Frequently asked questions.

Two women having a conversation in an office setting near a large window, with one woman speaking and the other listening.

Services & Fees 

At Wicked Clear Speech Therapy, we believe everyone deserves access to communication. We’re transparent about our pricing so you always know what to expect — no surprise fees, no confusing insurance jargon.

All sessions are 50 minutes, focused entirely on you or your loved one’s communication goals.

  • For all ongoing therapy and coaching, to include:

    • Speech and language therapy (children & adults)

    • Stuttering therapy

    • Gender-affirming voice training

    • Cognitive-communication support (for dementia, brain injury, stroke, etc.)

    • Caregiver or communication-partner coaching

  • All evaluations include testing, analysis, a written report, and recommendations for therapy or home support. AAC evaluations also include loaner/trial device support, 3× 25-minute supported check-in sessions, and comprehensive insurance funding report submission. If self-funding a device and the speech-generating app, evaluation pricing will be adjusted.

    • Speech sound or language evaluation (2.5 hours) — $250

    • Stuttering evaluation (3 hours) — $300

    • Gender-affirming voice evaluation (2 hours) — $200

    • Cognitive-communication evaluation (3 hours) — $300

    • Comprehensive AAC evaluation (5 hours) — $500

  • We understand that cost can be a real barrier to getting help. To make therapy more accessible, a limited number of sliding-scale spots are available each month.

    Sliding-scale rates depend on individual circumstances. This helps balance affordability for clients with sustainability for the practice — ensuring everyone receives consistent, high-quality care.

    To request a sliding-scale rate, please fill out the short form below. The form simply helps create a transparent record and ensures fairness for all clients.

    All clients receive the same level of care, time, and attention regardless of rate

Sliding Scale Financial Need Form

 FAQs

~

 FAQs ~

About Wicked Clear Speech Therapy

  • We work with children, adults, and families to build stronger, clearer, and more confident communication skills — at every stage of life.

    Our specialties include:
    • AAC (Augmentative and Alternative Communication) — empowering people of all ages to express themselves when speech alone isn’t enough, including those with autism, aphasia, dementia, or brain injury
    • Speech sound and language development — supporting children and adults in speaking clearly and understanding language with confidence
    • Stuttering and fluency — helping reduce struggle and build ease and self-assurance in communication
    • Social communication — for children and adults with or without an autism diagnosis, focused on conversation, perspective-taking, and connection
    • Gender-affirming voice training — exploring and shaping a voice that feels authentic, comfortable, and true to you
    • Cognitive-communication therapy — for individuals navigating dementia, brain injury, or stroke recovery, to support memory, problem-solving, and daily communication

    All therapy is personalized, evidence-based, and affirming — helping every client strengthen their voice, confidence, and connection.

  • Yes! We provide secure, HIPAA-compliant teletherapy for clients across Massachusetts.
    Online speech therapy works well for many of our services and is a great option for busy families or professionals.

  • We’ll decide this together based on your goals and needs — typically once or twice per week. We’ll also discuss your comfort level, progress, and scheduling flexibility at our free consultation.

  • Every client’s journey is different. Some see significant progress in a few months; others benefit from longer-term support.

    We’ll set clear, measurable goals together and review progress regularly.

  • Yes! With your permission, we can collaborate with teachers, caregivers, and healthcare professionals to support communication across settings — especially for clients using AAC or enrolled in school-based programs.

  • We understand that life happens! We ask for at least 24 hours’ notice for cancellations or reschedules.

    Sessions canceled with less than 24 hours’ notice may be billed at the full rate, except in emergencies.

Payment, Insurance, & Superbills

  • YES!

    Wicked Clear is happy to share that we are partnering with Coral Care to accept insurance. While their platform is often associated with pediatric services, We are able to use it to work with adults as well.

    Click the button above to be redirected to Coral Care to get started with insurance!

