I guess the other thing I’m wondering is the wording of the exclusion-that it excludes special education for learning or behavioral disorder. Autism is a neurodevelopmental disorder; not a learning or behavioral disorder.
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I guess the other thing I’m wondering is the wording of the exclusion-that it excludes special education for learning or behavioral disorder. Autism is a neurodevelopmental disorder; not a learning or behavioral disorder.
We found that most social skills groups are not covered by insurance... ABA is covered by some policies...
Good luck!
Same findings here. But I was able to get speech therapy approved for pragmatic language development. Not the same as a social skills group, but the sessions covered a lot of the same skills development that is needed. It may even have been more effective than group sessions b/c it was targeted.
Interesting...my family was successful in getting social skills groups covered by health insurance for both DGDs (with very different diagnoses).
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Thanks for all the advice, ladies. Due to my husbands company being self-insured, they don’t have to provide autism coverage in our state. Thanks to the rec of seeking out a slp, I found a social thinking skills group sat a local college- mine and she’s alma matter actually. Obviously, this will be out of pocket, but it sounds like a good fit for him. DS is also on a waiting list for counseling at the office we were looking at for ABA therapy. I’m assuming counseling will be covered since psychology/ psychiatry is covered by our insurance, but I suppose I better double check.
We are finding the same. The center that we are working with has DS1 there for speech therapy (which is covered under our insurance), but it is grouped with a social skills group (which we need as well). Our insurance specifically doesn't cover ASD as well, but we are finding that many of the individual therapies are covered under other aspects of our plan.
Did you try an appeal?