WASHINGTON, DC (November 8, 2013) -- More insurance carriers participating in the Federal Employees Health Benefits Program (FEHB) will provide autism benefits in 2014, including the first carrier serving most of northern Virginia. However, many gaps in coverage remain in the FEHB program which is the nation's largest employer-sponsored health benefits program, covering 8.2 million federal employees, retirees and dependents.
The Office of Personnel Management, which manages the FEHB program, urged its participating providers in 2012 for the first time to include autism benefits, including coverage for Applied Behavior Analysis (ABA), starting with their 2013 policies. This year, OPM directed participating providers to either cover ABA or explain why they were not including the benefit.
Enrollment for 2014 starts November 11. Full state coverage will be available in four states (Arkansas, New Mexico, West Virgina and Wisconsin); partial coverage will be available in 16 states indicated in dark green below. Find your state on the list below to find the participating plans for 2014. This analysis is intended only as a guide; FEHB members need to carefully review their plan offerings.