Does MdWise Cover ABA Therapy?

What Is MdWise?

MdWise is a health insurance company that offers plans to individuals and families in Indiana. One of the most common questions asked by parents of children with autism is whether MdWise covers Applied Behavior Analysis (ABA) therapy.

In this article, we will explore the answer to this question and provide an in-depth analysis of MdWise’s coverage of ABA therapy.

Does MdWise Cover ABA Therapy?

The short answer is yes, MdWise does cover ABA therapy. However, the specifics of the coverage can vary depending on the plan that you have. It is important to review your plan documents carefully to understand the details of your coverage.

MdWise offers several different types of plans, including the Hoosier Care Connect, Healthy Indiana Plan, and MdWise Marketplace plans. The coverage for ABA therapy can vary depending on the plan that you have.

For example, the Hoosier Care Connect plan covers ABA therapy for children under the age of 21 with an autism diagnosis. The plan covers up to 30 hours of therapy per week, with a maximum benefit of $120,000 per year.

The Healthy Indiana Plan also covers ABA therapy for children with autism, but the coverage is limited to 60 hours per year.

MdWise Marketplace plans also cover ABA therapy, but the specifics of the coverage can vary depending on the plan that you select. It is important to review the plan documents carefully to understand the details of your coverage.

It is worth noting that some MdWise plans may require prior authorization for ABA therapy. This means that you will need to get approval from the insurance company before starting therapy. It is important to follow the guidelines and requirements of your plan to ensure that you receive the maximum benefit from your coverage.

Conclusion

In conclusion, MdWise does cover ABA therapy for children with autism. However, the specifics of the coverage can vary depending on the plan that you have. It is important to review your plan documents carefully to understand the details of your coverage, including any limitations or requirements for prior authorization.

If you have any questions about your coverage for ABA therapy or if you are considering starting therapy for your child, it is recommended that you speak with a representative from MdWise to get more information. ABA therapy can be a highly effective treatment for children with autism, and it is important to ensure that you have the necessary coverage to receive this treatment.