Aetna, a CVS Health company, provides comprehensive health insurance coverage including robust autism and ABA therapy benefits. Aetna has been recognized for its commitment to behavioral health coverage and offers streamlined authorization processes for ABA services.
Verify Your Aetna Coverage →Aetna covers Applied Behavior Analysis (ABA) therapy for members diagnosed with Autism Spectrum Disorder. Coverage includes behavioral assessments, individualized treatment plans, one-on-one therapy sessions, and caregiver training. Aetna typically approves 20-40 hours per week based on clinical recommendations.
$20-$40 per session
Per session (varies by plan)
Required
We help with the auth process
PPO, HMO, and POS plans
Plan options available
Aetna covers Applied Behavior Analysis (ABA) therapy for members diagnosed with Autism Spectrum Disorder. Coverage includes behavioral assessments, individualized treatment plans, one-on-one therapy sessions, and caregiver training. Aetna typically approves 20-40 hours per week based on clinical recommendations.
The typical copay for ABA therapy with Aetna is $20-$40 per session. Actual costs depend on your specific plan, deductible status, and whether you use in-network providers. Many families pay little to nothing out-of-pocket for ABA services.
Yes, Aetna typically requires prior authorization for ABA therapy services. This means your provider needs to submit a treatment plan and get approval before starting services. Harmony Care Finder helps families navigate this process and connects you with providers experienced in Aetna authorizations.
Harmony Care Finder verifies insurance acceptance before matching you with providers. Simply tell us your Aetna plan details, and we'll connect you with verified providers in your area who accept your specific plan. Our service is free for families.
Coverage hours depend on medical necessity as determined by the treating BCBA's assessment. Most Aetna plans cover 20-40 hours per week of ABA therapy when clinically recommended. Hours are typically reviewed every 6 months during reauthorization.
Learn about ABA therapy coverage from other major insurance providers:
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