Healthy Times

New Autism Benefits


Understanding Autism Coverage
Getting an autism diagnosis can be an overwhelming experience for any parent. Blue Cross Blue Shield of Massachusetts has various covered benefits to diagnose and help treat autism spectrum disorders.

Covered Benefits
Benefits for the medically necessary diagnosis and treatment of autism spectrum disorders will be provided when services are furnished by a covered provider, or by a board certified behavior analyst supervising or performing applied behavior analysis.


For the Diagnosis of Autism Spectrum Disorders

For Individuals Diagnosed with an Autism Spectrum Disorder

What's Covered

Medically necessary assessments, evaluations, and testing.

Medically-necessary treatment services when provided or ordered by a licensed physician or psychologist such as:

  • Habilitative or rehabilitative care, including applied behavior analysis (ABA) when under the supervision of a board certified behavior analyst. ABA services require prior authorization.
  • Pharmacy care (contingent upon benefit plan inclusion of pharmacy coverage)
  • Psychiatric care
  • Psychological care
  • Therapeutic care

Facts About Autism

Learn more about autism coverage.

Please see your benefit materials or talk to your employer for specific information about your autism spectrum disorder benefits.

1. Autism Speaks. February 16, 2011.

2. Centers for Disease Control and Prevention. February 16, 2011.