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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.

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WellCare Coverage for ABA Therapy

WellCare provides coverage for Applied Behavior Analysis (ABA) therapy, which is commonly used to treat individuals with autism spectrum disorder (ASD). Below are some key points regarding their coverage:

Eligibility

  • Coverage is typically available for children diagnosed with ASD.

  • Members may need a referral from a primary care physician.

Covered Services

  • Assessment and evaluation by a qualified provider.

  • Direct ABA therapy sessions with a licensed therapist.

  • Parent training and support services.

Limitations and Exclusions

  • Coverage limits may apply, including the number of therapy hours per week.

  • Services must be deemed medically necessary.

  • Pre-authorization may be required for certain services.

How to Access Services

  • Contact WellCare customer service for specific coverage details.

  • Locate in-network ABA therapy providers through WellCare's provider directory.

  • Submit necessary documentation for pre-authorization if required.

Frequently asked questions

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