At Behavioral Innovations, we understand that navigating insurance can feel overwhelming for families seeking ABA therapy. That’s why we work closely with Blue Cross Blue Shield (BCBS) of Texas, BCBS of Colorado, and BCBS of Oklahoma to make the process simple and stress-free. As an in-network provider, we help you confirm eligibility, obtain prior authorization, and maximize your benefits—so your child can begin receiving the therapy they need without unnecessary delays.
See If You’re Covered 855.782.7822
Blue Cross Blue Shield (BCBS) recognizes Applied Behavior Analysis (ABA) as a medically necessary treatment for children with autism spectrum disorder (ASD).
Coverage is available under most Blue Cross Blue Shield of Texas, BCBS of Colorado, and BCBS of Oklahoma plans, though details vary by:
Plan type (HMO, PPO, EPO, marketplace, or employer-sponsored)
Age of the child (some plans have age-related limits)
Prior authorization and medical necessity requirements
In-network providers like Behavioral Innovations can simplify the process by verifying benefits, obtaining approvals, and minimizing delays.
1:1 ABA Therapy Sessions – individualized interventions tailored to your child
Parent Training & Support – caregiver participation included in many BCBS plans
Progress Re-Evaluations – ongoing coverage reviews to ensure medical necessity
Confirm Autism Diagnosis – required for ABA therapy coverage. Need a diagnosis? Contact our diagnostic team to schedule an evaluation.
Verify Insurance Benefits – our team reviews eligibility and out-of-pocket costs
Obtain Prior Authorization – submitted directly to BCBS on your behalf
Schedule an Intake – meet with a BCBA to design a care plan
Start Services Quickly – no waitlists at many of our centers
Does BCBS fully cover ABA therapy?
Most BCBS plans cover ABA therapy, but you may still be responsible for deductibles, co-pays, or coinsurance.
Does BCBS cover ABA therapy in all three states?
Yes. Most BCBS plans in Texas, Colorado, and Oklahoma include ABA therapy when medically necessary.
How do I know if my child’s plan covers ABA therapy?
Coverage varies by plan and employer. Our intake team verifies coverage directly with BCBS and provides a full benefits summary.
Are there limits to the number of ABA therapy sessions covered?
Some BCBS plans may include annual visit caps or age-related limits. These depend on your specific plan and employer group benefits.
What diagnoses are eligible for ABA coverage?
BCBS generally requires an autism spectrum disorder (ASD) diagnosis from a physician or licensed psychologist for ABA coverage.
Will I owe out-of-pocket costs?
Yes, depending on your plan’s deductible, co-pay, or coinsurance structure. We’ll provide a clear cost estimate after verification.
Can I use out-of-network providers with BCBS?
Out-of-network coverage may be limited or not included, depending on your plan. In-network providers like Behavioral Innovations typically mean lower costs and smoother approvals.
See if You Are Covered 855.782.7822
Insurance benefits and coverage vary by state, plan, and employer. The information provided here is for general educational purposes only and does not guarantee benefits. Please check with our intake team to confirm your child’s eligibility and your specific BCBS coverage details before starting services.
