ABA therapy coverage with Centene / Ambetter.
Largest Medicaid managed care organization and major ACA marketplace insurer.
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Centene and its Ambetter marketplace plans cover ABA therapy as part of autism treatment benefits. Coverage is available through Medicaid managed care programs in most states and through ACA marketplace plans.
Browse ABA providers by state
Browse geographically, then verify Centene / Ambetter network status directly with the provider and your plan.
Frequently Asked Questions
Common questions about Centene / Ambetter and ABA therapy coverage.
Centene and its Ambetter marketplace plans cover ABA therapy as part of autism treatment benefits. Coverage is available through Medicaid managed care programs in most states and through ACA marketplace plans.
Search by address or ZIP to find nearby ABA providers, then confirm current network participation with both the provider and Centene / Ambetter. Our imported directory records generally do not include reliable insurance participation data.
With Centene / Ambetter insurance, your out-of-pocket costs depend on your specific plan's deductible, copay, and coinsurance rates. Many families pay between $0-50 per session after meeting their deductible. Contact your plan for specific benefit details.
Most Centene / Ambetter plans require a diagnosis of autism spectrum disorder and may require prior authorization before starting ABA therapy. Some plans also require a referral from your primary care physician. Check with your specific plan for requirements.
Other coverage guides
Read coverage guidance for other insurance plans.
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