When I buy my individual or small group policy, including through Michigan's health insurance marketplace, will applied behavior analysis (ABA), be covered?
Yes. Insurers that offer new coverage to individuals and small businesses are expected to cover ABA. Michigan imposes various dollars caps on the amount of ABA that must be provided each year by state-regulated health plans.The ACA, however, prohibits annual dollar limits on essential health benefits, and Michigan law further prohibits insurers from converting the dollar caps into visit limits, such as the number of sessions of applied behavior analysis each year.
Where can I learn more about Michigan's health insurance marketplace?
The federal government is managing Michigan's marketplace through healthcare.gov. Learn more here.
Did Michigan choose to expand its Medicaid program?
Yes. Michigan expanded its Medicaid program to cover households with incomes up to 133 percent of the federal poverty level. For 2015, that works out to about $16,105 a year for individuals or $32,913 for a family of four. Learn more here about your options.