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Insurance
We understand that dealing with insurance can be tough, but our team is ready assist you. We collaborate with multiple insurance providers to ensure ABA therapy is both affordable and accessible.
Anthem Blue Cross Blue ShieldCoverage for ABA Therapy
Overview
Anthem Blue Cross Blue Shield provides coverage for Applied Behavior Analysis (ABA) therapy, which is often utilized for individuals with autism spectrum disorder (ASD). Coverage details may vary by state and specific plan, so it is essential to review your policy for exact benefits.
Eligibility Criteria
Diagnosis of autism spectrum disorder (ASD).
Therapy must be prescribed by a licensed healthcare provider.
Services must be provided by a qualified ABA therapist.
Covered Services
Assessment and evaluation services.
Direct ABA therapy sessions.
Parent training and support.
Behavioral intervention plans.
Limitations and Exclusions
Coverage may be subject to annual limits or caps on the number of therapy hours.
Services not deemed medically necessary may not be covered.
Some plans may not cover certain types of ABA services.
How to Access Services
Contact your primary care physician for a referral to an ABA therapist.
Verify the therapist’s network status with Anthem Blue Cross Blue Shield.
Submit any required documentation for pre-authorization if necessary.
Additional Resources
Visit the Anthem Blue Cross Blue Shield website for specific plan details.
Contact customer service for assistance with claims and coverage questions.
Explore local support groups and resources for families affected by autism.