We're in-network with most major insurance plans. Find out your exact coverage and copay in 24-48 hours.
Most families pay $0-30 per session with in-network coverage
Takes 30 seconds. We'll email you within 24-48 hours with your exact coverage details.
Most families pay $0-30 per session with in-network coverage
Typical copay: $0-25 per session
Prior auth required (we handle it)
Typical copay: $0-30 per session
Prior auth required (we handle it)
Typical copay: $0-20 per session
Prior auth required (we handle it)
Typical copay: $10-30 per session
Prior auth required (we handle it)
Typical copay: $0-25 per session
Prior auth required (we handle it)
Typical copay: $10-30 per session
Prior auth required (we handle it)
Typical copay: $0
Coverage varies by state
*Copay amounts are estimates based on typical plans. Your actual cost depends on your specific plan details, deductible status, and benefits. We verify your exact coverage before your first session.
We make it simple. Here's what to expect.
Submit your insurance information. We contact your insurance company to verify coverage, copay, deductible, and session limits within 24-48 hours.
Most insurance companies require prior authorization for ABA therapy. We submit all necessary documentation. You don't lift a finger.
Once approved, we match you with a qualified therapist who accepts your insurance. You'll know your exact copay, session limits, and authorization period.
Your therapist comes to you (in-home or virtual). We bill your insurance directly after each session. You just pay your copay (if any). We handle all the paperwork.
No surprise bills. We verify your exact costs before you start.
*These are examples only. Your actual costs depend on your specific plan, deductible, and out-of-pocket maximum. We provide exact cost estimates after verifying your benefits.
And why does insurance require it for ABA therapy?
Prior authorization is approval from your insurance company before therapy begins. It confirms that ABA therapy is medically necessary for your child.
We gather and organize everything needed
We stay on top of your case status
We handle all insurance communication
You'll know the moment we get approval
Many families successfully appeal denials. We can help you gather supporting documentation from your child's BCBA to strengthen your appeal.
Don't worry! You have options:
Many insurance plans have out-of-network benefits. You pay upfront, we provide a detailed receipt (called a superbill), and you submit to insurance for reimbursement.
Pay out-of-pocket: $85/hour for RBT sessions, $125/hour for BCBA sessions. We offer flexible payment plans and sliding scale fees for families in financial need.
Split costs over 2-3 months. No interest, no credit check required.
We can help you request an in-network exception from your insurance if no in-network ABA providers are available in your area.
Most insurance plans cover ABA therapy for children up to age 21. Some plans cover adults, but it's less common. We can verify your specific plan's age limits.
Most plans authorize 10-40 hours per week, depending on medical necessity. Authorization periods are usually 6-12 months, then renewed if therapy is still beneficial.
Many plans have autism-specific benefit caps ($50,000-$100,000 per year). If you reach your cap, we can explore self-pay options, payment plans, or appeals for increased coverage.
It depends on your plan. HMO and POS plans typically require referrals. PPO and EPO plans usually don't. We check this during benefit verification.
Yes! If your insurance changes mid-year, we'll match you with a therapist who accepts your new insurance (if we're in-network). No interruption in therapy.
We help with appeals. You can also explore self-pay, payment plans, or reapply after updating documentation. Many families successfully appeal denials.
Most states require insurance to cover ABA therapy for autism
All 50 states now require most insurance plans to cover autism-related services, including ABA therapy. However, coverage details (session limits, age caps, benefit maximums) vary by state.
Some states have generous coverage (e.g., California, Massachusetts), while others have limitations. Questions about your state? Contact us for details specific to your location.
Contact Us for State-Specific InfoGet exact copay and coverage details in 24-48 hours