ABA No Insurance Coverage Today's Date* MM slash DD slash YYYY Patient Name* First Last HiddenPhone*HiddenEmail* Clinic*Choose a ClinicDreamShip CenterMilestones Behavioral PediatricsTrio AcademyInsurance Company Name No Insurance Coverage Upon checking with this insurance company, the patient does not have any coverage for ABA therapy. The patient also does not have Forward Health Medicaid coverage as secondary. So ABA therapy is not covered by patient’s insurance. If at any time the patient gets Medicaid coverage, patient may have coverage for ABA therapy through Forward Health Medicaid even though the primary insurance does not have coverage. Of course, all ABA therapy through Medicaid must be pre-approved. Additional CommentsDisclaimer When we call on a patient's insurance and verify benefits it is not a guarantee of payment by the insurance company and may vary according to the patient's individual plan when the actual claim is submitted. Payment of benefits are subject to all terms, conditions, limitations, and exclusions of the member's contract at time of service. The patient responsibility amount provided is an estimate of cost. The patient must understand that their health insurance company may deny payment for the services received. The patient must understand that it is ultimately the patient's responsibility to contact their insurance if they want to know exact benefits.EmailThis field is for validation purposes and should be left unchanged.