Coverage guide

ABA therapy coverage with Oscar Health.

Technology-focused health insurer offering ACA marketplace plans with ABA coverage.

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Oscar Health ABA Coverage

Oscar Health covers ABA therapy as part of its behavioral health benefits in ACA marketplace plans. Coverage includes assessment, treatment planning, and ongoing therapy services.

Information reviewed by certified BCBAs

Browse ABA providers by state

Browse geographically, then verify Oscar Health network status directly with the provider and your plan.

Frequently Asked Questions

Common questions about Oscar Health and ABA therapy coverage.

Does Oscar Health cover ABA therapy?

Oscar Health covers ABA therapy as part of its behavioral health benefits in ACA marketplace plans. Coverage includes assessment, treatment planning, and ongoing therapy services.

How do I find Oscar in-network ABA providers?

Search by address or ZIP to find nearby ABA providers, then confirm current network participation with both the provider and Oscar Health. Our imported directory records generally do not include reliable insurance participation data.

What is the cost of ABA therapy with Oscar?

With Oscar Health 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.

Do I need a referral for ABA therapy with Oscar?

Most Oscar Health 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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Oscar Health ABA Therapy Coverage Guide | Find ABA Therapy