Does Magellan Cover ABA Therapy?

Magellan's Coverage For Applied Behavior Analysis

When it comes to healthcare coverage, one of the most common questions parents of children with autism ask is, "Does Magellan cover ABA therapy?" The answer is not a simple one, as it depends on the specific plan and the state in which you live.

Magellan is a managed care organization that provides behavioral health services for a variety of clients, including individuals with autism spectrum disorder (ASD).

Magellan offers a range of services, including ABA therapy, to help individuals with ASD develop the skills they need to thrive.

However, the extent of coverage for ABA therapy varies depending on the plan you have and the state in which you live.

Some plans may offer comprehensive coverage for ABA therapy, while others may have limits on the number of sessions or the age of the child who can receive the therapy.

In general, Magellan follows the guidelines set forth by the state in which the plan is offered. For example, in California, insurance companies are required to provide coverage for ABA therapy for individuals with autism under the age of 18. Magellan offers plans in California, so if you live in California and have a Magellan plan, it is likely that you will have coverage for ABA therapy.

However, if you live in a state that does not have a mandate for insurance companies to cover ABA therapy, your coverage may be limited. In this case, it is important to review your plan carefully to understand what is covered and what is not.

It is also important to note that even if your plan does cover ABA therapy, there may be restrictions on the providers you can see. Some plans may require that you use a provider within their network, while others may allow you to see any provider who is licensed and certified to provide ABA therapy.

If you are considering ABA therapy for your child and are unsure if it is covered by your Magellan plan, it is important to contact Magellan directly or review your plan documents to understand your coverage.

You may also want to speak with your child's healthcare provider to discuss the benefits of ABA therapy and the best course of treatment for your child.

In conclusion, while Magellan does offer coverage for ABA therapy, the extent of coverage varies depending on the specific plan and the state in which you live.

It is important to review your plan documents and speak with Magellan directly to understand your coverage and the restrictions that may be in place. With the right information, you can make an informed decision about the best course of treatment for your child with autism.