We Have You Covered

We’re here to help you and your family get the care you need, even if it’s with another provider.  Most states now have laws that support Applied Behavioral Analysis services for autism, meaning that insurance companies must cover it. To get coverage for autism services, start by identifying and understanding the type of insurance you have.

For example, a Fully Funded Plan, where premiums are paid by the employer and/or employee, are required by law to follow all state and federal mandates, so if your state has determined that ABA services are covered, your insurance company will pay the cost.

PPOs and HMOs are not required to follow state and federal mandates, so it’s up to the employer to decide whether ABA services are covered. Look at your insurance card, or if you are employed, contact your HR department to determine the type of plan you have.

Have questions?

Contact Us

Or call us at 855-295-3276

Steps to getting health insurance

Accepted Insurance Plans

To see what insurances are accepted in your state, please visit our locations page and select your location. Each state page will list the insurance providers accepted in your area.

Life Changes That Can Affect Your Insurance Benefits:

  • Loss of health coverage
  • Change of plan (Example HMO to a HMO Plus plan, PPO or EPO)- Please note that we are not in network with all plan types under all insurance companies
  • Change of Policy number or Group number
  • Losing existing health coverage, including job-based, individual, and student plans
  • Losing eligibility for Medicare, Medicaid, or State funded programs
  • Turning 26 on a commercial insurance and losing coverage through a parent’s plan
  • Turning 18 on a Medi-Cal or Medicaid plan
  • Changes in household (Getting a new job)
  • Getting married or divorced (your primary plan may now be considered your secondary plan legally)
  • Death in the family (your primary plan may now be considered your secondary plan legally)
  • Moving to a different ZIP code or county (Medi-cal and Medicaid plans differ in different zip codes)
  • Changes in your income that affect the coverage you qualify for (Medi-Cal, Medicaid)
  • State funded insurance such as Medi-Cal, Medicaid are considered payers of last resort. Your other insurance will automatically be considered primary.

Other Funding Methods

In addition to insurance, there are other ways to receive coverage for ABA services, including:

Private Funding or Self-Pay: Some families have the financial means to pay for services directly. We can discuss various options for families wanting to pursue this option. Families can also apply for grants from non-profit organizations that offer potential assistance.

State Funding: Every state has some form of support for individuals with autism, and we can advise you on how to obtain them.

When More Services Are Needed

Sometimes parents want their children to receive more services than those covered by their program.

ALP offers the option to privately pay for such services, which can be useful when a parent wishes the child to receive services for which the child isn’t eligible, including:

  • Early Intervention Services
  • Classroom Support
  • Behavioral Support
  • Social Skills
  • Speech and Language Services
  • Occupational Therapy

Let Us Help with Insurance

Figuring out insurance and payment details can often feel overwhelming, and we realize your time is better spent focusing on the health of your family. Simply fill out this insurance form and we’ll be in touch with the help you need.

Insurance Form

Frequently Asked Insurance Questions

What insurance does ALP accepted in my area?

To see what insurances are accepted in your state, please visit our locations page and select your location. Each state page will list the insurance providers accepted in your area.

Why am I being asked to keep a credit card on file?

In order to ensure an accurate and timely client billing process, Autism Learning Partners automates credit card charging for rendered services at the point when your claim is processed by your insurance company. In order to automate this process, we ask clients to keep their credit card on file for the duration of care. Please keep in mind that there will be no charges made to your card until your treatment begins. Also, having your card on file does not obligate you to use ALP for care, if you decide to choose a different ABA provider. Our credit card processing system is secure and once your card is on file the only visible information will be the last four digits which you will see on your receipts.

What happens to my credit card information once I fill out the Patient Responsibility form?

Autism Learning Partners staff will record your credit card information into our secure system. We will redact your credit card information from the signed Patient Responsibility Form and scan into our system.

If I am uncomfortable storing my credit card am I able to just get a bill?

Yes. If you do not feel comfortable keeping a credit card on file you will receive a statement in the mail. You can pay your statement by mail or by contacting our Customer Service team who is available to take your payment over the phone. Please note this process may take longer for you to receive a bill for services rendered and may arrive after you receive your Explanation of Benefits from your insurance company.

I have insurance. Why am I being asked to pay?

Your patient responsibility portion depends on your insurance coverage. During the Intake process, Autism Learning Partners staff will verify the insurance information you provide as well as the copayment, coinsurance, and deductible related to your plan and provide this information to you. Your patient responsibility portion will be charged or billed to you after your insurance adjudicates your claim to ensure the correct amount. Please contact your insurancecompany or refer to your benefit plan for more information about what your out-of-pocket costs may be related to your care.

How does secondary insurance work?

Please ensure that you communicate both your primary and secondary insurance information to Autism Learning Partners. You will be billed for any patient responsibility balance remaining after all insurance plans adjudicate your claims.  If you do not have a secondary insurance during your initial intake process but add one later,  you may inform an ALP staff member at that time so we can verify your coverage and add it to our system.  If your insurance ever changes throughout your child’s treatment plan, please notify an ALP staff member to navigate a smooth transition and ensure that services are not disrupted. ALP will also work with you to verify your new benefits.

Can I pay my bill at the office?

Yes. Autism Learning Partners staff are happy to take your payment if you have received and invoice and would like to pay at the time of service. You can also pay your statement via mail or using the contact phone number on the statement.

I saw a charge on my credit card. How do I know it’s from Autism Learning Partners?

The merchant name that will appear on a credit card charge is Autism Learning Partners. You will also receive an email receipt at the time your card is charged from receipts@autismlearningpartners.com. If you do not see a receipt please check your email’s spam folder.