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.
Verify Your TRICARE Coverage →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.
$0-$28 per session
Per session (varies by plan)
Required
We help with the auth process
Prime and Select options
Plan options available
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.
The typical copay for ABA therapy with TRICARE is $0-$28 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, TRICARE 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 TRICARE authorizations.
Harmony Care Finder verifies insurance acceptance before matching you with providers. Simply tell us your TRICARE 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 TRICARE 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:
Let us check your TRICARE benefits and match you with providers who accept your plan. It's free and takes less than 2 minutes.
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