Parent Resources & Insurance


Insurance

WE ARE IN NETWORK WITH THE FOLLOWING INSURANCE PLANS:

  • United Healthcare (Optum)

  • Providence (Optum)

  • Pacific Source

  • Aetna

  • Intel plans offered to their employees including Anthem and Cigna

  • If your plan is not listed, please contact us, we still may be able to provide services.

Eligibility: To be eligible for services provided under the ARICA bill, your child must meet the following criteria:

  • Have a diagnosis on the Autism spectrum, supported by a diagnostic report

  • Meet medical necessity criteria, supported by a letter from a licensed clinician deeming ABA services medically necessary

Note: If you have a self-insured plan, ABA services may or may not be covered. You can call the number on your insurance card to find out this information.

 

IF YOU ARE NOT SURE WHETHER OR NOT YOUR CHILD IS ELIGIBLE, FOLLOW THESE STEPS:

  1. Call the number on the back of your insurance card. Ask if you are eligible for ABA services to be covered.

  2. If you are covered, find out what your deductible and co-pays are for this service, and whether or not you have a yearly maximum.

  3. Make sure you have proof of your child’s diagnosis on the autism spectrum and proof that ABA services are medically necessary. This proof can be in the form of a letter from a licensed physician (your child’s PCP for example) or a licensed psychologist. It could also be in the form of an evaluation from a licensed physician or psychologist.

  4. If you are NOT covered because your insurance plan is self-funded and your employer has opted out of the benefit, see Insurance Information and Resources to learn what steps you can take.