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Medicare Coverage of Speech Generating Devices (SGD)Medicare will cover the cost of a SGD if you have Medicare Part B services.
1. You must live in your family home or an assisted living facility
2. Medicare will not cover the cost of a SGD if you are in a hospital, skilled nursing facility, or on hospice.
*Medicare will cover 80% of the allowable cost of the device. Secondary insurance should pay the remaining 20% but that is not always the case. If you do not have secondary insurance, you will be responsible for the 20% co-pay. There are funds available from charitable organizations that may help pay for any deductible or co-pay that insurance does not cover.
*Medicare classifies SGD’s as “durable medical equipment” (DME) and will cover the device under this classification.
*An assessment by a speech-language pathologist is required to document that this device is needed to meet your daily functional communication needs. 80% of the cost of the assessment is covered by Medicare. The remaining charge can be billed to secondary insurance (if applicable) or will be billed to the client.
*A doctors prescription is required.
*Once the assessment has been completed, appropriate paperwork will be submitted to the vendor of the device. This process usually takes approximately one to two months.
*If the vendor feels all the paperwork is in order, they will ship the device directly to you.
Training on your device can be provided by:
> Vendor—many vendors offer training sessions at no cost.
> Facility—the facility where you received your device can provide training. The cost of the training session is covered by Medicare.
> Chapter—the ALS Association may have resources available for training.
We just bought some medical equipment last week for my grandfather. It is very important to him since, he easily get sick. The good thing that I like about this home medical equipment is, they are easy to use.