    Currently accepting the following insurances:

    • Harvard Pilgrim Healthcare

    • Cigna MA

    • Mass General Brigham Health Plan

    • Curative Health Plan

    • Tufts Health Plan

    • Blue Cross Blue Shield of Massachusetts

    Wicked Clear Speech Therapy also accepts HSA/FSA cards and provides Superbills you can submit to your insurance for potential out-of-network reimbursement (depending on your plan).

  • Private pay gives you more freedom, privacy, and flexibility in your care.

    • You set the goals — not an insurance reviewer.

    • You choose the schedule — no waitlists or session caps.

    • You maintain privacy — your records stay between you and your clinician.

    • You receive flexible care — sessions can adapt as your needs change (speech, language, voice, cognitive skills, caregiver coaching, and more).

    • You always know the cost up front — no hidden fees or denied claims later.

    This model allows us to provide the kind of personalized, evidence-based, and affirming therapy that leads to real, lasting progress — without the red tape.

  • A superbill is a detailed receipt that includes everything your insurance company needs to process out-of-network reimbursement.
    You pay Wicked Clear Speech Therapy directly, and we provide a superbill that lists:

    • Service dates

    • CPT (procedure) and ICD-10 (diagnosis) codes

    • The fee charged and amount paid

      You then submit this document through your insurance member portal. Many clients receive 50–80% reimbursement, depending on their plan.

  • It’s usually a simple process:

    1. Log in to your insurance portal and find “Submit a claim” or “Out-of-network reimbursement.”

    2. Upload your superbill (we’ll provide one monthly or upon request).

    3. The insurance company reimburses you directly by check or direct deposit.

    We encourage you to call your insurer first and ask:

    • “Do I have out-of-network benefits for speech therapy (CPT 92507)?”

    • “What percentage of each session will be reimbursed?”

    • “Where can I submit superbills?”

  • Yes! You can call your insurance company and ask for your out-of-network reimbursement rate for speech therapy. Many of our clients receive 50–80% reimbursement depending on their plan and deductible.

  • Yes! We gladly accept Health Savings Account (HSA) and Flexible Spending Account (FSA) cards.
    Speech therapy is a qualified medical expense under IRS rules — even for private pay clients.

    You can use your HSA/FSA card to pay for sessions just like a regular debit or credit card. You’ll receive a detailed receipt or superbill for your records or plan administrator.

  • Clients pay at the time of service by credit card, HSA/FSA card, or bank transfer. You’ll receive a paid receipt and (if you wish) a superbill to submit to your insurance.

  • Yes! We offer a 10-session package at a discounted rate (about 10% off) for clients who prefer to pay in advance.
    Prepaid sessions can be used over six months and are ideal for consistent therapy schedules.

Proudly Serving Boston and Beyond

At Wicked Clear Speech Therapy, we serve clients across Boston and the Greater Boston region — in person, online, and in-home. Our goal is to make communication care flexible, accessible, and tailored to your needs wherever you are.

🏙️ Boston Neighborhoods

We work with individuals and families throughout Boston, including Dorchester, Jamaica Plain, South Boston (Southie), Back Bay, and Charlestown, as well as surrounding neighborhoods like Roxbury, Allston–Brighton, East Boston, and the South End.

🌉 Greater Boston

We provide therapy across Cambridge, Somerville, Brookline, Medford, Arlington, Belmont, Watertown, Malden, and Milton — and other nearby communities. Whether you’re in the heart of the city or just outside it, we can meet you where you are.

🌊 South Shore

Serving families and adults along the South Shore, including Quincy, Braintree, Weymouth, Hingham, and Cohasset, with flexible options for in-home and online sessions.

🌅 North Shore

We’re proud to support clients on the North Shore, in and around Salem, Beverly, Peabody, and Marblehead, as well as surrounding coastal communities.

🌿 Metrowest

Our services also reach the Metrowest region — including Newton, Waltham, Wellesley, Natick, and Framingham — making it easy to connect with care close to home.