AAC Speech Therapy FAQ - Seattle and Online

If your child is minimally speaking, non-speaking, has unclear speech, or struggles to communicate everything they want to express, AAC may be a good fit. AAC can help kids with autism, Gestalt Language Processing, Down syndrome, Cerebral Palsy, and other complex communication needs.

You don't need to know for sure before reaching out. A free 20-minute call is a great starting point to talk through what your child is navigating.

No. I help families get a device, learn how to use one they already have, or make the most of a school-provided device.

AAC is a long-term communication tool, not a quick fix. Some kids show small wins within a few weeks (like exploring the device or using a single word), while bigger milestones (combining words, expressing needs independently) typically take longer.

Progress depends on consistency, the people around the AAC user knowing how to model the device, and a strong therapy plan. That's why caregiver coaching is so important.

In-person: Seattle and surrounding areas (additional travel may apply). Sessions are in your home, or we can meet in the community (e.g., a park). Caregivers are expected to be present for in-home or community sessions.

Online: Virtual sessions anywhere in Washington state.

Speech Therapy: 45 to 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.

Therapy is for the child or young adult. Coaching is for the adults and siblings supporting them. Many families do both, because real progress happens when everyone around the AAC user knows how to use the device.

Absolutely, families can do both. This might look like pairing weekly therapy with monthly coaching for the parents, or rotating coaching as new questions come up. We'll figure out what works for your family during your free intro call.

Generally:

• If your child needs direct support building communication skills, start with therapy.
• If your child has a device but you want to build your own skills, start with coaching.
• If you want a workshop for a school staff, clinic, or parent group, that's an AAC training (visit the Services page for details).

Still not sure? Book a free 20-minute call and we'll figure it out together.

Transparent pricing, no hidden fees. Here's exactly what every service costs.

*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-minute intro call.

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.

Before we start, I provide a Good Faith Estimate so there are no surprises. For therapy and evaluation services, I can also provide a Superbill you can submit to your insurance for potential reimbursement. Say Their Way does not file claims or contact insurance on your behalf.

Insurance reimbursement can be confusing. It's often helpful to call your insurance before starting therapy with an out-of-network provider.

Useful questions to ask your insurance:

• Am I eligible for out-of-network reimbursement for speech therapy?
• What happens if I work with a private pay speech therapist who provides 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 or virtual sessions?
• Do they require a specific diagnosis code or documentation from the provider?