
An iPad with an AAC app costs a fraction of a dedicated speech device and does most of the same job. The main thing to plan for is volume: in loud places, add a small Bluetooth speaker.

How do the costs compare?
Dedicated AAC device
- Device: several thousand dollars; eye-gaze models can pass $10,000.
- App: included.
- Funding: often covered by insurance or public funding after an assessment.
- Repairs: through the maker, which can take weeks.
iPad with an AAC app
- Device: a few hundred dollars for a standard iPad.
- App: Speech Assistant is free to start; Premium is optional.
- Funding: sometimes funded, often paid privately.
- Repairs: any Apple Store or repair shop.
What are the benefits of an iPad?
- Cost. Losing or breaking it is a setback, not a disaster.
- Familiar. It looks like everyone else's tablet, not a medical device.
- More than AAC. Messages, photos, video calls and school work on the same device.
- Built-in accessibility. Personal Voice, Live Speech, Switch Control and Eye Tracking come with iPadOS.
- Updates. Apps and iPadOS improve for free.
- Try before you commit. Download an app and test AAC today, before any assessment or funding decision.
Will people hear me?
This is the most common worry, and it's fair.
- Bigger is louder. A full-size iPad usually sounds clearer than an iPad mini. Test before you buy if you can.
- Turn the volume up in Control Center; AAC speech uses the media volume.
- Add a Bluetooth speaker for cafés, classrooms and busy streets. A clip-on or pocket speaker works well, and speech from Speech Assistant's boards and keyboard plays through it once it's connected.
- Use Show in Speech Assistant to put your message full screen as well, so people can read it if they can't hear it.
When is a dedicated device still worth it?
- Eye-gaze or switch access that needs specialist hardware and mounting.
- Heavy-duty use, with drops and spills every day.
- When your funder will only pay for a dedicated device, and you can't pay privately.
A speech-language therapist can assess which fits best. See also AAC app or dedicated speech device?.
Speech Assistant on iPad
- Free to start: picture boards, keyboard with word prediction, head tracking and Draw.
- Made for iPad: tiles, text and keyboard grow with the screen.
- Same boards on iPhone and Apple Watch when you sign in, so a phone works as a backup.
Speech Assistant is a communication tool, not a medical device.
Questions people ask
How much does a dedicated AAC device cost?
Often several thousand dollars. Models with eye-gaze control can cost over $10,000. Insurance or public funding often covers them after an assessment.
Is an iPad loud enough for AAC?
In a quiet room, usually yes. Larger iPads are louder than the mini. For noisy places, pair a small Bluetooth speaker; the app's speech plays through it.
Can an iPad be funded like an AAC device?
Sometimes. Rules differ by country, insurer and programme. Ask your speech-language therapist what your funder accepts.