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.

MedCost insurance coverage for ABA therapy

Every child deserves the chance to learn and thrive, and insurance shouldn’t stand in the way. If your family is part of the MedCost network, you may already have coverage for ABA therapy—often including assessments, one-on-one sessions, and parent training. 

At Achieve ABA, we’re here to walk alongside you, making sure your MedCost autism therapy coverage is clear and accessible, so your child can get started without delay.

Understanding MedCost ABA therapy coverage

MedCost is a health benefits administrator serving families in North Carolina, South Carolina, and Virginia. Many employer-sponsored MedCost plans include ABA therapy for autism under behavioral health benefits.

When included, MedCost insurance coverage for ABA therapy may provide:

✓ Initial autism evaluations and ABA assessments

✔ One-on-one therapy sessions focused on your child’s goals

✔ Supervision and treatment planning by a BCBA

✔ Parent and caregiver training to reinforce progress at home

Some plans do not require pre-authorization, which means your child may be able to begin therapy faster than expected. Achieve ABA will review your plan, confirm if pre-approval is needed, and explain everything in clear, simple language.

Getting started with ABA therapy through MedCost

The steps to starting therapy with MedCost ABA coverage are straightforward when you have the right support. Families typically go through:

1. Diagnosis – Your child must have an official autism spectrum diagnosis.

2. Assessment – We complete an ABA evaluation and create a treatment plan.

3. Authorization – If required, we submit documents to MedCost for approval.

4. Therapy Begins – Your child starts working with our caring team.

We’ll guide you through each step, manage the paperwork, and communicate with Medicaid so you don’t have to handle it all alone.

Why families choose Achieve ABA

Families trust Achieve ABA not only because we provide high-quality therapy, but also because we take care of the insurance side. With MedCost ABA therapy coverage, parents know they have a partner who will:

Verify and explain your MedCost benefits

Work directly with MedCost to ensure coverage is applied correctly

Connect you with in-network ABA providers to reduce costs

Provide therapy designed around your child’s unique strengths and needs

We believe in making ABA accessible, understandable, and supportive—because families deserve peace of mind while their child makes progress.

FAQs about MedCost ABA therapy coverage

  • Does MedCost cover ABA therapy for autism?

    Yes, many families with MedCost insurance coverage for ABA therapy have access to services for children with autism. Coverage often includes evaluations, one-on-one sessions, treatment planning, and parent training, though the specifics vary by plan.

  • What services are included in MedCost ABA therapy coverage?

    When ABA therapy is covered, families may receive benefits for initial autism assessments, individualized therapy sessions, ongoing treatment planning by a BCBA, and caregiver training to support learning at home.

  • Do MedCost plans require pre-authorization for ABA therapy?

    In some cases, MedCost ABA therapy coverage does not require pre-authorization, allowing children to begin therapy more quickly. Achieve ABA will confirm whether your specific plan requires prior approval.

  • Do I need to use an in-network ABA provider with MedCost?

    Yes, using an in-network ABA provider helps reduce out-of-pocket costs and ensures smoother processing of benefits. Achieve ABA works with MedCost to connect families to in-network care whenever possible.

With MedCost insurance coverage for ABA therapy, families can access services that truly make a difference—supporting children in building communication, independence, and confidence. At Achieve ABA, we take care of the details so you can focus on celebrating your child’s progress.