Insurance Through Husband's Job Doesn't Cover Any Therapy For Autism, Should I Purchase A Separate Plan For Just My Son In The Marketplace? | MyAutismTeam

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Insurance Through Husband's Job Doesn't Cover Any Therapy For Autism, Should I Purchase A Separate Plan For Just My Son In The Marketplace?
A MyAutismTeam Member asked a question 💭

I'm new to this board, so hi! My son will be 4 in June and was diagnosed with ASD last November. He has been receiving speech and occupational therapy for almost 2 years, neither of which is covered by the insurance we have through my husband's employer. The governor of Ohio has declared that up to 20 hours of ABA per week will be included in the essential health benefits for plans in the Ohio health insurance marketplace (ABA is not covered by our current insurance). Does it make sense to… read more

posted March 18, 2014
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A MyAutismTeam Member

It does blow to be in one of the 16 states that doesn't have an insurance mandate for autism. http://www.autismspeaks.org/advocacy/states I live in Georgia and despite all the talk about the insurance mandate it failed again this week, for what, the last 4 years? So it doesn't matter what a governor says if the legislation can't pass. I haven't thought about buying more private insurance but I'd be very careful about reading what therapy is or isn't covered. Still amazes me how my insurance covers a lot but nearly nothing for my kid's ASD.

There a Medicaid waiver for those over the income limit in Georgia and Ohio has something, too http://www.autismohio.org/index.php?option=com_.... it must be a secret as teachers, insurance companies and therapists never mentioned it. My wife, an RN, heard about it at work so we'll apply because we have no other choice as we're considering leaving backwards Georgia. Neither of us were born here or have family here so maybe it's time to move.

posted March 22, 2014

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