Commercial Insurance FAQs
How much does ABA therapy cost?
If you have health insurance, Hopebridge bills the insurance company on your behalf. From there, your child’s specific plan will determine any contracted discounts or out-of-pocket costs.
What do I have to pay out of pocket for services?
The out-of-pocket cost varies by plan. We first run a benefit check to determine what portion insurance will cover and what you will be responsible to pay, based on factors like the deductible, co-insurance and the annual out-of-pocket maximum.
What if Hopebridge doesn’t accept my insurance plan?
We accept a wide range of commercial insurance plans, as well as Medicaid. Even if we are not already in-network with your plan, our Care and Benefits Coordinators can work on single case agreements to arrange a contract with your insurer.
What if my commercial insurance policy doesn’t cover ABA services?
The good news is, coverage for ABA is increasing, and if you do not have it, there are alternatives you can pursue. If you do not have primary insurance coverage for ABA, it may be possible to obtain coverage through a marketplace supplemental plan or Medicaid supplemental plan.
Are autism services covered through the Affordable Care Act (ACA)?
All of the states we serve offer insurance through their state marketplaces, which are commonly known as Obamacare. Hopebridge’s Care and Benefits Coordinators can help you determine the autism benefits available to you through your specific plan.
Do I make my copay daily at the center?
Hopebridge does not ask for copays on a daily basis, and rather provides an invoice at the end of each month.
How many service hours will we be approved for?
Coverage is based on medical necessity and ranges from 10 to 40 hours. Our team will submit your plan of care to the insurance company and they will review and let us know what is covered.