Insurance and ABA Therapy
Getting started with ABA should feel simple, not stressful. At Play Based Wellness, we know insurance can be confusing, especially for families who are new to services. That is why we have a dedicated in-house insurance specialist who handles the details from start to finish and makes sure you understand your benefits before therapy begins.
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Blue Cross Blue Shield
Play Based Wellness is in network with BCBS. We verify your plan details, including deductibles, copays, and ABA coverage, so you know exactly what to expect before starting services. Families appreciate the dependable ABA benefits BCBS typically offers for early intervention.
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Aetna
PBW is an in network provider with Aetna. Our insurance specialist reviews your specific plan to confirm eligibility, prior authorization needs, and any cost sharing. Aetna plans often support consistent ABA therapy, and we guide you through every step to make the process simple.
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Cigna
We are in network with Cigna and complete full verification before services begin. This includes confirming covered hours, required documentation, and financial responsibility. Cigna families benefit from our ongoing support with authorizations and claim follow ups.
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Wellpoint Medicaid
PBW accepts Wellpoint Medicaid. Families can expect clear verification, predictable coverage, and help understanding any visit requirements. Medicaid plans often cover comprehensive ABA therapy, and we make sure you know exactly what is approved.
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Parkland Medicaid
We are in network with Parkland Medicaid. Our team confirms eligibility, explains coverage in easy language, and ensures a smooth start to ABA services. Parkland Medicaid provides strong early intervention benefits, and we help families access everything available.
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Anthem
PBW is in network with Anthem. We verify ABA coverage, manage authorizations, and give you a transparent overview of out of pocket expectations before therapy begins. Anthem plans regularly support early intervention and medically necessary ABA treatment.
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Baylor Scott & White
We partner with Baylor Scott and White Health Plan as an in network ABA provider. Your benefits are verified in detail so you feel confident about coverage. Our insurance specialist supports families through approvals, billing, and claims from start to finish.
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Cook Children's Medicaid
Play Based Wellness is in network with Cook Children’s Health Plan. We verify eligibility, covered ABA services, and any referral or authorization requirements before your child begins therapy. Cook Children’s plans often include strong early intervention benefits, and our insurance specialist walks every family through their coverage so you feel informed and comfortable from the very start.
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Coverage verification
Our insurance specialist contacts your insurance provider to confirm eligibility, benefits, deductibles, and out of pocket maximums. You receive a clear breakdown of what your plan covers and what costs, if any, you can expect before therapy starts.
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Pre authorization support
Many plans require prior authorization for ABA services. We prepare and submit the necessary information, coordinate with your insurance company, and follow up on approvals so your child can begin services as quickly as possible.
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Direct billing and follow up
We submit claims directly to your insurance company and monitor them closely. If there are questions, denials, or delays, our insurance specialist follows up and keeps you informed, which reduces the paperwork and stress for your family.
Hi I am Renne!
Hi, I am Renee, and I support families at Play Based Wellness by handling the insurance details from the very first call. I came to PBW with years of experience in medical billing and coding in large medical groups and I now use that background to guide families through ABA coverage. I verify benefits, review deductibles and out of pocket costs, and meet with every family before therapy begins so you feel confident about your plan and your financial responsibility. I love that I get to know the children and families we serve rather than working behind the scenes for people I never meet. My goal is to make insurance feel clear and manageable so you can focus on your child.
• Verifying ABA benefits with your insurance plan
• Reviewing deductibles, copays, and out-of-pocket maximums
• Preparing and submitting pre-authorization requests
• Coordinating treatment codes and authorizations with our clinical team
• Submitting claims and monitoring payment status
• Following up on denials or questions from the insurance company
• Reviewing explanations of benefits and answering billing questions
• Scheduling one-on-one calls to review costs before services start