Commercial Plans
Private Insurance Coverage for ABA Therapy in New Mexico
Many commercial health plans cover medically necessary ABA therapy. We verify your specific benefits for free before services begin.
Most private and employer-sponsored health plans in New Mexico cover Applied Behavior Analysis for children with an autism spectrum disorder diagnosis. Coverage details — including authorized hours, copays, deductibles, and visit limits — vary considerably between carriers and even between plans from the same carrier.
PlayPath ABA works with many commercial insurers, including Aetna, Blue Cross Blue Shield of New Mexico, Presbyterian Commercial, UnitedHealthcare, and Cigna. Because plan terms differ so much, the most reliable first step is a free benefits check.
We verify your coverage directly with your carrier, explain what your plan includes in plain language, and handle prior authorization and reauthorization paperwork throughout your child’s care.
Private Insurers We Commonly Work With
- Aetna
- Blue Cross Blue Shield of New Mexico (Commercial)
- Presbyterian Health Plan (Commercial)
- UnitedHealthcare
- Cigna
- Don’t see your plan? Contact us — this list is not exhaustive.
Private Insurance & ABA: FAQs
Does private insurance cover ABA therapy?
Many private plans cover medically necessary ABA therapy, but coverage varies by carrier and plan. We verify your specific benefits at no cost before services begin.
Will I have a copay or deductible?
That depends entirely on your plan. Some families have no out-of-pocket cost; others have a copay or deductible. We explain your exact cost-sharing before therapy starts.
What if my plan is not listed?
Contact us anyway. The list above is not exhaustive, and we can verify benefits with most carriers at no cost to you.
Do you handle prior authorization with private insurers?
Yes. We submit the BCBA treatment plan for prior authorization and manage reauthorizations so your child’s therapy continues without gaps.
Not Sure What Your Plan Covers?
We’ll verify your benefits for free and explain exactly what’s included — no cost, no obligation.