Typical Copay
Typical Approval
Verified Providers
States Covered
About Blue Cross Blue Shield ABA Coverage
Blue Cross Blue Shield (BCBS) is one of the largest health insurance providers in the United States, offering comprehensive coverage for ABA therapy services across most states. With a network of over 100 million members, BCBS has been a leader in autism coverage since many states enacted insurance mandates.
What's Covered
BCBS typically covers ABA therapy as part of behavioral health benefits. Coverage varies by plan but generally includes assessment, treatment planning, direct therapy services, and parent training. Most BCBS plans cover 25-40 hours per week of ABA therapy based on medical necessity.
Coverage Details
PPO and HMO plans available
Required for ABA services
$0-$50 per session
NJ, PA, GA, VA, NC, IN, NY, MD, CO
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 BCBS-accepting providers in your area
- Request authorization - Your provider will submit a pre-authorization request to BCBS
- Start therapy - Once approved, begin ABA therapy services
Providers Accepting Blue Cross Blue Shield
Frequently Asked Questions
Yes, Blue Cross Blue Shield 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 BCBS plans cover 20-40 hours per week of ABA therapy based on medical necessity.
With Blue Cross Blue Shield, typical out-of-pocket costs range from $0-$50 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, Blue Cross Blue Shield requires pre-authorization for ABA therapy services. Your ABA provider will typically handle this process for you, submitting the necessary documentation to BCBS for approval before starting services.
Use our provider search tool to find Harmony-verified ABA providers who accept Blue Cross Blue Shield. All providers in our network have been vetted for quality and credentials. You can also callBCBS directly or use their online provider directory.
Ready to Check Your BCBS Benefits?
Our team can help you understand your Blue Cross Blue Shield coverage and connect you with verified ABA providers in your area.
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