Does Blue Cross Blue Shield Cover ABA Therapy?

If you're a parent of a child with autism, you may be wondering if your Blue Cross Blue Shield insurance covers Applied Behavior Analysis (ABA) therapy. The answer is, it depends on your specific plan.

Many Blue Cross Blue Shield plans do cover ABA therapy, but the extent of coverage can vary widely. Some plans may cover only a certain number of sessions per year, while others may cover ABA therapy in full. It's important to check with your insurance provider to see what your plan covers.

ABA therapy is a type of therapy that focuses on improving specific behaviors, such as communication, social skills, and daily living skills. It is widely considered to be an effective treatment for children with autism, and is often recommended by pediatricians and other healthcare professionals.

If your Blue Cross Blue Shield plan does cover ABA therapy, there are a few things you should keep in mind. First, you'll need to find a provider who is in-network with your insurance plan. This can be done by contacting your insurance provider or searching their online directory of providers.

Second, you may need to get prior authorization from your insurance provider before starting ABA therapy. This means that your provider will need to review your child's medical records and treatment plan to determine if ABA therapy is medically necessary.

Finally, you should be aware that there may be some out-of-pocket costs associated with ABA therapy, even if your insurance plan covers it. This can include copayments, deductibles, and coinsurance.