Autism insurance gathers momentum
June 29th, 2009From Business Insurance:
Experts say that sixteen states and Washington, D.C., have mandates for insurance coverage for autism or other developmental disorders, and momentum is growing. Many self-insured employers are also getting on board, even though they are not subject to the mandates.
The driving force behind the changes? Highly active parents.
The Virginia-based Council for Affordable Health Insurance estimates that the autism mandates add one percent to the cost of insurance, and could rise to three percent.
Bills have been introduced in the U.S. House and Senate, but no action is likely until broader health care reform decisions have been made.
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December 3rd, 2009 at 11:30 am
I’m in Texas and a certain ins. co. will not pay more than the 20 visits allowed by the policy per year for PT, Occ Therapy, ABA and Speech Therapy. This is not an ASO group. It has 2-4 employees. The ins. co. states that some of their plans ‘do not allow for State Mandates’. In other words, State Mandates are excluded in the policy contract. The group plan that the group has does not allow for riders to be added to allow for unlimited therapy visits. They have a 100% plan after deductible. It is very costly. How is it possible that the State does not have precedence over the ins. co.?