Typical Copay
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Verified Providers
States Covered
About Cigna ABA Coverage
Cigna is a global health services company that provides comprehensive ABA therapy coverage through its behavioral health programs. Cigna has invested significantly in autism services and offers dedicated care coordinators to help families navigate ABA therapy benefits.
What's Covered
Cigna covers ABA therapy services including functional behavior assessments, behavior intervention plans, direct ABA therapy, and parent/caregiver training. Coverage is based on medical necessity with typical approval for 15-35 hours per week. Cigna offers both in-network and out-of-network benefits.
Coverage Details
PPO and Open Access plans
Required for ABA services
$25-$50 per session
NJ, PA, GA, VA, NC, IN, NY, MD
How to Get Started
- Verify your benefits - Call the number on your insurance card or use our free benefits check tool
- Get a diagnosis - If your child doesn't have an autism diagnosis, we can connect you with diagnostic providers
- Find a provider - Browse our verified Cigna-accepting providers in your area
- Request authorization - Your provider will submit a pre-authorization request to Cigna
- Start therapy - Once approved, begin ABA therapy services
Frequently Asked Questions
Yes, Cigna covers ABA therapy for individuals diagnosed with Autism Spectrum Disorder. Coverage is typically provided as part of behavioral health benefits, though specific coverage details vary by plan. Most Cigna plans cover 20-40 hours per week of ABA therapy based on medical necessity.
With Cigna, typical out-of-pocket costs range from $25-$50 per session depending on your specific plan. Many families pay little to nothing after meeting their deductible. We recommend calling the number on your insurance card to verify your specific benefits.
Yes, Cigna requires pre-authorization for ABA therapy services. Your ABA provider will typically handle this process for you, submitting the necessary documentation to Cigna for approval before starting services.
Use our provider search tool to find Harmony-verified ABA providers who accept Cigna. All providers in our network have been vetted for quality and credentials. You can also callCigna directly or use their online provider directory.
Ready to Check Your Cigna Benefits?
Our team can help you understand your Cigna coverage and connect you with verified ABA providers in your area.