Insurance
Insurance for ABA Therapy
Navigating the insurance landscape to get help for your child with autism can be a difficult and intimidating process.
The good news is insurance coverage for ABA therapy has increased significantly in recent years. That means it’s more affordable than ever to have the gold standard in autism therapy services. We can help you figure out how to do it.
At Tandem, we make it easier for families to understand the often-complex world of health insurance. We make the process as straightforward as possible and help you along the way.
We accept all forms of private insurance in addition to Medicaid and TRICARE.
We don’t want you to have to worry about dealing with red tape or delays and will help take some of the legwork out of working with your insurance company. We’ll help you gather the necessary information and paperwork.
Our experienced staff thoroughly understand the nuances of the insurance industry. They’ll work directly with your insurance company on your behalf to secure approval for requested services.
You can rest assured that we’re here to help. Our commitment at Tandem is to stand by you throughout this entire journey — every step of the way.
What Insurance Do We Accept?
Tandem Therapy Services is in network with most insurance companies in addition to TRICARE and is happy to check your benefits.
Payment of co-pays, co-insurance, and charges are due at the time of service. We accept personal checks, Mastercard, Visa, and Discover.
Curious about your coverage? Get in touch with our intake team today.
How to Get Started:
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Get a documented diagnosis. The first step in navigating the insurance maze is to make sure you have a written diagnosis from a medical or licensed health professional. |
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Understand your specific policy and financial obligations. |
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Determine what type of insurance you have. Whether you have a PPO, HMO, EPO, or something else, find out the precise name of your plan. |
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Find a provider that fits your needs. Not all ABA providers are created equally. You and your family will spend significant time with the provider, so find an organization you feel comfortable with and that understands the ins and outs of ABA. |
State Funding
Every State Has Autism Services
Across the country, each state has its own way of providing services for children with autism. States may have different services, names for these systems, and ease of access. You should know there are autism resources available to help. The basic framework falls under the Individuals with Disabilities Education Act (IDEA).
Contact your local Autism Society chapter to find out what type of support your state offers. They’re an excellent resource for up-to-date, local information.
Send us a Message to Learn MoreSchool Funding
Every State Can Help You Navigate the Confusing World of School Funding
Federal law requires public schools to provide special education and related services to eligible students with disabilities at no cost to the parents.
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Special education laws can be hard to understand, though. We can help you break it down and get your child the best therapies available in your area. |
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We work with your school district to find out what support and services your child needs. We also help create an Individual Education Program (IEP) that is right for your child. |
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We can help you understand your options. |
Medicaid
Medicaid funding is different in every state state.
Each state must provide some coverage for autism treatment through its Medicaid program, and each state decides which services are medically necessary. Depending on your state, applied behavior analysis (ABA) may or may not be covered.
Reach out to your local chapter of the Autism Society of America to find out what’s covered in your area.
Mandated coverage may be limited to specific age groups, number of visits, or other limitations. Some states have created robust networks of autism therapy providers, while other states have limited choices and significant waitlists.
Our intake and authorizations teams can help answer your questions.
Send us a Message to Learn More