EndeavorRX, also known as AKL-T01, is a video game designed to improve attention function and impulse control in children with ADHD. As the first-ever video game to receive FDA approval as a prescription treatment for ADHD, EndeavorRX has become a popular option for parents and healthcare providers looking for non-pharmacological treatments for ADHD. If you or your child has been diagnosed with ADHD and are considering EndeavorRX as part of your treatment plan, you may be wondering whether it is covered by insurance.
Is EndeavorRX Covered by Insurance?
The answer to this Is EndeavorRX Covered by Insurance ? is not straightforward, as coverage for EndeavorRX varies depending on the insurance provider and plan. Currently, EndeavorRX is only covered by a limited number of insurance providers.
However, the list of providers covering this digital therapy is growing as more clinical evidence becomes available.
Private Insurance Coverage for EndeavorRX
Some private insurance providers have started to cover EndeavorRX as a prescription therapy for ADHD. Providers such as Cigna and Aetna have recently added EndeavorRX to their list of covered treatments, and more providers are expected to follow. However, coverage for EndeavorRX may vary depending on your plan and location. Some insurance providers may only cover the therapy for specific age ranges or for children who have failed to respond to other treatments.
Medicaid and Medicare Coverage for EndeavorRX
At this time, Medicaid and Medicare do not cover the cost of EndeavorRX. However, some states may provide coverage for this digital therapy through Medicaid waivers. It’s important to check with your state’s Medicaid office to see if EndeavorRX is covered under your state’s waiver program.
Out-of-Pocket Cost for EndeavorRX
If EndeavorRX is not covered by your insurance provider, you may need to pay for the therapy out of pocket. The cost of EndeavorRX varies depending on the length of the treatment plan, but it generally ranges from $30 to $50 per month. Akili Interactive, the developer of EndeavorRX, offers a patient assistance program for families who cannot afford the therapy. This program provides eligible patients with access to therapy at no cost.
In Conclusion, the coverage for EndeavorRX varies depending on the insurance provider and plan. Some private insurance providers have started to cover EndeavorRX, while Medicaid and Medicare do not cover the cost of the therapy. If the therapy is not covered by your insurance provider, you may need to pay for it out of pocket. However, Akili Interactive offers a patient assistance program for eligible patients who cannot afford the therapy.
If you or your child has been diagnosed with ADHD and you are considering EndeavorRX as part of your treatment plan, it’s important to check with your insurance provider to determine if the therapy is covered under your plan.