Insurance
Most commercial insurances accepted
Contact us for any questions regarding coverage or plans. we’ll be happy to provide you with the clearest guidance as to your best options.
Understanding ABA Therapy Coverage Through Insurance
The Behavior Blueprint is committed to making high-quality Applied Behavior Analysis (ABA) therapy accessible to families by working with major insurance providers, including United Healthcare (UHC), Aetna, MVP, Cigna, Medicaid, and Blue Cross Blue Shield (BCBS). We understand that navigating insurance coverage can be complex, and we are here to help guide families through the process to ensure that their child receives the necessary services with minimal financial burden.
We are in-network with most insurances that offers comprehensive coverage for ABA therapy under many of its plans. As ABA therapy has been recognized as a critical treatment for children with Autism Spectrum Disorder (ASD), insurance companies have structured policies that allow families to access services that support developmental progress. Our ABA administrative team is well-versed in insurance coverage nuances and works closely with parents to ensure a smooth and stress-free experience.
The Importance of Insurance for ABA Therapy
Insurance plays a vital role in ensuring access to high-quality ABA therapy. The cost of ABA therapy can be significant, through Commercial and NYS Medicaid insurance helps mitigate these costs by covering a substantial portion of the expenses. Our in-network insurances has a strong track record of supporting ABA therapy, often covering assessments, individualized therapy sessions, parent training, and progress evaluations.
At The Behavior Blueprint, we emphasize the importance of insurance in ensuring continuity of care so that children can receive therapy as frequently as needed, maximizing their progress and developmental outcomes.
Before beginning ABA therapy at The Behavior Blueprint, families must go through an insurance verification process to determine their specific coverage details. Our team assists with this process by:
Insurance Verification Process
Confirming Eligibility
We check whether the child’s insurance plan includes ABA therapy benefits and determine any applicable deductibles or copays.
Understanding Plan Details
Not all insurance plans are the same, so we work with families to outline their specific plan’s coverage, including session limits, provider networks, and authorization requirements.
Preauthorization Assistance
Some insurance plans require prior authorization before ABA services can begin. We help gather the necessary documentation, including a medical diagnosis and treatment plan, to ensure swift approval.
Explaining Out-of-Pocket Costs
We provide a detailed breakdown of potential out-of-pocket costs, helping families understand what to expect in terms of copayments, deductibles, or coinsurance amounts.
The Role of Insurance in Covering Therapy Sessions
Once insurance approval is secured, families can begin ABA therapy at The Behavior Blueprint. Insurance typically covers a range of therapy services, including:
Direct Therapy Sessions: One-on-one sessions between the child and a therapist, focusing on skill development, behavior modification, and social engagement.
Parent Training: As part of our commitment to comprehensive care, we offer 60 minutes of parent training per week, either in person or virtually. Insurance often covers these sessions, as parent involvement is crucial to long-term success.
Ongoing Assessments and Progress Monitoring: Regular evaluations ensure that therapy remains effective and adjustments can be made as needed.
School Readiness and Transition Support: If a child is ready to transition into a school setting, we work with families to develop strategies that facilitate a smooth integration.