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Kids With Special Needs and Disabilities
Reply to "BCBS Basic FEP Coverage for ABA???"
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[quote=Anonymous] I'm currently trying to navigate the process to at least get my dd an assessment for ABA. She is dx with autism. We have BCBS FEP Basic. So the ABA company supposedly got my insurance verification and it says this '. We were quoted that ABA is a covered benefit on your plan. Your immediate out of pocket expenses/ deductible are listed as $5500. After the deductible has been met, your insurance kicks in and will cover 80% of services. Your plan has a $5500 individual out of pocket maximum regarding home and center based ABA services. This means that once your out of pocket costs accrue to $5500, ABA will be covered at 100% for the remainder of your insurance plan year. Your plan requires authorization for ABA services, which our insurance team is currently working on. " Does this sound...right? I'm stuck at the $5500 OOP and the 80%. Usually with Basic, we just pay a co pay. I will call BCBS but it will be a few days before I can. [/quote]
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