Ohio Autism Insurance Coalition

Resources related to accessing benefits for autism treatments for all stakeholders: individuals with autism and their families, employers, insurance carriers, legislators, providers, government, regulators, advocates and educators.

Access To Treatment

An insurance carrier cannot use a general exclusion barring coverage for in-school treatment

“Ultimately, we simply do not believe that the legislature intended to permit insurers to exclude coverage in the sensory-laden educational environment where children spend large portions of their days, or to require families to litigate the issue of medical necessity discretely in individual cases to secure such location-specific coverage for the treatment,” Pennsylvania Supreme Court Chief Justice Thomas Saylor, who wrote the 22-page majority opinion, said. See full article

Article Author, Max Mitchell from Law.com, Justices Nix Exclusion Barring In-School Coverage for Autism Treatment, October 10, 2017.

 

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