Does United Healthcare Cover ABA Therapy?

United Healthcare Coverage For ABA Therapy

Applied Behavioral Analysis (ABA) therapy has become a popular treatment option for children with autism. It is a type of therapy that focuses on the principles of behaviorism to teach new skills and behaviors.

ABA therapy is an intensive and individualized therapy that requires ongoing treatment for best results.

However, the cost of ABA therapy can be a major barrier for families seeking this treatment. Fortunately, United Healthcare offers coverage for ABA therapy. In this article, we will explore the specifics of United Healthcare coverage for ABA therapy.

What is United Healthcare?

United Healthcare is a health insurance company that provides coverage to millions of individuals and families across the United States. They offer a range of health insurance plans including employer-sponsored plans, individual plans, and Medicare Advantage plans. United Healthcare partners with a network of healthcare providers and facilities to ensure that their members have access to high-quality healthcare services.

What Does United Healthcare Cover?

United Healthcare covers ABA therapy for individuals with autism who meet certain criteria. The specific coverage details may vary depending on the plan and state of residence. It is important to review the coverage details of your specific plan to understand what is covered.

In general, United Healthcare covers the following for ABA therapy:

1. Diagnostic evaluations: United Healthcare covers diagnostic evaluations for autism to determine eligibility for ABA therapy.
2. ABA therapy sessions: United Healthcare covers ABA therapy sessions with a licensed therapist. The number of sessions covered may vary depending on the plan and state of residence.
3. ABA therapy assessments: United Healthcare covers ABA therapy assessments to measure progress and adjust treatment plans as needed.
4. ABA therapy supervision: United Healthcare covers ABA therapy supervision to ensure that the therapy is being delivered correctly.
5. Parent training: United Healthcare covers parent training to help parents support their child’s progress and reinforce skills learned in therapy.

It is important to note that United Healthcare may require prior authorization or a referral from a primary care physician for ABA therapy services. It is also important to ensure that the therapist providing ABA therapy is in-network with United Healthcare to receive the highest level of coverage.

In addition to ABA therapy coverage, United Healthcare may offer additional resources for families seeking ABA therapy. For example, they may offer care coordination services to help families navigate the healthcare system and find appropriate providers. They may also offer online resources and support groups for families.

Conclusion

United Healthcare offers coverage for ABA therapy for individuals with autism who meet certain criteria. ABA therapy is an evidence-based therapy that has been shown to be effective in treating individuals with autism. It is an intensive and individualized therapy that requires ongoing treatment for best results.

United Healthcare covers diagnostic evaluations, ABA therapy sessions, ABA therapy assessments, ABA therapy supervision, and parent training for ABA therapy. It is important to review the coverage details of your specific plan and ensure that the therapist providing ABA therapy is in-network with United Healthcare to receive the highest level of coverage.