Typical Copay
Typical Approval
Verified Providers
States Covered
About TRICARE ABA Coverage
TRICARE is the health care program for uniformed service members, retirees, and their families. TRICARE provides comprehensive ABA therapy coverage through the Autism Care Demonstration (ACD) program, which was designed specifically to meet the needs of military families with children on the autism spectrum.
What's Covered
TRICARE covers ABA therapy through the Autism Care Demonstration program. Coverage includes diagnostic services, ABA therapy (up to 40 hours/week for children under 6), and family training. TRICARE has no annual or lifetime caps on ABA therapy and provides coverage regardless of duty station location.
Coverage Details
Prime and Select options
Required for ABA services
$0-$28 per session
NJ, PA, GA, VA, NC, IN, NY, MD, CO, NM, AR, AZ, NE, MO
How to Get Started
- Verify your benefits - Call the number on your insurance card or use our free benefits check tool
- Get a diagnosis - If your child doesn't have an autism diagnosis, we can connect you with diagnostic providers
- Find a provider - Browse our verified TRICARE-accepting providers in your area
- Request authorization - Your provider will submit a pre-authorization request to TRICARE
- Start therapy - Once approved, begin ABA therapy services
Frequently Asked Questions
Yes, TRICARE covers ABA therapy for individuals diagnosed with Autism Spectrum Disorder. Coverage is typically provided as part of behavioral health benefits, though specific coverage details vary by plan. Most TRICARE plans cover 20-40 hours per week of ABA therapy based on medical necessity.
With TRICARE, typical out-of-pocket costs range from $0-$28 per session depending on your specific plan. Many families pay little to nothing after meeting their deductible. We recommend calling the number on your insurance card to verify your specific benefits.
Yes, TRICARE requires pre-authorization for ABA therapy services. Your ABA provider will typically handle this process for you, submitting the necessary documentation to TRICARE for approval before starting services.
Use our provider search tool to find Harmony-verified ABA providers who accept TRICARE. All providers in our network have been vetted for quality and credentials. You can also callTRICARE directly or use their online provider directory.
Ready to Check Your TRICARE Benefits?
Our team can help you understand your TRICARE coverage and connect you with verified ABA providers in your area.
