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Autism treatments....why health insurances don't cover for them?

AP
June 22, 2010
ALBANY -- New York lawmakers have approved legislation to require health insurance companies to provide coverage for screening, diagnosis and lifetime treatment of autism spectrum disorders.

The bill passed in the Senate last week and in the Assembly on Monday night.

Citing a federal Centers for Disease Control estimate that one out of 110 children is diagnosed with the disorder, sponsors say the measure could increase overall health insurance premiums by as much as 2 percent in New York. The state would join 20 others that already require coverage.

Read more: http://www.timesunion.com/AspStories/story.asp?storyID=943796#ixzz0rdAn7FLb

 
Anonymous

Asked by Anonymous at 8:19 PM on Jun. 22, 2010 in Kids' Health

This question is closed.
Answers (12)
  • Because there is no cure for Autism, and treatments (like speech therapy, occupational therapy, etc.) are not "restorative in nature."

    I battled with our insurance company (CIGNA) for them to change their wording for covered benefits, since they WOULD cover speech and OT if the patient was "walking and talking" but due to a traumatic injury or illness lost that ability, and they needed services in order to restore them as best as possible to the way they were prior to the injury/illness.

    We won! But it took many months and meeting face to face with the Executive Director of Preauthorizations at CIGNA in order to get it! It also may simply be an "extra" that companies do not select for their employees--whether it's because they don't realize there's a problem, or it's too expensive. But I tell people being denied that they shoul'd speak with their company's HR or Benefits director to see what can be done first! :o)
    LoriKeet

    Answer by LoriKeet at 8:28 PM on Jun. 22, 2010

  • Autism is not a real illness. It's an imaginary illness that parents make up.
    Anonymous

    Answer by Anonymous at 8:24 PM on Jun. 22, 2010

  • ^^ just kidding
    Anonymous

    Answer by Anonymous at 8:24 PM on Jun. 22, 2010

  • About time don't you think.
    Anonymous

    Answer by Anonymous at 8:26 PM on Jun. 22, 2010

  • But I tell people being denied that they shoul'd speak with their company's HR or Benefits director to see what can be done first! :o)

    Thank you for the advise. I've told my dh what you've just said and he said he will talk with HR>
    Anonymous

    Answer by Anonymous at 8:35 PM on Jun. 22, 2010

  • Judith Ursitti, the regional director for Autism Speaks whose son Jack was diagnosed in 2005, said her family's out-of-pocket costs have ranged from about $60,000 a year initially to about $25,000 to $30,000 now that he is in school and almost 7 years old. "It's rare that parents are able to access coverage for children or adults," she said.

    Jack, who was diagnosed at the severe end of the spectrum, is speaking after many thousands of dollars and years of therapy, Ursitti said. She and other advocates stressed the importance of early diagnosis and said it should happen between 18 and 24 months, though only about half of insurers reimburse for a simple screening test.

    Read more: http://www.timesunion.com/AspStories/story.asp?storyID=943796#ixzz0rdGN1c8Z
    Anonymous

    Answer by Anonymous at 8:40 PM on Jun. 22, 2010

  • Pennsylvania passed this or is trying to pass this also. My SIL works in autism as a behaviorist, and I have seen some amazing things with the therapy that she provides
    musichollie

    Answer by musichollie at 9:05 PM on Jun. 22, 2010

  • Anon 7:24, I hope you are kidding.

    OP, are you asking for yourself? If so, you might consider applying for Medicaid for your child only. You can have a reasonable income and still get Medicaid for your child, and Medicaid will cover treatments for autism. Children can make great progress if they have a qualified person working with them.
    Iamgr8teful

    Answer by Iamgr8teful at 9:33 PM on Jun. 22, 2010

  • You can have a reasonable income and still get Medicaid for your child, and Medicaid will cover treatments for autism

    Why people assume that medicaid is the best? Medicaid doesn't cover for treatment. Medicaid would provide you with a home health aid to help you with caring for your child while you was the dishes. Medicaid doesn't cover Neuropsychological evaluations and treatments. Medicaid won't cover MRIs. Medicaid won't cover Behavior MOdification programs. (not even schools provide these treatments due to their high cost.
    Anonymous

    Answer by Anonymous at 9:37 PM on Jun. 22, 2010

  • Because many of the treatments don't work. The experts say some parents get a placebo effect and think that things like sleeping in a hyperbaric chamber work but there is no evidence of it and doctors say it doesn't work. These so called treatments are only there to fleece desperate parents out of money.

    Anonymous

    Answer by Anonymous at 10:13 PM on Jun. 22, 2010

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