Does Aetna cover ABA therapy?

Yes. As a renowned health insurance provider, Aetna recognizes the importance of Applied Behavior Analysis (ABA) therapy in treating Autism Spectrum Disorder (ASD). ABA therapy, a widely accepted approach, involves techniques and principles to bring about meaningful and positive changes in behavior, making it crucial for individuals with ASD.

Aetna’s health insurance plans typically cover ABA therapy, acknowledging it as a medically necessary treatment for ASD. This coverage is a significant relief for families, as ABA therapy can be essential in improving communication, social skills, and learning in individuals with ASD.

Aetna understands that each case of ASD is unique. Therefore, their coverage for ABA therapy is designed to be flexible, catering to the specific needs of each individual. This approach ensures that beneficiaries receive personalized treatment plans, crucial for effective therapy.

To access ABA therapy under Aetna’s coverage, a formal diagnosis of ASD from a qualified healthcare professional is typically required. Following this, a treatment plan proposed by a licensed ABA therapist is submitted for approval. Aetna’s process may involve pre-authorization, ensuring that the therapy aligns with their coverage criteria.

While Aetna broadly covers ABA therapy, the specifics can vary across different plans. These variations might include the number of covered therapy sessions, age limits, and out-of-pocket costs like deductibles and copays. It’s important for policyholders to review their individual plan details or contact Aetna directly for precise information.

Our team is also here to answer any insurance questions and guide you through the process.