Does Meridian Cover ABA Therapy?

Yes, Meridian covers ABA therapy. However, the coverage may vary depending on the type of plan you have and the state you live in.

yitz diena
Yitz Diena
March 26, 2023

Does Meridian Cover ABA Therapy?

Yes, Meridian covers ABA therapy. However, the coverage may vary depending on the type of plan you have and the state you live in. In general, Meridian covers ABA therapy for children with ASD who are under the age of 21. The coverage may include assessments, therapy sessions, and behavioral interventions.

If you have a Medicaid plan with Meridian, ABA therapy is considered an essential health benefit and is covered by the plan. However, the coverage may vary depending on the state you live in. For example, in Michigan, Medicaid covers up to 25 hours of ABA therapy per week for children with ASD. In Illinois, Medicaid covers up to 20 hours of ABA therapy per week for children with ASD.

If you have a commercial plan with Meridian, the coverage for ABA therapy may vary depending on the plan you have. Some plans may cover ABA therapy as an essential health benefit, while others may require prior authorization or have limits on the number of therapy sessions covered.

What is Meridian?

Meridian is a health insurance provider that offers coverage to individuals and families in several states, including Michigan, Illinois, Indiana, and Ohio. Meridian offers a variety of health insurance plans, including Medicaid, Medicare, and commercial plans. Their goal is to provide affordable and accessible healthcare to their members.

How to Get Coverage for ABA Therapy with Meridian

If you have a child with ASD and want to get coverage for ABA therapy with Meridian, there are a few steps you can take:

  1. Check your plan: Check your plan to see if ABA therapy is covered and what the coverage entails. You can do this by calling Meridian's customer service or checking your plan documents.
  2. Get a referral: You will need a referral from your child's primary care physician to get coverage for ABA therapy. Make an appointment with your child's doctor and ask for a referral.
  3. Find a provider: Once you have a referral, you can start looking for a provider who offers ABA therapy. You can search for providers on Meridian's website or ask for recommendations from other parents.
  4. Schedule an assessment: Before your child can start ABA therapy, they will need to have an assessment to determine their needs and goals. Schedule an assessment with your chosen provider.
  5. Start therapy: Once the assessment is complete, your child can start ABA therapy. The number of therapy sessions and the duration of therapy will depend on your child's needs and the coverage provided by your plan.

Conclusion

In conclusion, Meridian does cover ABA therapy for children with ASD. However, the coverage may vary depending on the type of plan you have and the state you live in.

If you have a child with ASD and want to get coverage for ABA therapy with Meridian, check your plan, get a referral, find a provider, schedule an assessment, and start therapy.

ABA therapy can be life-changing for children with ASD, and with Meridian's coverage, it can be more accessible and affordable for families.

steven zauderer

CEO of CrossRiverTherapy - a national ABA therapy company based in the USA.

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