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Does Aetna Cover ABA Therapy?

Yes, Aetna covers Applied Behavior Analysis (ABA), but there could be limitations to receiving full coverage.

steven zauderer
Steven Zauderer
August 28th, 2022

Aetna Autism Coverage

aetna aba therapy insurance coverage

Yes, Aetna covers Applied Behavior Analysis. Nevertheless, there could be limitations to receiving full insurance coverage.

The insurance provider acknowledges that there are possible evidence-based gaps in ABA therapy related to autism.

As a parent, your job is to make sure your child can live the best life possible.

A proven way to improve social and learning skills for children with autism is through ABA therapy. There are numerous studies which prove the therapy's success rates.

The problem:

Autism therapy is very expensive if paid out-of-pocket.

The solution:

Work with an insurance provider which covers the majority of the costs of Applied Behavior Analysis. At Aetna, behavioral interventions are reimbursed under the member's behavioral health coverage.

Benefits of Aetna's ABA therapy coverage plans

Here are some of the many benefits of Aetna's ABA therapy coverage plans:

  • ABA is already on the Aetna® pre-certification registry for mental health solutions.
  • Aetna offers enhanced accountability in drafting guidelines.
  • Aetna's insurance suggestions and criteria are frequently updated to reflect the newest research.
  • Aetna has some policies which do not cover educational services. Speech therapy or ABA therapy at school could be eliminated, for example.
  • Despite changing laws and standards regarding insurance coverage for children on the autism spectrum, Aetna strives to adopt the American Medical Association's (AMA) Current Procedural Terminology®) values for behavioral therapy.
As a parent, you know that there are many challenges involved with raising a child diagnosed with autism.

Many of the challenges your family experiences during your child's life could be reduced or eliminated if your child had the opportunity to learn social and behavioral skills.

Did you know that around 50% of autistic children who receive ABA therapy before the age of four have a meaningful improvement in their social skills and IQ?

Therefore, it's critical to spot autism symptoms early and begin Applied Behavior Analysis as early as possible.

Helping Children On The Spectrum, One Day At A Time

CrossRiverTherapy's mission is to provide worldclass autism care to every child on the spectrum. Contact us to check your Aetna insurance coverage with CrossRiverTherapy.

References

  1. https://www.aetna.com/individuals-families.html
  2. https://www.aetna.com/document-library/healthcare-professionals/assets/documents/bh-insights-summer-2019.pdf
steven zauderer

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

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