A captioned telephone service system having the text-to-speech and answer assistance functions includes a captioner, a text-to-speech system, and an answer assistance system. The captioner provides captions to a user during a phone call between the user and a peer by receiving the peer's voice from a peer device, transcribing the peer's voice into caption data, and transferring the caption data to the user device. The text-to-speech system is configured to receive text data from the user device, convert the text data into speech, and transfer the voice of the speech to the peer device via the voice path in real time. The answer assistance system is configured to receive the caption data from the captioner, analyze the caption data to identify a question, analyze the question to generate answer suggestions, and forward the answer suggestions to the user device for review, editing, and selection.