Does Anthem Cover ABA Therapy?

Aetna's Coverage For ABA Therapy

If you're a parent with a child who has autism, you're likely familiar with Applied Behavioral Analysis (ABA) therapy.

ABA therapy without insurance coverage can be expensive, and not all insurance plans cover it. If you're an Anthem insurance customer, you may be wondering if your plan covers ABA therapy. The answer is yes, but there are some important things to keep in mind.

Anthem covers ABA therapy, but the specifics of coverage vary depending on the plan you have. Some plans may cover ABA therapy up to a certain dollar amount or number of visits per year. Other plans may require pre-authorization for ABA therapy or may only cover ABA therapy if it's deemed medically necessary.

Not all ABA therapy providers may be in-network with Anthem. If you choose an out-of-network provider, you may be responsible for paying a higher percentage of the cost of ABA therapy.

If you're considering ABA therapy for your child, it's important to contact Anthem and ask about the specifics of your coverage. You can also reach out to ABA therapy providers in your area to see if they're in-network with Anthem.

Another important thing to keep in mind is that ABA therapy is not a one-size-fits-all treatment. Your child's ABA therapy should be tailored to their specific needs and goals. This may mean working with a provider who specializes in ABA therapy for children with autism.

Summary

In conclusion, if you're an Anthem insurance customer, your plan likely covers ABA therapy. However, it's important to contact Anthem to understand the specifics of your coverage and to work with an ABA therapy provider who can tailor their treatment to your child's needs.

ABA therapy can be a life-changing treatment for children with autism, and with the right coverage and provider, it can be an affordable and effective therapy option.