Speech > Coverage

Where to get speech services in BC

Age Location and cost Who can refer

Preschool (birth to kindergarten entry)
  • public health services are free and can be accessed at your local health unit or child development centre
  • a family may choose private services if the service is not available, there’s a waitlist, or to receive additional service
  • anyone can refer a child with the parent or guardian’s permission (e.g., parent, nurse, doctor)
  • contact your local health unit or child development centre

School
  • school services are provided by the school district’s speech-language pathologist(s)
  • services are free in the public system and may be provided by private schools
  • a family may choose private services if the service is not available, there’s a waitlist, or to receive additional service
  • often teachers make the referrals, but parents can contact the SLP through the teacher or by contacting the school district office

Adults (19+)
  • adult services are generally provided free at local hospitals and health units
  • people may choose private services if the service is not available, there’s a waitlist, or to receive additional service
  • many hospital-based SLPs require a doctor’s referral but you may be able to refer yourself or your loved one

In BC, there are also a number of specialized programs, such as specialized early intervention programs for children diagnosed with a hearing loss and augmentative communication programs.

Private services

If a speech-language service is not covered through the school system, health centres, hospitals or treatment centres -- or if there is a waiting list or extra services are needed - then private services are an option.

BC’s basic Medical Services Plan does not cover the cost of private speech, language, or swallowing services. Fees for assessment, treatment, and consultation vary among private practitioners. Practitioners usually charge fees for related services such as report writing, attending team meetings, and traveling.

You may be eligible for service coverage through:

  • Extended Health Benefits
  • Employer Medical Plans
  • Health & Welfare Organizations
  • Community Service Groups
  • Provincial or Federal Government Ministries
  • Corporations

It is up to you to determine if you have coverage.