Frequently Asked Questions

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• We work with children as young as 18 months and adults of any age. 

• Kaiser Permanente Hawaii
• HMSA
• Hawaii Western Management Group (HWMG)
• UHA Health Insurance
• Ohana Health Plan

Yes! If you decide not to go through your insurance or your insurance does not cover ABA services, we do offer private pay options. This means that we would be providing services as an "out of network" provider, and you would be responsible for payment of all sessions. 

However, please see the questions below. You may be eligible for reimbursement for some of our services, but that is solely dependent upon your specific insurance plan. 

• Do I have Applied Behavior Analysis (ABA) benefits under my current insurance policy?
• What is the coverage amount per ABA session?
• How many ABA sessions does my insurance plan cover per year?
• Are any diagnoses excluded from coverage? Which diagnoses?
• If I see an out-of-network provider do I have a deductible and how much is it?
• How much does my plan cover for an out-of-network ABA provider?
• What is the amount per ABA session that you will cover for an out-of-network provider?
• How do I obtain reimbursement for ABA with an out-of-network provider?
• How long will it take for me to receive reimbursement once I submit a claim?

Oftentimes, insurance companies may limit the size and scope of their in-network providers and it can be difficult to find a local clinician who specializes in what you are seeking treatment for. 

In-network coverage may also be limited to a certain number of sessions that are pre-determined by the insurance company, which may impact the type of the support you are able to receive.

Depending on the type of ABA services you are seeking, providers who are out-of-network may have more areas of specialized training that insurance may not be able to cover. 

Absolutely! If your needs align with the services we have the ability to provide, it would be a pleasure to work with you. 

Our service model is heavily focused on family/caregiver/stakeholder participation so that you feel comfortable implementing behavior strategies when we are not present.  

1:1 direct therapy between your loved one and a BCBA is capped at 10 hours per week. However, there is no hourly limit for caregiver/stakeholder education and training.

Please click on the link below for the BCBA ethical code that we abide by. 

https://www.bacb.com/wp-content/uploads/2022/01/Ethics-Code-for-Behavior-Analysts-220316-2.pdf

If we are not able to meet your learners needs, we would be happy to provide you with a list of referrals for other ABA providers on Oahu. 

If your learner is on a waitlist for more intensive insurance based ABA services, we would be happy to work with you in the meantime until those services can begin.

“Psychological flexibility is defined as contacting the present moment fully as a conscious human being, and based on what the situation affords, changing or persisting in behavior in the service of chosen values.” 

- Steven Hayes, founder of the ACT model.