Does Aetna Cover ABA Therapy?

Does Aetna Cover ABA Therapy?

Applied Behavior Analysis (ABA) therapy is a type of therapy that is commonly used to treat children with Autism Spectrum Disorder (ASD). It is an evidence-based therapy that focuses on improving social, communication, and behavioral skills.

However, ABA therapy can be expensive, and many families struggle to afford it. This is where insurance coverage comes in.

Aetna is one of the largest insurance providers in the United States. If you are a parent of a child with ASD and have Aetna insurance, you may be wondering if Aetna covers ABA therapy.

The answer is yes, but it depends on your specific plan.

Aetna Coverage for ABA Therapy

Aetna covers ABA therapy, but the coverage varies depending on the plan you have. Some plans cover ABA therapy as a medical necessity, while others may require pre-authorization or have limits on the number of sessions covered.

It is important to note that Aetna does not cover ABA therapy for all diagnoses. ABA therapy is typically covered for children with ASD, but not for other conditions. Additionally, Aetna may require that the ABA therapy is provided by a licensed and certified provider.

How to Check Your Aetna Coverage for ABA Therapy

If you have Aetna insurance and are interested in ABA therapy for your child, the first step is to check your plan's coverage. You can do this by calling the customer service number on the back of your insurance card or by logging into your Aetna account online.

When you call or log in, be sure to ask about the specific coverage for ABA therapy. Ask if pre-authorization is required, if there are any limits on the number of sessions covered, and if there are any restrictions on the providers who can offer ABA therapy.

Conclusion

If you have Aetna insurance and are considering ABA therapy for your child with ASD, it is important to check your plan's coverage. Aetna does cover ABA therapy, but the coverage varies depending on your specific plan.

Be sure to ask about pre-authorization, limits on sessions, and provider restrictions. With the right coverage, ABA therapy can be a life-changing treatment for children with ASD.