We Handle the Insurance So You Can Focus on Your Child
Navigating insurance can be overwhelming. Our dedicated intake team works directly with your insurer to verify benefits, obtain authorizations, and manage renewals — at no extra cost to your family.
Accepted Insurance Plans
We are in-network with many major insurance providers. If you don't see your plan listed, contact us — we may still be able to work with your insurer on an out-of-network basis.
- Medicaid (Delaware, Maryland, New Jersey)
- Blue Cross Blue Shield
- Aetna
- United Healthcare / Optum
- Cigna
- Horizon BCBS
- AmeriHealth
- Highmark
- Tricare
- Magellan Health
- Beacon Health Options
- Carefirst BCBS
* Insurance acceptance is subject to change. Contact us to confirm current in-network status for your specific plan.
Have Questions About Coverage?
Call our intake team at (877) 225-8559 or email readysetandgoaba@gmail.com. We will verify your benefits for free with no obligation.
Out-of-Pocket Costs
Depending on your plan, you may be responsible for co-pays, deductibles, or co-insurance amounts. We will provide a clear cost estimate before services begin and offer flexible payment arrangements when needed.
Self-Pay Option
We offer competitive self-pay rates for families without insurance coverage or whose plan does not cover ABA therapy. Contact us for a customized rate based on your child's service needs.
How the Authorization Process Works
From initial evaluation to ongoing renewals, our team handles every step of the insurance authorization process so your family can focus on what matters most.
Initial Evaluation
A BCBA conducts a comprehensive assessment of your child's current skills and behaviors to determine eligibility and develop treatment goals.
Insurance Verification
Our intake team contacts your insurance provider to verify ABA therapy benefits, check eligibility, and determine the authorization requirements.
Authorization Request
We submit the clinical assessment report and a request for authorization of therapy hours to your insurance plan on your behalf.
Approval & Scheduling
Once approved, we coordinate your child's therapy schedule based on the authorized hours and your family's availability.
Ongoing Renewals
We track authorization periods and proactively request renewals before they expire so therapy is never interrupted.
Frequently Asked Questions
Is ABA therapy covered by insurance?
In most states, ABA therapy for autism is covered under the Mental Health Parity Act. Coverage levels vary by plan. Our team will verify your benefits before treatment begins and explain any out-of-pocket costs.
What if my insurance isn't listed?
We regularly add new payer contracts. Contact us with your insurance information and we'll verify whether we can accept it or help you explore self-pay options.
What does 'prior authorization' mean?
Prior authorization (PA) means your insurance plan must approve ABA therapy before sessions begin. We handle the entire PA process for you, including submitting clinical documentation and following up with the payer.
How long does authorization take?
Standard authorization requests typically take 5–15 business days depending on the insurer. Urgent or expedited requests may be processed faster. We will keep you updated throughout the process.
What are authorized hours?
Your insurer approves a set number of therapy hours for a specific period (usually 3–6 months). We track hours used and alert your family well in advance of reaching the authorized limit.