Great News for Compsych Members!

Yes, Compsych insurance includes ABA therapy coverage,  for qualifying individuals with ASD. 

Applied Behavior Analysis (ABA) therapy is a crucial intervention for individuals with Autism Spectrum Disorder (ASD), focusing on improving communication, social skills, and behavior through structured techniques. 

Families often seek insurance coverage to manage the high costs associated with ABA therapy. 

ComPsych , a prominent provider of employee assistance programs and behavioral health services, does offer coverage for ABA therapy, but understanding the specifics is vital.

ComPsych includes ABA therapy in its coverage plans for individuals diagnosed with ASD. 

This coverage typically encompasses therapy sessions provided by licensed ABA therapists , which can be conducted in various settings such as home, school, or clinic. 

To qualify for coverage, a formal diagnosis of ASD by a qualified healthcare provider is necessary, and the therapy must be deemed medically necessary. 

The specifics of coverage, such as the number of sessions and the extent of financial support, can vary depending on the specific plan and the terms outlined by ComPsych

For families to utilize ComPsych's coverage for ABA therapy, several steps need to be followed. 

Initially, obtaining a formal diagnosis of ASD from a certified healthcare professional is crucial. 

Following the diagnosis, a comprehensive treatment plan must be submitted to ComPsych for pre-authorization. This plan should detail the therapy's goals and expected outcomes. 

Pre-authorization ensures that the therapy meets ComPsych’s criteria for medical necessity, helping to streamline the approval process and avoid any delays in starting the therapy​.

Verifying your ComPsych insurance coverage for ABA therapy involves accessing the ComPsych website or contacting their customer service to review your plan’s details. 

You will need to provide personal information and details about the ASD diagnosis and treatment plan. This verification process will clarify the specifics of your coverage, including any copayments, deductibles, and session limits. 

It is also beneficial 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 complex and time-consuming. 

Families should utilize ComPsych’s resources and digital tools to simplify this 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 intricacies of obtaining and using their insurance coverage for ABA therapy