Wish I could help you further, but I live in New Zealand so do not know how the health system and insurance works in the US.
There is also an International Association of Laryngectomees - IAL. If you google them they should come up. I think that you are able to contact them and they will provide assistance.
Using the HME filter is a very good idea for both filtering the air you breathe and helping to moisturise..
Really hope your quality of life will improve - I'm sure of it.
Tammy