Does Anthem cover ABA therapy?

Yes, Anthem insurance typically covers ABA therapy for children diagnosed with ASD, recognizing it as a medically necessary treatment. Coverage may vary, including limits on therapy sessions per year and requirements for therapy to be conducted by a licensed, in-network therapist.

To access ABA therapy under Anthem:

• Obtain an ASD Diagnosis: A healthcare professional must diagnose your child with ASD.
• Secure a Referral: Get a referral to a licensed ABA therapist who is in-network with Anthem.
• Pre-Authorization: Anthem may require pre-authorization for ABA therapy, involving a request submission for approval.
• Start Therapy: Once approved, your child can begin ABA therapy sessions.

Our team is here to answer any insurance questions and guide you through the process.