How ABA Insurance Coverage Works

If your child or a dependent needs medically necessary ABA services, a common question you may have as a caregiver is “Will my insurance cover ABA services? And how much will the services cost?” With a variety of different insurance plans available in the marketplace, there is no definitive answer for everyone. The good news is, navigating the world of insurance is simpler once you understand ‘How ABA Insurance Coverage Works!’ In this video, we start out with learning more about the common funding sources, followed by medically necessary criteria for ABA coverage, insurance terms to know, explanations on in-network vs. out-of-network costs, how to calculate your out-of-pocket expenses for services, and finally, some FAQs. If you have any other specific questions you would like answered, please email us at [email protected], call us at (844) 262 8466, or contact us on our website at www.behaviornation.com. 0:00 How ABA Insurance Coverage Works 0:26 Disclaimer 0:46 Agenda 1:11 Common funding sources 3:15 Government funding source 4:20 Commercially funded plans 4:42 Self-funded health plans 5:12 Health Maintenance Organizations (HMO) and Preferred Provider Organizations (PPO) 6:28 Medical necessity requirements for ABA services 7:34 Insurance Terms to Know 13:10 In-network vs. out-of-network costs explained 15:20 How much will I pay for ABA services? 17:18 ABA agency costs explained scenario 1 17:49 ABA agency costs explained scenario 2