Many people want to use grammarly. I found that the premium plan is usable with a screen reader such as nvda. I could correct grammar and improve readability. I also could check plagiarism. The editor shows an explanation for the suggestion. You need to find when nvda announces clickable. Once you find it press enter. The suggestion will be inserted. If you want to improve readability, it shows some buttons such as transition word, rewrite sentence and so on. You can click it to add transition word and rewrite the sentence again.