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UPDATED: New ABA Benefit for Federal Employees to be Offered in 2013

NEW YORK (October 26, 2012) -- A revised analysis by Autism Speaks of the new ABA coverage to be offered under the Federal Employees Health Benefits (FEHB) program for 2013 has identified 67 participating health plans operating in 22 states. The FEHB is the nation's largest single health insurance program, covering eight million federal employees, dependents and retirees. Open season for 2013 medical coverage runs November 12 through December 10.

(View all of the plan offerings here.)

The U.S. Office of Personnel Management (OPM), which manages the insurance program, determined earlier this year that Applied Behavior Analysis (ABA), the most widely used behavioral intervention for treating autism, is a “medical” therapy that qualifies for health insurance coverage. The decision was rendered in the form of guidance to insurers that participate in the FEHB Program for policies that will be renewed or issued starting in 2013.

The OPM decision did not require the insurers to cover ABA, but rather allowed them to offer the coverage as it does many other medical treatments.

The revised analysis by Autism Speaks found that, out of 230 participating health plans, 67 chose to offer the ABA benefit in 2013. FEHB subscribers will be covered anywhere in Arkansas, Minnesota and New Mexico (dark green); in 19 other states, the coverage will be offered in various regions (light green.)

This analysis is intended as a guide only; to confirm whether or not your health plan will offer ABA coverage, contact the plan directly.

The plans that will offer an ABA benefit in 2013 are:

Arkansas
QualChoice (Statewide)

California
Anthem Blue Cross Select HMO (Southern California)
UnitedHealthcare of California (Central and Southern California)
Blue Shield of CA Access+HMO (Southern Region)

Florida
Coventry Health Plan of Florida (Southern Florida) High Option
Capital Health Plan (Tallahassee area)
Humana Medical Plan, Inc. (South Florida)
Coventry Health Plan of Florida (Southern Florida) High Deductible Health Plan
Humana Medical Plan, Inc. (Tampa)

Illinois
Humana Health Plan, Inc. (Chicago)
Union Health Service (Chicago area)
Humana Benefit Plan of Illinois, Inc. (Central, Northwestern Illinois) High Option
Blue Preferred Plus POS (Madison, St. Clair counties)
Humana Benefit Plan of Illinois, Inc. (Central, Northwestern Illinois) Standard Option
United Healthcare of the Midwest, Inc. (Southwest Illinois)

Indiana
Humana Health Plan, Inc. (Lake/Porter/LaPorte counties)
Physicians Health Plan of Northern Indiana (Northeast Indiana)

Iowa
Coventry Health Care of Iowa (Central/Eastern/Western Iowa) High Option
Coventry Health Care of Iowa (Central/Eastern/Western Iowa) Standard Option
HealthPartners (Northern Iowa) High and Standard Options 

Kansas
Coventry Health Care of Kansas (Kansas City)-HDHP Kansas City Metro Area (KS and MO)
Coventry Health Care of Kansas (Kansas City Metro Area, KS and MO)

Louisiana
Coventry Health Care of Louisiana (New Orleans area)

Massachusetts
Fallon Community Health Plan (Central/Eastern Massachusetts)

Michigan
Health Alliance Plan (Southeastern Michigan/Flint Area) High Option
Physicians Health Plan (Mid-Michigan)
Health Alliance Plan (Southeastern Michigan/Flint Area) Standard Option
Bluecare Network of MI (Traverse City)
Bluecare Network of MI (Grand Rapids)
Bluecare Network of MI (East Region)
Bluecare Network of MI (Southeast Region)

Minnesota
HealthPartners (Statewide) High and Standard Options

Missouri
Blue Preferred Plus POS (St Louis/Central/SW areas)
Coventry Health Care of Kansas (Kansas City)-HDHP Kansas City Metro Area (KS and MO)
United Healthcare of the Midwest, Inc. (St. Louis Area)
Coventry Health Care of Kansas (Kansas City Metro Area, KS and MO)

Nevada
Health Plan of Nevada (Las Vegas, Esmeralda and Nye counties)

New Jersey
GHI Health Plan (Northern New Jersey)

New Mexico
Lovelace Health Plan (Statewide)

New York
Independent Health Association (Western New York) High and Standard Options
MVP Health Care (Eastern Region)
MVP Health Care (Western Region)
MVP Health Care (Central Region)
MVP Health Care (Northern Region)
MVP Health Care (Mid-Hudson Region)
Independent Health Assoc (Western New York) High Deductible Health Plan

North Dakota
HealthPartners (Eastern North Dakota) High and Standard Options

Pennsylvania
HealthAmerica Pennsylvania (Greater Pittsburgh Area)
UPMC Health Plan (Western Pennsylvania) High Option
Geisinger Health Plan (Northeastern/Central/South Central areas)
UPMC Health Plan (Western Pennsylvania) Standard Option
HealthAmerica Pennsylvania (Greater Pittsburgh area) HDHP

South Dakota
HealthPartners (Eastern South Dakota) High and Standard Options

Texas
Firstcare (Waco area)
Firstcare (West Texas)
Firstcare (Taylor/Callahan/Eastland)
Firstcare (Lubbock area)
Firstcare (Robertson/Brazos/Grimes/Madison/WA)
UnitedHealthcare Benefits of Texas, Inc. (San Antonio)
Humana Health Plan of Texas (Corpus Christi)
Humana Health Plan of Texas (San Antonio)
Humana Health Plan of Texas (Austin)

Virginia
Optima Health Plan (Hampton Roads and Richmond areas)

Wisconsin
Physicians Plus (Dane County)
HealthPartners (Western Wisconsin) High and Standard Options 
Dean Health Plan (South Central Wisconsin)
Group Health Cooperative (South Central Wisconsin)

We will provide updated information as it becomes available.