Health insurance is the primary payor for the ABA services received by our families and their children. We are committed to helping our families navigate through the phone call and paperwork processes.
In fact, we will be responsible for the great majority of the work involved:
- Calling to verify coverage and benefits, as well as your deductible and out-of-pocket maximums
- Getting a pre-authorization for benefits after discussing the treatment plan with the insurance company
- Billing the insurance company directly for services provided
Thanks to the Texas Autism Insurance Act, insurance companies are required to cover all “generally recognized” autism-related services prescribed by the child’s Primary Care Physician. Exceptions may apply for consumer choice plans or small-business plans (50 or fewer employees).
We are able to offer ABA therapy services to patients with a variety of health insurance plans, including:
Blue Cross Blue Shield (PPO), Aetna, Ascension, United, Beacon, Cigna, ComPsych, Optum, UMR and others. Please contact us to learn more about ABA therapy and insurance.
Unfortunately at this time, Medicaid plans do not cover ABA therapy in the state of Texas. Until there is a change in legislation, Action Behavior Centers cannot provide therapy services to clients with Medicaid insurance. Our team is staying on top of all legislative updates, and we expect Medicaid to begin covering ABA in Texas very soon!
Please contact us to discuss insurance eligibility and how to make ABA therapy affordable for your family.