ABA Therapy Covered by Anthem Blue Cross
BehavioTech is an in-network ABA provider for Anthem Blue Cross. We verify your benefits, handle the authorization paperwork, and provide in-home ABA therapy across Orange County with no waitlist.
Anthem plans we see most
- Anthem Blue Cross PPO and HMO plans
- Anthem plans through an employer
- Covered California Anthem plans
Member Services is on the back of your Anthem card. We can call them with you or for you.
What California law covers
Since 2012, California has required state-regulated health plans to cover behavioral health treatment, including ABA, for people with autism, and Medi-Cal covers it for members under 21. Coverage includes the assessment, direct therapy, BCBA supervision and parent training. Our guide explains how insurance coverage for ABA works.
From card to first session
Benefit check
Send us a photo of the card. We confirm ABA coverage, deductible, copay and any referral rule, and tell you in writing.
Diagnosis and referral
We tell you exactly which documents the plan needs and help you get any that are missing.
Assessment and authorization
A BCBA assesses your child at home. We submit the plan to the insurer and manage the authorization and every renewal.
Start
No waitlist on our side; the start date is set by the authorization, usually two to four weeks.
Anthem questions families ask
Is BehavioTech in network with Anthem Blue Cross?
Yes. BehavioTech is an in-network ABA provider for Anthem Blue Cross in California, so families use in-network benefits rather than paying out-of-network rates. If your Anthem plan is an HMO, a referral from your primary care physician may be required; we walk you through it.
Does Anthem cover in-home ABA therapy?
Yes. California law requires state-regulated health plans, including Anthem Blue Cross, to cover behavioral health treatment for autism, and in-home is a standard setting. Coverage includes the assessment, direct therapy, supervision by a BCBA and parent training.
What does Anthem need before ABA can start?
A diagnosis of autism spectrum disorder from a licensed professional (a developmental pediatrician, psychologist, neurologist or psychiatrist) and a referral or prescription for ABA from your child's physician. Our intake team tells you exactly what is missing and helps you get it.
Will I owe anything?
It depends on your plan's deductible, copay and coinsurance. Before the first session we run a benefit check and tell you, in writing, what your plan pays and what you would owe per session. No surprises.
How long does authorization take?
Typically two to four weeks from the day we submit the assessment, and we submit the assessment within days of completing it. Re-authorizations every six months are handled by our team in the background.
Other plans: Aetna, CalOptima Health. Private pay is always welcome.