HSG – Insurances – Hope's Star Group

Insurance Coverage

Insurance Supports Your Journey

Hope’s Star Group recognizes the importance of insurance benefits in helping every patient access quality ABA therapy. Navigating clinical and insurance requirements to qualify for and receive ABA services can feel overwhelming, but our dedicated admissions team is here to guide you every step of the way. We work closely with families to verify insurance coverage. We accept most major insurance carriers; however, ABA benefit coverage may vary. Please contact us for assistance in understanding your individual coverage for behavioral conditions we support daily, such as Autism Spectrum Disorder (ASD), Attention-Deficit/Hyperactivity Disorder (ADHD), Oppositional Defiant Disorder (ODD) and Global Developmental Delay (GDD).

Making Therapies Affordable Effective Work Reachable Seamless Available Simple Happen

Hope’s Star Group is committed to guiding families through the insurance process, ensuring you understand your benefits. We work with a wide range of Florida insurance providers, assisting with approvals, claims, and authorizations so your child can receive the care they need without unnecessary delays. Our dedicated team brings unmatched expertise and compassionate support, helping families navigate the complexities of insurance with ease, so you can focus on what truly matters: your child’s progress. We accept most major insurance plans, including Medicaid Sunshine, Medicaid Sunshine CMS, Medicaid Simply, Florida Kidcare, Cigna, Aetna, Florida Blue, Humana, Tricare, Community Care Plan, and Molina, among others. Coverage for ABA therapy varies by provider and plan.

Accessing quality ABA therapy should be straightforward, not complicated by insurance challenges. We support families by verifying insurance benefits, explaining costs, and ensuring a seamless experience in securing the care their child needs while reducing unexpected obstacles along the way. Don't hesitate to reach out to us at 954-231-6767 with any questions about your insurance coverage and benefits. Let us guide you every step of the way.

One Session at a Time!

Building Children's Confidence,
Independence, and Success...
One Session at a Time.

Maximizing Your Insurance Benefits

Navigating insurance coverage, approvals, and financial responsibilities can feel overwhelming, but our dedicated admissions team is here to guide you through every step. We work closely with families to verify insurance benefits, clarify costs, and ensure a smooth experience in accessing the care their child needs while minimizing unexpected challenges. Below, you’ll find essential information about public and private insurance to help you better understand your coverage options.

Public Insurance Coverage

In Florida, programs such as Medicaid may cover ABA services for children who meet the established requirements. Medicaid in Florida requires that specific medical and financial criteria are met to qualify.

Self-Managed Insurance Plans

Some employers in Florida offer self-managed insurance plans that require additional processes for service authorization. It is important to confirm the requirements directly with your employer. These plans are often more flexible but may also include specific restrictions. We can assist you in reviewing your plan details to ensure you receive the necessary ABA coverage.

Plans Requiring Periodic Evaluations

Some plans in Florida require ongoing evaluations every 6 months to authorize and maintain ABA therapy, as these assessments help objectively measure the child’s clinical progress. Additionally, formal clinical updates prepared by the therapeutic team are essential to meet the state’s reauthorization criteria. Our team can assist you with the management and tracking of these requirements, ensuring everything stays up to date and helping prevent any interruptions in your child’s services.

Deductibles, Copays, Coinsurance, and Out-of-Pocket Maximums

You may need to meet a deductible, which is the amount you pay for covered healthcare services before your insurance plan begins to pay. Some insurance plans in Florida have coinsurance, meaning you would be responsible for a set percentage of a bill until you reach an out-of-pocket maximum, after which insurance would cover 100% of the services. Additionally, copays in Florida vary by plan, but families may reach an out-of-pocket maximum, after which insurance will cover all services.

For families in Florida, navigating the world of healthcare and insurance can be overwhelming, especially when seeking the best treatments for developmental conditions. Thankfully, Florida Medicaid and Florida KidCare provide coverage for ABA therapy, which is recognized as the most effective treatment for Autism Spectrum Disorder (ASD), Attention Deficit Hyperactivity Disorder (ADHD), Oppositional Defiant Disorder (ODD), and Global Developmental Delay (GDD). While private insurance companies typically cover ABA therapy only for Autism treatment, they may also approve coverage for other behavioral conditions like ADHD, ODD, and GDD on a case-by-case basis. We work with most healthcare providers, including Medicaid and private insurance plans such as Ambetter Health, Aetna, United Healthcare, Tricare, Humana, BlueCross BlueShield, Molina, Oscar, Cigna Healthcare, and more. Need help understanding your health insurance? Call us today at 954-231-6767, and we’ll help you understand the benefits your insurance offers for ABA therapy. We are committed to guiding you through your insurance policy and ensuring you get the support you need.