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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.
CareFirst BCBS Coverage for ABA Therapy
Applied Behavior Analysis (ABA) therapy is a widely recognized treatment for individuals with autism spectrum disorder (ASD). CareFirst Blue Cross Blue Shield (BCBS) provides coverage for ABA therapy under certain conditions. Below are key points regarding this coverage:
Eligibility Criteria
Diagnosis of Autism Spectrum Disorder (ASD) is typically required.
Coverage may extend to children and adults, depending on the specific policy.
A referral from a qualified healthcare provider may be necessary.
Types of Covered Services
Individual therapy sessions with a certified ABA therapist.
Group therapy sessions, when appropriate.
Assessment and evaluation services to determine the need for ABA therapy.
Limitations and Exclusions
Coverage may be subject to annual limits or caps on the number of sessions.
Services must be deemed medically necessary and documented as such.
Not all plans may cover ABA therapy; it's essential to review your specific policy.
How to Access Services
Contact CareFirst BCBS customer service for specific plan details.
Obtain a referral from your primary care physician or a specialist.
Find an in-network ABA provider to maximize benefits and reduce out-of-pocket costs.