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Does WellCare Cover ABA Therapy?

If you have a child diagnosed with Autism Spectrum Disorder (ASD) and are searching for effective treatment options, Applied Behavior Analysis (ABA) therapy is one of the most recommended therapies. The good news is that WellCare does cover ABA therapy when it’s deemed medically necessary. At BlueBell ABA, we are proud to be in-network with WellCare to provide your child with the care they need. If you are looking for ABA therapy that accepts WellCare insurance, our dedicated team is here to guide you through every step of the process.

How Does WellCare Cover ABA Therapy?

WellCare recognizes the importance of ABA therapy in helping children with autism achieve better outcomes. Coverage for ABA therapy under WellCare generally includes:

  • Assessment and Evaluation: Coverage for initial assessments to determine if ABA therapy is needed.
  • Personalized Treatment Plans: Approval of ABA therapy plans that are customized based on the child’s specific needs.
  • Ongoing Therapy Sessions: Includes one-on-one therapy with Board Certified Behavior Analysts (BCBAs) and Registered Behavior Technicians (RBTs).

Key Coverage Details:

  • A formal diagnosis of ASD is typically required.
  • Pre-authorization may be needed before starting therapy.
  • Coverage may depend on whether certain criteria, like a referral or prescription, are met.

Each WellCare insurance plan may have specific terms, so it’s essential to check the details of your policy.

How BlueBell ABA Can Help You Maximize Your WellCare Benefits

Navigating the insurance process can feel daunting, but you don’t have to go through it alone. At BlueBell ABA, we specialize in working with WellCare insurance to ensure your child receives the services they need. Here’s how we assist:

1
Free Insurance Verification

Contact us, and we'll verify your WellCare insurance coverage for ABA therapy.

2
Pre-Authorization Assistance

We handle all necessary pre-authorizations to get your child started on therapy as quickly as possible.

3
Ongoing Claims Support

Our team will manage the submission of claims to WellCare, ensuring you maximize your benefits with minimal hassle.

4
Personalized Guidance

We guide you through the entire process, from verifying coverage to scheduling sessions, so you can focus on your child's progress.

ABA Therapy Services Near You

We proudly offer ABA therapy services for autism, supporting families across multiple states.

Communities We Serve Across North Carolina

We’re helping children with autism develop new skills with ABA therapy across North Carolina. Get started with our friendly, professional ABA therapy services in locations near you. Don’t see your area listed? Contact us today to find out if we can serve your community, too!

Frequently Asked Questions About WellCare ABA Therapy Coverage

Does WellCare cover ABA therapy?

Yes, WellCare covers ABA therapy when it is medically necessary for children diagnosed with Autism Spectrum Disorder. Coverage details vary based on your specific plan.

How can I find out if my WellCare plan covers ABA therapy?

You can reach out to WellCare directly, or our team can perform a free insurance verification to confirm your coverage.

Is pre-authorization required for ABA therapy with WellCare?

Yes, in many cases, WellCare requires pre-authorization before starting ABA therapy. We’ll help you with all the paperwork to ensure a smooth approval process.

Are there out-of-pocket costs with WellCare coverage?

Depending on your plan, you may have co-pays, deductibles, or out-of-pocket expenses. We'll help you understand what to expect and how to minimize costs.

Insurance Plans We Accept

We are proud to be in-network with the following insurance providers:

If your insurance provider is not listed, please contact us to discuss potential options.

Get Started with ABA Therapy Covered by WellCare Insurance

If you’re a WellCare member and are considering ABA therapy for your child, BlueBell ABA is here to help. Let us handle the complexities of insurance so you can focus on your child’s growth and development.

Reach out to us today for a free insurance verification and to learn more about how we can work with WellCare to get your child the therapy they need.

We make it easy for you to send referrals to Bluebell. Please use one of the following methods:

01
Fax

Send referrals to our dedicated fax number:

980-300-8904
02
Email

Email referrals to:

info@bluebellaba.com

If you have any questions or need assistance, please don’t hesitate to contact us.