Blue Cross Blue Shield covers most costs associated with Applied Behavior Analysis therapy in most states.
Blue Cross Blue Shield ABA Therapy Coverage
Applied Behavior Analysis (ABA) therapy is a treatment that is often used for children with autism spectrum disorder (ASD). ABA therapy is a form of behavior modification that aims to improve social, communication, and behavioral skills.
However, ABA therapy can be expensive, and many families struggle to afford it. In this article, we will explore whether Blue Cross Blue Shield covers ABA therapy and how to get coverage.
What is Blue Cross Blue Shield?
Blue Cross Blue Shield (BCBS) is a federation of 36 independent health insurance companies that provide health insurance to over 100 million Americans. BCBS offers a range of health insurance plans, including individual, family, and group plans. BCBS is known for its comprehensive coverage and network of healthcare providers.
Does Blue Cross Blue Shield Cover ABA Therapy?
The answer to this question depends on the specific BCBS plan that you have. Some BCBS plans do cover ABA therapy, while others do not. If your plan does cover ABA therapy, there may be certain restrictions and limitations on the coverage.
To find out if your BCBS plan covers ABA therapy, you should contact your insurance provider directly. You can also check your plan documents or contact your employer's benefits department if you have a group plan.
How to Get Coverage for ABA Therapy
If your BCBS plan covers ABA therapy, there are several steps you can take to get coverage:
- Get a referral: You will need a referral from your child's pediatrician or a specialist to receive ABA therapy. Your insurance provider may also require pre-authorization before you can begin treatment.
- Find an ABA provider: You will need to find a provider that is in-network with your BCBS plan. You can search for providers on the BCBS website or by contacting your insurance provider directly.
- Understand your coverage: Make sure you understand the details of your coverage, including any co-pays, deductibles, or out-of-pocket expenses.
- Keep records: Keep detailed records of your child's treatment and expenses. This will help you track your progress and ensure that you are receiving the coverage that you are entitled to.
Summary
In conclusion, whether Blue Cross Blue Shield covers ABA therapy depends on the specific plan that you have. If your plan does cover ABA therapy, there are steps that you can take to get coverage. It is important to understand your coverage and keep detailed records of your child's treatment and expenses. If you are unsure whether your BCBS plan covers ABA therapy, contact your insurance provider directly.
