Accepted Insurance
We are an in-network provider for the following plans and accept private pay:
UHC/Optum
United Behavioral Health / Optum Network
Ohio State
Ohio State health plans
Aetna
Aetna plans
Private Pay
Self-pay options available
What's Typically Covered
Most plans cover these ABA therapy services:
- Comprehensive ABA therapy services
- Behavioral assessments
- Treatment plan development
- Direct therapy sessions
- Parent/caregiver training
Autism Scholarship Program (ASP)
We are approved providers for the Autism Scholarship Program. We offer limited academic/ABA services (about 10 hours per week, regardless of location).
How Insurance Coverage Works
Initial Consultation
Schedule your free consultation. We'll discuss your needs and verify your insurance benefits.
Benefits Verification
Our team will contact your insurance to verify coverage, copays, and any authorization requirements.
Begin Services
Once approved, we'll work directly with your insurance for billing so you can focus on your child.
Service Requirements
Insurance-Funded Services
Require a medical diagnosis of ASD from a comprehensive diagnostic evaluation.
Autism Scholarship Program (ASP)
Requires an IEP, an autism diagnosis, and eligibility under the autism category for special education.
Frequently Asked Questions
What if I have a different insurance provider?
Contact us to discuss your options. We may be able to provide out-of-network services, and some families choose to pursue reimbursement from their insurance directly.
Does my child need a diagnosis to receive services?
Insurance-funded services require a medical diagnosis of ASD from a comprehensive diagnostic evaluation. We do not provide diagnostic evaluations, but we can begin services once a diagnosis is in place or discuss private pay options.
What are the requirements for ASP services?
ASP requires an IEP, an autism diagnosis, and eligibility under the autism category for special education. Contact us to confirm availability and next steps.
How many hours of therapy will insurance cover?
Coverage varies by plan and is typically based on medical necessity determined through assessment. We work with your insurance to obtain appropriate authorization for your child's needs.
Are there any out-of-pocket costs?
This depends on your specific plan. Common costs include copays, coinsurance, and deductibles. We'll help you understand your benefits during the verification process.
