Insurance and FundingWe currently accept or have had single case agreements with the following insurance providers. If your provider is listed, please note the documents and information necessary to file for your services. If your insurance company is not listed, please contact us to see if we can partner with them to provide services for your child.
State regulated, fully funded health plans vs self-insured ERISA plansDo you have a state regulated “fully funded” health plan or a self-insured “ERISA” plan? This is an important distinction because the state mandated insurance for Florida and many other states do not cover self-insured ERISA plans. Typically companies that are very large have self-insured plans that they allow the health companies to manage. It is still possible for your self-insured plan to cover ABA for autism. It is all in the fine print of your “Evidence of Coverage or “Plan Description” manuals.
In Network vs Out of NetworkThis may be an important distinction for you as your out-of-pocket costs can be, but is not always, affected by this distinction. Since there are not many innetwork providers of ABA services, insurance companies have to write single case agreements and as a result, the care is considered to be in-network in most cases.
BMC is an in-network provider for children with Autism and Pervasive Developmental Disorders(299.00 or 299.80 diagnosis) with:
BMC has obtained Single-case agreements with:
- Complete the Brief Intake Form »
- Send us a front and back copy of your insurance card via fax or email
- A copy of a report indicating a Diagnosis of Autism (Diagnostic codes: 299.0; 299.8) by a licensed practitioner (not a school report).
- A prescription for ABA services by a physician
*For United Healthcare, complete their form “Release of Information” and send to BMC.