Great News for Cigna Members!

Yes, Cigna insurance offers coverage for ABA therapy in Baltimore & Maryland under many of its plans.

Applied Behavior Analysis (ABA) therapy is a highly effective treatment for individuals with Autism Spectrum Disorder (ASD), focusing on improving social, communication, and learning skills through positive reinforcement. 

Given the high cost of ABA therapy, insurance coverage is crucial for many families. Cigna, a leading global health services company, does provide coverage for ABA therapy, but the specifics can vary based on the plan and state regulations.

Cigna generally covers ABA therapy as a medically necessary treatment for individuals diagnosed with ASD. 

This coverage typically includes therapy sessions provided by licensed ABA therapists and may cover services conducted in various settings such as home, school, or clinic.

To access this coverage, a formal diagnosis of ASD by a qualified healthcare provider and pre-authorization from Cigna are often required. 

Coverage details , including the number of sessions and copayments, can vary depending on the specific plan

To utilize Cigna's coverage for ABA therapy, families must first obtain a formal ASD diagnosis for their child. 

Following this, a detailed treatment plan must be submitted for pre-authorization. Cigna will review this plan to ensure it meets their criteria for medical necessity. 

It’s important to work closely with your ABA provider to ensure that all required documentation is complete and accurate, which can help expedite the approval process and avoid delays in starting therapy.

Verifying your Cigna coverage for ABA therapy involves accessing the Cigna website or contacting customer service to review your specific plan details. 

You will need to provide personal information and details about the diagnosis and treatment plan. 

This verification process will inform you about the extent of coverage, including any limitations on the number of therapy sessions and associated costs. 

It is advisable to gather all necessary documentation, such as diagnostic reports and treatment plans, to facilitate the approval process​

Navigating the insurance process for ABA therapy can be challenging. Families should utilize Cigna’s digital tools and resources to simplify the process. 

Additionally, our team at All Star ABA Therapy can assist families in understanding and navigating their insurance benefits, ensuring they maximize their coverage and support their child’s therapy needs. By working with experienced providers and leveraging available resources, families can effectively manage the complexities of obtaining and using their insurance coverage for ABA therapy.

Contact us today to get started!