Insurance

ABA therapy insurance coverage, explained before you start.

ABA insurance can be hard to follow. We verify eligibility and tell you what we know about your plan. If something is still unclear, we say so. We also walk you through authorization, so you are not left to sort it out alone.

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 tell you what's possible and what isn't.

How authorization works

The process is the same across carriers.

  1. 1

    Verify eligibility and cost sharing

  2. 2

    Request assessment authorization

  3. 3

    Complete the assessment and submit treatment plan

  4. 4

    Receive treatment authorization

  5. 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

For families without in-network coverage.

Private pay covers our additional supportive services, and is an option when insurance isn't.

What private pay covers

  • ADHD and executive functioning coaching
  • Home behavior support
  • Functional behavior assessments
  • IEP development
  • School program review
  • Yoga

Where 10% of the fee goes

10% of all private-pay fees is donated to a charity of your choosing from givewell.org.

Common questions from families
Common questions

Questions about insurance

We are in network with Aetna, Blue Cross Blue Shield, and UnitedHealthcare. Coverage depends on your specific plan, so we verify eligibility before anything begins.
Most plans require authorization twice: once for the assessment, and again for treatment after your BCBA submits a treatment plan. We handle those submissions and keep you updated.
Requirements vary by plan. Insurers usually ask for a documented autism diagnosis, and some ask for a physician referral before the assessment.
Possibly. Copays, coinsurance, and deductibles depend on your plan. We verify eligibility and cost sharing first and tell you what we learn.
No. Most carriers authorize care for a set period, then review progress before continuing. We handle reauthorization submissions.
Private pay is available. Reach out and we will tell you what is possible and what is not.
Private pay is an option for ABA when insurance is not. It also covers our additional services: ADHD and executive functioning coaching, home behavior support, functional behavior assessments, IEP development, school program review, and yoga.
For families

Apply for services for your child.

Tell us a little about what you're looking for, and a member of our team will follow up.

Apply for services →For clinicians

See where we're hiring near you.

Browse current openings on the map, or tell us where you'd like to work. We'll keep you in mind.

See open roles →