Anyone here a federal employee? ABA covered?

[Guest guest]

Hello everyone, I am looking into a job with a VA hospital and I have

been trying to look into their insurance benefits, especially if they

cover AVB. Their medical provider is BCBS federal and they contract

their mental health services through a company called Magellan. I

have tried to get a definitive answer on whether my son's ABA would

be covered under their plan prior to leaving my current job (where it

is NOT covered.) Is there anyone here who may be able to give me some

insight on this? Feel free to e-mail me privately. Thanks, Danny A.

in Indiana, father 4yo w/ASD

[Guest guest]

Hi, Danny,

I am not a federal employee but here's what I can tell you about my

experience with Magellan. I used to have Aetna and when I started

asking them questons about ABA they referred me to Magellan whose

position was basically this: CPT code 97770 or 90806 that ABA

belongs to is covered when services are provided by someone who is

certified/licensed in mental health. But of course none of their

clinical social workers or psychiatrists/psychologists did ABA/AVB,

so the issue was moot. Now I know that Microsoft pays for ABA for

their employees' kids but they had to resolve the certification

issue first, that is figure out whom to pay. So you may want to

inquire into their out-of-network benefits perhaps because it's a

pretty safe bet that they won't have anyone in-network to provide

AVB. But then again, educational certificates are probably not going

to be sufficient for out-of-network people to get paid, either.

Hope this helps.

Natasha

> Hello everyone, I am looking into a job with a VA hospital and I

have

> been trying to look into their insurance benefits, especially if

they

> cover AVB. Their medical provider is BCBS federal and they

contract

> their mental health services through a company called Magellan. I

> have tried to get a definitive answer on whether my son's ABA

would

> be covered under their plan prior to leaving my current job (where

it

> is NOT covered.) Is there anyone here who may be able to give me

some

> insight on this? Feel free to e-mail me privately. Thanks, Danny

A.

> in Indiana, father 4yo w/ASD