Assistive Technology Directory

Choosing, Funding and Getting the Most From Assistive Technology

Finding the right device is rarely a matter of picking the most advanced option. The best assistive technology fits a person's goals, environment and abilities, and it often changes over time. Before comparing products, it helps to write down the specific tasks that feel difficult right now, such as reading mail, getting in and out of the shower, joining a video call or travelling across the city. A clear list of tasks makes conversations with clinicians, vendors and funders far more productive.

Start with an assessment

Occupational therapists, speech-language pathologists, audiologists and rehabilitation engineers can carry out formal assessments and recommend features rather than brands. Many states, including the District of Columbia, have an assistive technology program created under the federal Assistive Technology Act. These programs typically offer device demonstrations, short-term loans and guidance, so you can try equipment at home before committing to it.

Consider low-tech and built-in options

Not every solution needs to be expensive. Smartphones and computers now include screen readers, magnification, live captions, voice control and switch access as standard features. Simple items such as reachers, grab bars, large-print labels and lever door handles can make an immediate difference at very low cost.

Understand funding routes

Depending on your circumstances, costs may be covered in part by Medicare, Medicaid, private insurance, vocational rehabilitation services, the Department of Veterans Affairs or school districts under special education law. Coverage rules vary and often require documentation of medical necessity, so keep copies of assessments and prescriptions. Because eligibility can be complex, it is worth checking details directly with the agency or insurer, or asking a benefits counsellor for advice.

Plan for the long term

• Ask about training, warranty terms and who handles repairs.
• Check whether software updates or subscriptions carry ongoing costs.
• Think about how the device will work at home, at work and in transit.
• Review your needs regularly, especially after changes in health or living situation.

Access to assistive technology is also a policy issue, shaping how insurers define necessity and how quickly people receive equipment. You can read more about our work on this in our policy briefs, or explore further support in our community resources.