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Does Optum Cover ABA Therapy?

Yes, Optum covers costs related to Applied Behavior Analysis (ABA) therapy in certain states and under specific conditions.


What is Optum?

Optum is a health services and innovation company that is part of UnitedHealth Group. Optum provides a range of services, including behavioral health services, pharmacy services, and health care delivery. Optum has a network of providers that offer services to individuals with commercial insurance, Medicare, and Medicaid.

Does Optum Cover ABA Therapy?

Yes, Optum covers ABA therapy by improving overall health outcomes while lowering healthcare costs. It depends on the individual's insurance plan and the state they live in. Optum does have some plans that cover ABA therapy, but it is not a guarantee.

In some states, ABA therapy is considered an essential health benefit, which means that it is required to be covered by insurance plans. However, not all states have this requirement. In states where ABA therapy is not considered an essential health benefit, insurance plans may have more leeway in deciding whether to cover it.

How to Find Out if Optum Covers ABA Therapy

If you are interested in finding out whether your Optum insurance plan covers ABA therapy, the best thing to do is to contact Optum directly. You can call the customer service number on the back of your insurance card or visit the Optum website to find out more information.

When you contact Optum, be sure to ask specific questions about your insurance plan. Ask if ABA therapy is covered, what the coverage limits are, and if there are any requirements for receiving ABA therapy. It is also important to ask if there are any out-of-pocket costs associated with ABA therapy, such as copays or deductibles.

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