Each insurance policy is different in terms of the types and amount of therapy covered. We encourage parents and caregivers to speak with their insurance company about specific criteria as it relates to ABA and speech therapy. Due to the intensity of ABA treatment, a family can assume that they will meet their out-of-pocket maximum if their child is receiving ABA therapy.
In Montana, health insurance providers are required to cover costs for the diagnosis and treatment of autism spectrum disorders for children 18 years old or younger. There should be no limits for ABA Therapy. However, insurance policies vary depending upon which type of insurance you have. Please verify your plan benefits for ABA therapy sometimes called autism treatment.
For speech therapy, many insurance policies have a limit on the number of sessions one can attend in a calendar year. Please reach out to your insurance company to find out the benefits for speech therapy.
Studies have shown that the earlier a child begins receiving therapy, the better the outcomes can be. In order to receive ABA services through Pediatric Therapy Clinic, your child must have received a formal autism diagnosis. This diagnosis is made by an experienced provider who has received specialized training and who utilizes the ADOS-2, or Autism Diagnostic Observation Schedule and cognitive testing.
Often children begin speech therapy between two and three years of age, but can begin later. Children can be seen for speech therapy for difficulties with articulation (how they say their sounds), language delays, apraxia(a motor planning difficulty), dyslexia, stuttering, and a variety of other diagnoses.
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Speech Language Pathologist