do and exactly how to get the truest picture of your specific coverage. This emphasis prevents surprising and frightening denials. This emphasis isn't just good for you, but good for us: top-heavy research and expertise means less time fighting preventable denials.
You don't have time for this! We do, and more... our company prioritizes time for staff research and continuous review of trends. Because of this, we frequently know about changes in insurance rules even before our clients do and exactly how to get the truest picture of your specific coverage. This emphasis prevents surprising and frightening denials. This emphasis isn't just good for you, but good for us: top-heavy research and expertise means less time fighting preventable denials.
Important insurance 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.
Deductible
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.
"Thanks to this device and the support we've received, our child is communicating in ways we never thought possible. Our family feels more connected, confident, and joyful."
- Taneara, Mom of a Smartbox AAC User
We do things correctly — the first time — while keeping you in the know.
We know how frustrating it is to understand insurance enough to know what is and what isn't accurate, what qualifies and what doesn't, what actually applies to your specific case and what doesn't.
You don't have time for this! We do, and more... our company prioritizes time for staff research and continuous review of trends. Because of this, we frequently know about changes in insurance rules even before our clients do and exactly how to get the truest picture of your specific coverage. This emphasis prevents surprising and frightening denials. This emphasis isn't just good for you, but good for us: top-heavy research and expertise means less time fighting preventable denials.
You don't have time for this! We do, and more... our company prioritizes time for staff research and continuous review of trends. Because of this, we frequently know about changes in insurance rules even before our clients do and exactly how to get the truest picture of your specific coverage. This emphasis prevents surprising and frightening denials. This emphasis isn't just good for you, but good for us: top-heavy research and expertise means less time fighting preventable denials.
Funding FAQs
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 Smartbox 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, Smartbox can offer you a complimentary device loan to “test drive” if desired.
What happens next?
You will receive a Smartbox 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.
Smartbox can check your insurance coverage and requirements at this point through what’s called a funding inquiry.
What will I need?
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Welcome Packet paperwork signed by you.
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Copies of your insurance cards.
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A report from your SLP recommending the device.
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In some instances, insurance may require you to schedule an appointment with your doctor to discuss getting a communication device.
- Your Smartbox 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 Smartbox’s funding department so that the funding process can begin.
How does the funding process work?
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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 Smartbox, and assigned to a Smartbox funding specialist.
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Your assigned funding specialist will begin by verifying your insurance, followed by obtaining a prescription from your doctor.
- Once your funding specialist receives the prescription from you doctor, they will go through the formal process of asking your insurance company (or companies) for prior approval of the device.
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Your funding specialist waits for your insurance(s) to respond with their decision.
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Your funding specialist will be in regular contact with your insurance(s) and will answer any questions that come up.
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Your funding specialist 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 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.
- Hospital stay
- Address changes
- Rehabilitation care
- Hospice care
- Insurance changes
- Skilled nursing care