ABA therapy and Magellan

What is covered

Magellan manages the behavioral health benefit on behalf of other insurers, so it may not be the name on your card. Whether ABA is covered is set by your plan; Magellan is usually who reviews and authorizes it.

Magellan administers behavioral health benefits for various employer and state plans rather than issuing insurance itself, so your card will normally show a different carrier.

Ask them: Is my behavioral benefit carved out to Magellan?

Self-funded or fully insured?

Ask your employer which yours is. Fully insured plans follow your state's autism mandate; self-funded plans follow federal rules instead. Many cover ABA either way.

Before your first session

• Confirm the agency is in network, not just willing to bill.
• Ask how many authorized hours, over what dates.
• Ask your copay per session.
• Get the reauthorization date in writing.