Insurance Coverage at Achieve ABA
We've Got You Covered
Every child deserves the opportunity to thrive - and that includes having access to the therapy they need. Navigating insurance coverage can feel overwhelming, but we're here to make the process a breeze.
Aetna insurance coverage for ABA therapy
At Achieve ABA, we know that navigating insurance can feel overwhelming - especially when your child needs support right away. If your family has Aetna insurance and you're exploring ABA therapy for autism, you may be wondering what's covered, what the process looks like, and how to get started.
We're here to walk you every step of the way.
Does Aetna insurance cover ABA therapy?
Yes. Many Aetna health plans cover ABA therapy for children with autism spectrum disorder (ASD).
Coverage depends on:
✔ Your child's diagnosis
✔ Your plan type (employer, marketplace, or other)
✔ Prior authorization requirements
✔ Using an in-network provider like Achieve ABA
Who is eligible for Aetna ABA therapy coverage?
With Aetna insurance, your child may be eligible for ABA therapy coverage if:
✔ Diagnosis: A licensed provider has given a formal autism diagnosis.
✔ Medical necessity: A physician or professional recommends ABA therapy as medically necessary.
✔ Age requirements: Some Aetna plans may include age guidelines - we can check this for you.
✔ In-network provider: ABA services are delivered by an Aetna-approved provider like Achieve ABA.
✔ Prior authorization: Coverage approval is obtained before services begin.
Children with other developmental or behavioral conditions may still qualify, depending on your plan. Our team will review your benefits and let you know exactly what’s included.
Why families choose Achieve ABA
We know there are other providers, but here's what makes us different.
Insurance expertise - we know Aetna policies inside and out.
Quick start times - we work to get therapy approved and started quickly.
Family-centered care - parents are partners in every step of therapy.
Compassionate team - we care deeply about helping children succeed.
FAQs about Aetna therapy coverage
Do I need a referral for ABA therapy with Aetna?
Some plans require it, others don’t. We’ll confirm whether your plan needs a referral.
How long does Aetna approval take?
On average, 1–3 weeks once paperwork is submitted. We’ll work to speed things up.
Does Aetna cover ABA for conditions other than autism?
ABA is primarily covered for autism, but some developmental or behavioral diagnoses may qualify depending on your plan.
Can my child lose coverage?
Coverage continues as long as ABA is deemed medically necessary. We submit regular progress reports to maintain approval.
How much does ABA therapy cost with Aetna insurance?
Most or all costs are covered if you use an in-network provider like Achieve ABA. Families may still be responsible for copays, deductibles, or coinsurance depending on their plan.
Our team is here to help
Take the first step with Aetna and Achieve ABA
We believe every child deserves the chance to thrive. That's why our team makes it simple to use your Aetna insurance for ABA therapy. From verifying benefits to starting sessions, we'll handle the details - so you can focus on your child's growth.
