Commercial insurance only orders must be COMPLETE and received by PRC-Saltillo on or before November 5, 2021. This deadline does not guarantee processing and shipment of the AAC device before December 31. Click here to learn more.
PRC-Saltillo's Trial Device Program is the ideal solution for those looking to trial a device before purchase. The program provides FREE trial equipment for four (4) weeks, with an option to extend if purchase paperwork is submitted within the time frame allowed.
Borrow a Device…Keep the Device
Like the device? The trial program can be extended for four (4) additional weeks if funding is pursued.
All necessary paperwork must be submitted via secured fax or the AACFunding.com document uploader to PRC-Saltillo’s Funding Department within the four-week extension period.
The trial period will be extended again, once all funding paperwork has been received.* If trial device is not returned, late fees may apply.
It may be necessary for funding to ask for a copy of your insurance cards if there is an insurance benefit concern. We want to ensure you have the necessary coverage before you start the process. Scanning and uploading your cards will insure you get your trial device as soon as possible.
If you can scan and upload a copy of your cards now, click the button below. The link will also be provided in your email receipt once you submit your trial order. You can upload a copy of your cards at that time via the link.
If not providing insurance information, credit card information will be required
Please note: If you are using a credit card to get a trial device, you will not have the option to keep the device during the funding process for this trial or any future trial.
United Healthcare (UHC) requires an authorization and additional paperwork for a 90-day trial
In order to receive a trial device, this online application must be completed in full.
The trial period of the loaned equipment is four weeks with no option for extension for current or future trial device.
If trialed equipment is not returned in accordance with this agreement, the client/parent/caregiver (responsible party) will be liable for late fees. A late fee of $125.00 per week will be charged if all trial equipment is not received by PRC-Saltillo at the agreed upon return date. A minimum charge of $125.00 will be assessed to all late returns. Damage, loss, or theft of the trial
Optional accessories may be available and must be requested separately. Damage, loss, or theft of a trial device is the responsibility of the person who signs this agreement or of the entity represented by signature on this agreement.
Please confirm your choices, then click submit down below.
Before clicking “Submit,” please review your information to ensure it is correct.
Upon receipt of your request, a confirmation will be sent to the email provided. Please be sure to look it over carefully to confirm all information is correct.
Your request will be reviewed and you will be contacted by PRC-Saltillo within 3-5 business days.
We look forward to working with you!