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Autism/Health insurance won't cover therapies
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Question
I have an 4 year old autistic daughter and my health insurance (Aetna) denied service for speech therapy. We live in Houston, TX and I have been reading about the Bill 1919 signed by Gov. Rick Perry in 2007 stating that Health Insurers must cover speech therapy, OT, ABA among others for autistic kids. How should be my approach and how should I proceed with my health insurance provider?
I suggest that you contact the Texas state agency that investigates insurance complaints, then file a complaint with them concerning your daughter's denial of services. You should look up Bill 1919 so that you can refer to it in your complaint.
I file insurance complaints on behalf of my clients if you need help.
I wish you and your daughter the best,
Tim Runner, Advocate
Advocates 4 Kids
Email: timrunner@cox.net
Phone: (949) 582-3601
You can learn more at my web site:
www.special-education-answers.com
www.education-advocates.com (for DSL and phone)
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Answers by Expert:
Tim Runner
Expertise
Questions concerning autistic student special education: IEP, assessments, Due Process, mediation, resolution conference, federal law, state law, qualifying for services, residential treatment, special day classes, resource specialists, procedures, having your child assessed, adaptive PE, speech & language, non-public school, FAPE, tuition reimbursement for private schools and treatment centers .
Experience
I have been an education advocate representing students and parents for six years. My experience includes: representing my clients in IEPs, SSTs, Due Process, review assessment results for my clients and for other advocates, and mediations. I have represented clients with learning disabilities, autism, Downs Syndrome, cognitively challenged, emotional problems, learning disabilities, ADD/ADHD, and physical disabilities. I have also represented clients to County Mental Health Departments and Regional Centers. My clients range from pre-school to college students in California and various other states.
Education/Credentials
I have a degree in Mathematics from the University of California with minors in Psychology and Physics. I also studied applied statistics in the field of psychology at both the undergraduate and graduate level. I have taught college classes, conducted seminars, written articles for various publications, and testified as an expert witness.
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