Autism Spectrum Disorder Treatment (ASD/ABA)

Autism Spectrum Disorder (ASD) and Applied Behavior Analysis (ABA) Therapy

If you or a loved one has been diagnosed with Autism Spectrum Disorder (ASD), Sana supports your care journey with comprehensive coverage—including Applied Behavior Analysis (ABA) therapy, a widely used and evidence-based treatment. These services are covered under all Sana plans and include unique benefits designed to support long-term care and development.

What’s Covered 

Sana offers comprehensive insurance coverage for Autism Spectrum Disorder treatments, specifically focusing on Applied Behavior Analysis (ABA) therapy. Here's a breakdown of the services covered:

ABA Therapy Sessions:

• Individualized Plans: Each patient will have a personalized treatment plan designed to address their specific needs, including goals for communication, social skills, and behavior.
• Behavioral Intervention: Therapists work with individuals to modify specific behaviors and improve their ability to function in daily life.
• In-Home or Clinical Therapy: ABA therapy may take place in various settings, such as at home, in schools, or in clinical environments.

Assessment and Evaluation:

• Initial Diagnosis and Evaluation: Sana covers assessments that help in the diagnosis of ASD and the determination of appropriate treatment plans.
• Ongoing Evaluations: Regular assessments ensure the treatment plan remains effective and adapts to the changing needs of the individual.

Parent and Caregiver Training:

• Training for parents and caregivers is provided to help them understand ABA strategies and techniques, ensuring they can reinforce positive behaviors at home and in the community.

Supervision and Coordination:

• ABA therapy is often overseen by board-certified behavior analysts (BCBAs), who provide ongoing supervision and coordination to ensure that therapy is effective and adapted to the individual’s needs

• Unlimited visits: Unlike other types of therapy, there is no visit limit for ASD/ABA therapy. Care is tailored to your needs.
• Applied Behavior Analysis (ABA) therapy: A common and evidence-based approach for improving social, communication, and learning skills. Services must be provided by a licensed provider.
• Settings: Coverage includes therapy in clinics, in-home settings, and virtual care when appropriate.

Coverage Details by Plan

ASD/ABA therapy is subject to your plan’s deductible and coinsurance rates:

Getting Started

If you're unsure where to begin:

• Log into your Sana account to find in-network providers or request help from our Care Navigation team.
• Call us at (833) 726-2123, Monday–Friday from 7 AM–7 PM Central.
• Use the chat icon on most Sana pages to speak with a Customer Support team member.