Understanding Insurance for ABA Therapy
Navigating insurance coverage can feel confusing, especially when you are trying to focus on finding the right support for your child. At Premier Mental Health in High Point, NC, we understand how important it is for families to feel informed and confident when it comes to the financial side of care.
If you are considering ABA therapy for your child, here is what you need to know about insurance coverage and how our team can help guide you through the process.
1. Most Insurance Plans Cover ABA Therapy
The good news is that most major insurance companies now cover Applied Behavior Analysis (ABA) services for children with an Autism Spectrum Disorder (ASD) diagnosis. This includes therapy provided in clinic settings, home environments, and community programs.
Coverage details can vary depending on your specific plan and insurance provider. Our team can help you verify your benefits and determine exactly what your policy includes.
2. Getting Started with Verification
Before starting services, we will complete an insurance verification to confirm your coverage and explain any out of pocket costs such as copays or deductibles. This step helps you understand what to expect before therapy begins so there are no surprises later.
We will communicate directly with your insurance company to gather all necessary details and make the process as simple as possible for your family.
3. Authorization and Assessments
Most insurance companies require an initial assessment before approving ongoing therapy hours. Once the assessment is complete, we will submit a request for authorization that includes your child’s treatment goals and recommended service hours.
Our administrative team handles all communication with your insurance provider to ensure services begin as soon as possible.
4. Continued Authorization and Progress Updates
Insurance companies often require periodic progress reports or reassessments to continue coverage. Your child’s Board Certified Behavior Analyst (BCBA) will track data, measure goals, and provide updates to demonstrate progress.
We take care of the documentation and coordination so you can stay focused on your child’s growth and daily successes.
5. We Are Here to Help
We know that insurance language can be hard to understand. Our friendly administrative team is here to answer your questions, explain terms, and help you make sense of your benefits.
Whether you are just starting the process or transferring from another provider, Premier Mental Health will support you every step of the way.
6. Peace of Mind for Families
Our goal is to make the financial side of therapy as stress free as possible so you can focus on what matters most—your child’s progress. With clear communication, transparency, and compassion, we help families feel confident and prepared from the very beginning.
Have questions about your insurance coverage or ABA benefits?
📞 Call us at 336-858 5243
📍 Located in 2310 N Centennial St Ste 102 High Point, NC
