One Less Thing to Deal With
Having a child with autism means wanting the best support so they can shine the way you know they can. At Connect n Care ABA, we ensure MedCost coverage won't stand in the way of your child's progress. You need a reliable team that understands your child's needs and takes care of the insurance process, so you can focus on the only thing that counts.
Verify benefits before your first appointment
Submit authorizations and handle follow-ups
Manage claims, reauthorizations, and appeals
At Connect n Care ABA, we manage the insurance process so you can focus on what really matters: your child's therapy. We handle the paperwork, approvals, and everything in between, ensuring you don't waste time on confusing billing codes or authorization requirements.
Give us your MedCost details, and we'll confirm exactly what's covered before you commit to therapy. No surprises later about what MedCost will or won't pay for.
MedCost requires prior authorization for ABA therapy. We know exactly what paperwork they need, how to format it, and who to follow up with when they're slow to respond.
Before therapy begins, you'll know exactly what MedCost will cover and what you'll need to pay. Real numbers, not estimates.
Submitting claims, resubmitting when paperwork is missing, appealing denials — Connect n Care ABA handles everything so you don't have to.
One-on-one therapy with a trained RBT, right in your home. Your child works on communication, behavior regulation, and skill-building in the environment they need it most.
Learn moreStructured, individualized therapy delivered at our dedicated clinic. Your child receives focused support with a team of trained professionals, access to specialized materials, and a consistent therapy setting designed for growth.
Learn moreTherapy during your child's school day — in the classroom, during lunch, and at recess. We help them succeed in real situations: participating in group work, managing frustration, and navigating peer relationships.
Learn moreYou'll learn the same strategies our therapists use, so you can reinforce skills at home. You'll know how to support your child's progress between sessions.
Learn moreCall us or fill out our contact form. We'll need your MedCost member ID and your child's autism diagnosis documentation.
We verify your benefits directly with MedCost to give you clear answers and coverage.
We prepare and submit the prior authorization request with all required clinical documentation. Then we follow up with MedCost until they process it.
Once MedCost approves coverage, we schedule your child's first session, in your home or at school, based on your family's needs and schedule.
We know how MedCost works. We've processed hundreds of MedCost authorizations and understand their documentation.
You don't need to become fluent in insurance terminology. We manage the whole process — from verification to final claims.
You'll know your costs upfront before therapy begins, not vague estimates that turn into surprise bills later.
Whether in your home or at school, therapy happens in real settings, with real-world challenges.
If MedCost denies coverage, we'll explain the real reason and appeal with the right documentation.
Not exactly, and this confuses people. MedCost is a provider network used by self-funded employer health plans, mostly across North Carolina. Your employer pays the claims; MedCost supplies the network and the pricing. So the question is not only whether MedCost covers ABA, but what your employer's plan document says.
Send us the card and we will go to the plan administrator rather than guess. Self-funded plans vary more than insured ones, because each employer chooses what to include. We confirm the ABA benefit, the authorization requirement and any cost to you in writing before therapy starts.
That depends on your particular MedCost plan — the deductible, the copay and the coinsurance vary far more between employer plans than families expect. We verify your specific benefit before therapy starts and tell you the figure in writing, rather than an estimate that changes once the claims come in.
Yes. MedCost funds ABA on the basis of an autism diagnosis from a qualified provider, and most plans also require prior authorization before sessions begin. If your child has already been evaluated, send us the report and we will tell you whether it is enough.
That comes out of the assessment rather than a fixed rule. A comprehensive program commonly runs 25 to 40 hours a week; a focused program targeting specific skills usually runs 10 to 25. The BCBA recommends, the plan approves, and you will know the approved figure before sessions start.
We appeal, and we do the work. A denial is usually about documentation or the number of hours rather than whether your child qualifies for ABA at all. We prepare the appeal and the clinical justification, and we will say honestly if we think it is unlikely to succeed rather than leave you waiting on one.
Yes. ABA delivered at home or in your child's school is covered on the same basis as clinic sessions, and it is often where the skills matter most. Many families use a combination.
We're with you every step
Navigating insurance can be overwhelming. That's why we're here to help you every step of the way. Let's make sure your child gets the ABA therapy they need without the insurance headaches.
