Typical Copay
Typical Approval
Verified Providers
States Covered
About Aetna ABA Coverage
Aetna, a CVS Health company, provides comprehensive health insurance coverage including robust autism and ABA therapy benefits. Aetna has been recognized for its commitment to behavioral health coverage and offers streamlined authorization processes for ABA services.
What's Covered
Aetna covers Applied Behavior Analysis (ABA) therapy for members diagnosed with Autism Spectrum Disorder. Coverage includes behavioral assessments, individualized treatment plans, one-on-one therapy sessions, and caregiver training. Aetna typically approves 20-40 hours per week based on clinical recommendations.
Coverage Details
PPO, HMO, and POS plans
Required for ABA services
$20-$40 per session
NJ, PA, GA, VA, NC, IN, NY, MD, CO, AZ
How to Get Started
- Verify your benefits - Call the number on your insurance card or use our free benefits check tool
- Get a diagnosis - If your child doesn't have an autism diagnosis, we can connect you with diagnostic providers
- Find a provider - Browse our verified Aetna-accepting providers in your area
- Request authorization - Your provider will submit a pre-authorization request to Aetna
- Start therapy - Once approved, begin ABA therapy services
Providers Accepting Aetna
Frequently Asked Questions
Yes, Aetna covers ABA therapy for individuals diagnosed with Autism Spectrum Disorder. Coverage is typically provided as part of behavioral health benefits, though specific coverage details vary by plan. Most Aetna plans cover 20-40 hours per week of ABA therapy based on medical necessity.
With Aetna, typical out-of-pocket costs range from $20-$40 per session depending on your specific plan. Many families pay little to nothing after meeting their deductible. We recommend calling the number on your insurance card to verify your specific benefits.
Yes, Aetna requires pre-authorization for ABA therapy services. Your ABA provider will typically handle this process for you, submitting the necessary documentation to Aetna for approval before starting services.
Use our provider search tool to find Harmony-verified ABA providers who accept Aetna. All providers in our network have been vetted for quality and credentials. You can also callAetna directly or use their online provider directory.
Ready to Check Your Aetna Benefits?
Our team can help you understand your Aetna coverage and connect you with verified ABA providers in your area.
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