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A family and clinician discussing insurance coverage.
ABA therapy insurance coverage

We Accept Most Major Insurance Plans

Yes — Blossom ABA accepts most major insurance plans across Georgia, Tennessee, Virginia, North Carolina, and Maryland. If your plan is listed below, your child's ABA therapy is likely covered. Call us and we'll verify your benefits within 24 hours at no cost to you.

A Blossom ABA clinician working with a child at home.
We've got you covered

ABA Therapy Insurance Plans in Georgia, Tennessee, North Carolina, Virginia, and Maryland

Blossom ABA Therapy is dedicated to making a positive difference for families in Georgia, Tennessee, Virginia, and Maryland. Understanding the importance of affordability, we facilitate the process of utilizing insurance to access essential ABA therapy services, ensuring the journey towards growth and development is within reach for your loved ones.

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Insurance Plans We Accept by State

Every state has different insurance programmes and plan names. Here's exactly what we accept in each state — all written in plain language so you know where you stand before you call.

Georgia

Tennessee

Virginia

North Carolina

  • Aetna Better Health of NC

Maryland

  • Wellpoint Maryland (formerly Amerigroup)

Don't see your insurance listed here?

Contact us for assistance with authorization and to explore additional coverage options for ABA therapy services.

How Insurance Verification Works at Blossom

We handle the insurance process from start to finish so you don't have to become an expert in benefits and authorisation.

  1. 01

    You call us or fill in our form

    Tell us which insurance plan you have and which state you're in. That's all we need to get started.

  2. 02

    We verify your benefits within 24 hours

    Our enrollment coordinator contacts your insurance plan, confirms your child's coverage, and tells you exactly what's covered and what — if anything — you'll pay out of pocket. No surprises.

  3. 03

    We handle the authorisation

    Once your BCBA completes your child's assessment and writes a treatment plan, we submit the prior authorisation request to your insurance plan and follow up until it's approved.

  4. 04

    Therapy begins

    Once authorised, your child's therapist starts sessions. We handle all ongoing reauthorisation so you never have to worry about coverage lapsing.

On Medicaid? We Have a Dedicated Guide for You

Medicaid works differently from commercial insurance — the programme names, plan options, and authorisation processes vary significantly by state. We've put together detailed guides for each state covering exactly which Medicaid programmes we accept and how the authorisation works.

FAQs

Insurance Questions Parents Ask

Does insurance cover ABA therapy?

Yes — most major commercial insurance plans and all state Medicaid programmes are required by law to cover ABA therapy for children with an autism diagnosis. Blossom accepts most major plans across all five states we serve.

What if my insurance isn't listed?

Call us anyway. We may still be in-network with your plan, or we can help you understand your out-of-network options. Our enrollment team talks to insurance companies every day and knows how to navigate coverage questions.

How long does insurance authorisation take?

Most authorisations are completed within 2 to 4 weeks. Our enrollment coordinator handles all the paperwork and follows up with your insurance plan so the process doesn't stall.

Will I have a copay or out-of-pocket costs?

That depends on your specific plan. When we verify your benefits we tell you exactly what you'll pay before therapy begins — no surprises and no commitments until you know the full picture.

What if my insurance denies the ABA therapy request?

We appeal denials and provide additional clinical documentation. Most denials can be overturned because insurers are legally required to cover ABA therapy for autism. We've done this many times and know how to make the case.

Does my child need an autism diagnosis for insurance to cover ABA therapy?

Yes — an official autism spectrum disorder diagnosis is required before most insurance plans will authorise ABA therapy. If your child doesn't have a diagnosis yet, speak to your paediatrician about a referral for an evaluation.

Can you verify my insurance before I commit to anything?

Yes — and we always do. Verifying your coverage is completely free and comes with no obligation. You'll know exactly what your plan covers before any therapy begins.

Have more questions? Contact us and we'll walk you through it.

Ready To Find Out What Your Insurance Covers?

One call is all it takes. Our enrollment team verifies your benefits within 24 hours and walks you through exactly what's covered — at no cost and with no obligation.

Blossom ABA team welcoming a new clinician.