Your child’s health insurance provider has determined them ineligible for coverage due to reasons beyond our control. Common causes of ineligibility include incomplete information or incorrect documentation from the evaluating medical professional, such as their diagnosis and treatment plan.
Health insurers are not always able to cover everyone who requires services because they have limitations on what a company can offer when it comes down to risk management and financial stability. When this happens, there may be instances where an insurer won’t cover those deemed “likely-eligible” based off certain criteria which could range between lack of supportive documents regarding a diagnosis like clinical notes, inconsistent paperwork submitted by family members about caregiving roles among various other factors.
This doesn’t mean that ABA therapy is not an option for your family. Our intake coordinator will continue to fight for the services your child needs despite the red tape in place by big insurance companies. In the meantime, we encourage parents to reach out to discuss private pay options, or to enroll their child in programs offered by our non profit center for children with learning disabilities.