Frequently Asked Questions
Currently accepting new clients!
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AAC (Augmentative and Alternative Communication) includes tools like speech-generating devices, picture boards, and apps that help children, teens, and young adults communicate more clearly and express themselves. It supports anyone whose spoken language is limited, unclear, or doesn’t meet all their needs - including non-speaking or minimally speaking individuals. AAC can be used full-time or in specific situations, and it’s never too early or too late to explore. A consultation with a qualified professional can help determine the best fit.
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In-person: Seattle and surrounding areas (additional travel may apply). Sessions are in your home or we can meet somewhere in the community (e.g., park). Caregivers are expected to be present for in-home or community sessions.
Online: Virtual sessions anywhere in WA state
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Speech Therapy: 45 - 50 minutes, usually weekly or biweekly, tailored to your child’s needs
Caregiver Coaching: 45 minutes, scheduled as needed, flexible for your family or team
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No! I help families get a device, learn how to use it, or make the most of one they already have.
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Therapy is for the child. Coaching is for the adult.
AAC-Focused Speech Therapy
Direct speech therapy for your child, including evaluation and a personalized ongoing therapy plan
Builds communication skills in real-life settings: home, school, park, library, etc.
AAC Coaching
For adults supporting a child using AAC - caregivers, family, or professionals
Does not include direct therapy
Helps you: ask questions, model AAC in routines, edit devices, train family members, learn how to use a school provided AAC, or problem-solve tricky situations
Flexible virtual sessions - schedule as many coaching calls as you need
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I’m a private pay provider. This means I am not in-network with any insurance companies. I bill you directly at the time of service. I do not bill your insurance. I can provide a Good Faith Estimate before you schedule so you know what to expect. I can also provide a Superbill (for therapy and evaluation services only) so you can try submitting for reimbursement yourself. Say Their Way does not file claims or contact insurance on your behalf.
Rates (private pay):
Speech & Language Evaluation & Report: $425 (1–2 hours; may be waived with a recent evaluation)
Therapy Session: $180 (~45–50 min, includes parent wrap-up)
In-person travel fee: $10 per session (may increase with distance)
*AAC Device Funding Evaluation: $300 first hour, $115 per additional 30 min
Parent & Caregiver Coaching: $120 per 45-min virtual session
Trainings: Contact haley@saytheirway.com for pricing
*Insurance-funded AAC device evaluations can be complex and specific to individual need. You may be able to get an AAC device through school, DDA, or choose to purchase privately. Best discussed during a free 20-min intro call.
Tip: Insurance reimbursement can be confusing. It’s often helpful to call your insurance before starting therapy with an out-of-network provider. Some useful questions to ask:
Am I eligible for out-of-network reimbursement for speech therapy?
Explain to me what happens if I work with a private pay speech therapist who will provide me with a Superbill?
How much will my plan cover, and are there any limits on visits?
Do I need pre-authorization for therapy sessions or evaluations? Will they cover teletherapy/virtual sessions?
Do they require a specific diagnosis code or documentation from the provider?