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Re: How does your in-network ABA center bill insurance?

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We've been getting ABA coverage with a provider who is in-network with Aetna for

a year and a half. In 2009, we were limited in behavioral health visits to the

20 our plan covered, but in 2010, the Mental Health Parity Act went into effect.

That allowed for unlimited behavioral health visits.

I'm not familiar with what is happening February 11th?

> >

> > For those of you who are getting ABA insurance coverage with in-network

providers, how is your billing handled? How frequently do you pay your co-pays?

Do you pay them in advance of services? If so, how much? If your child is

absence for illness or vacation, do you get assessed a fee?

> >

> > Our center's policies don't seem right to me and I'm wondering what the

standard is at other ABA centers. They require payment of co-pays at the

beginning of each month for the entire month. They are changing policy this

year to no longer credit your co-pay if your child is out.

> >

> > I've spoken with our insurance company and they say it's not right, but I

also don't know if the person I spoke to understands ABA therapy and that my

child is there every single day. I am debating how much to push it with the ABA

center we go to since we need the services.

> >

> > Thanks in advance! I am curious to know how this works at other centers.

> >

> > Bonnie

> >

>

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