GetCoveredNJ Marketplace Plans and ABA Therapy Coverage
In short: GetCoveredNJ marketplace plans, including those from Horizon Blue Cross Blue Shield, AmeriHealth, and Oscar, must cover ABA therapy as an essential health benefit for children with autism. While coverage is required by the Affordable Care Act and New Jersey state law, plan details like copays, deductibles, and networks vary. The best approach is to choose a plan with a broad provider network, verify each plan's ABA therapy benefits directly, and use a free matching service like ABA For My Child to connect with vetted providers who accept your insurance.
Key takeaways
- GetCoveredNJ marketplace plans must cover ABA therapy under the ACA's essential health benefits and New Jersey's autism insurance mandate.
- Coverage applies to children diagnosed with autism; some plans may have age limits or require prior authorization.
- Plan benefits vary: check for deductibles, copays, coinsurance, and annual or lifetime limits on ABA therapy.
- Provider networks differ; choose a plan that includes ABA therapy providers near you to avoid out-of-network costs.
What Is GetCoveredNJ and Does It Cover ABA Therapy?
GetCoveredNJ
Sources & further reading
About this guide. Written and reviewed by the ABA For My Child editorial team following our editorial standards. This article is general educational information, not medical advice - please consult a qualified professional such as a BCBA or your pediatrician about your child's needs. Last updated July 2026.