We Are In-Network With Most Health Insurance Providers
Empower Behavioral Health is proud to accept a majority of major health insurance policies for our ABA therapy services including Aetna, Blue Cross Blue Shield (BCBS) of Texas, Cigna, Tricare, Magellan, and Optum. As part of our verification of benefits process, we will work with you to determine coverage amounts as well as assessment and treatment plan approval.
Our ABA Insurance Verification Process
After calling our submitting our online form to inquire about services, we will begin the insurance verification process. Our goal is to make this process seamless and efficient, so your child can begin ABA therapy as soon as possible.
- Verification of Benefits: Using the information submitted to our team, we will contact your insurance provider to verify coverage. They will give us a breakdown of your benefits and associated out-of-pocket expenses. We will then relay coverage and costs to you and if you decide to move forward, we will obtain assessment approval. Once approved, we’ll schedule an official ABA assessment.
- ABA Therapy Assessment: The assessment process will uncover your child’s unique strengths and challenges related to behavior. One of our Board Certified Behavior Analysts (BCBA) will use assessments to develop an individualized treatment plan that encompasses target skills, techniques, frequency for services, and more.
- Treatment Plan Authorization: After the treatment plan is complete, our team will review it with you and send it to your insurance provider for treatment authorization. They will carefully review the plan to ensure it meets their requirements. Once authorization is approved, your child’s ABA services will begin.
Texas Autism Insurance Equity Act
The Texas Autism Equity Act stands as a pivotal milestone in the state’s commitment to providing comprehensive and equitable support for individuals with autism spectrum disorder (ASD). Enacted with the aim of addressing disparities in access to vital interventions, the Act mandates insurance coverage for the diagnosis and treatment of autism, including crucial therapies such as Applied Behavior Analysis (ABA).
This act does have some restrictions, such as it requires that children must be diagnosed with autism by the age of 10 and the annual maximum coverage limit is $36,000. Some insurance policies may also require individuals be reassessed for autism once every three years. Empower Behavioral Health continues to be involved in advocacy focusing on improving access to care for individuals with autism in Texas.
Are All Empower ABA Services Covered By Insurance?
As awareness and understanding of autism therapies grow, insurance coverage for full-time ABA, part-time ABA, feeding therapy, and toilet training continues to grow. As long as your child has obtained an official ASD diagnosis each of the listed services are covered within your benefit limits.
We’re Here To Help
Across The Whole
State Of Texas
Getting started is
as easy as 1 2 3
1
Fill out our fast and easy contact form by clicking “Get Started”
2
Speak with our expert staff and get all your questions answered as well as a tour of one of our clinics
3
We will verify your insurance benefits, review these with you, and request an authorization for an ABA assessment