ABA therapy insurance coverage, explained before you start.

Insurance for ABA can feel opaque. We verify eligibility, tell you what we know and what we don't yet know about your plan, and walk you through authorization rather than leaving it to you.

Apply for services →See the full process

In-network carriers

The carriers we're in network with.

Coverage and cost sharing depend on your specific plan, so we verify eligibility before anything begins.

Aetna
Blue Cross Blue Shield
United Healthcare

Don't see your plan? Reach out — we'll let you know what's possible and what isn't.

How authorization works

The process is the same across carriers.

1
Verify eligibility and cost sharing
2
Request assessment authorization
3
Complete the assessment and submit treatment plan
4
Receive treatment authorization
5
Staff the case and begin care

In-network insurance

Aetna
Blue Cross Blue Shield
United Healthcare

Most families are authorized and matched within a couple of weeks.

Documentation

What insurers typically ask for.

Requirements vary by carrier and plan. This is what usually comes up, not a guarantee of what yours will need.

A diagnosis from a qualified evaluator
In most cases insurers require a documented ASD diagnosis before authorizing ABA. Typically that comes from a developmental pediatrician, child psychologist, child psychiatrist, or pediatric neurologist.
A prescription or referral
Some plans ask for a physician referral for ABA services before an assessment can be authorized.
An assessment and treatment plan
Your BCBA completes the assessment and submits the treatment plan with recommended goals and hours for review.
Periodic reauthorization
Most carriers authorize care for a set period, then review progress before continuing. We handle those submissions.

Private pay