ABA Therapy Costs and Insurance Coverage in Atlanta
Applied Behavior Analysis (ABA) therapy is a widely recognized method for treating individuals with Autism Spectrum Disorder (ASD). It focuses on improving specific behaviors, such as social skills, communication, reading, and academics. However, the cost of ABA therapy can be significant and may pose a financial burden to many families in Atlanta.
The cost of ABA therapy varies greatly depending on several factors including the severity of autism symptoms, the number of hours required per week, and whether services are provided at home or in a clinic. On average, an hour of ABA therapy in Atlanta can range from $75-$125. Considering that treatment often requires 10-40 hours per week over several years; it’s easy to see how costs can quickly add up.
Many parents worry about how they will afford these expenses. The good news is that insurance coverage for aba therapy atlanta has improved significantly over recent years due to changes in legislation both nationally and within Georgia state law.
In 2015 Georgia passed Ava’s Law which mandates that private health insurance companies provide coverage for autism services including ABA therapy. This means that most private health insurance policies should cover part or all of the cost of this essential service.
Nevertheless, there are still some limitations to this law. For instance, it only applies to fully-funded plans regulated by state law which excludes self-funded plans used by many larger employers who set their own terms for coverage under federal regulation guidelines.
Moreover, while Ava’s Law requires insurance companies to cover up to $35k annually for children aged six and under; older children may receive less coverage with caps reducing incrementally until age 18 when no minimum requirement exists anymore.
Despite these limitations though; there are other avenues available for assistance such as Medicaid which covers ABA Therapy without any age restrictions or annual limits if medically necessary under its Early Periodic Screening Diagnosis Treatment benefit (EPSDT).
Furthermore; certain non-profit organizations offer grants specifically designed to help families cover the cost of ABA therapy. For instance, the Autism Speaks organization provides financial assistance for families who cannot afford necessary autism treatments and services.
In conclusion, while the costs associated with ABA therapy can be daunting; there are resources available to help offset these expenses. It’s important for parents in Atlanta to research their insurance policies and explore other funding options available within their community.
The landscape of insurance coverage for ABA therapy is complex and ever-changing. Therefore it’s recommended that parents consult with a healthcare advocate or financial advisor who specializes in autism services to ensure they’re maximizing their benefits and minimizing out-of-pocket costs. The ultimate goal is to ensure every child with ASD has access to this vital treatment without placing an undue financial burden on families.
Step It Up ABA
8735 Dunwoody Pl STE 8033, Atlanta, GA 30350
404-800-4057
