Navigating the complexities of health insurance can be very challenging - especially when trying to determine your coverage for autism. "Autism Speaks Insurance Link" is an online application developed by Autism Speaks that will help you determine whether an individual is entitled to coverage for the treatment of autism under their health insurance plan. Based on your responses, this tool will provide details of the coverage required by state law and resources to assist in claims reimbursement. If coverage is not available under the existing plan, "Autism Speaks Insurance Link" will equip you with information necessary to effectively advocate for the addition of a meaningful benefit.
Please note: Responses to questions are not stored on our website and no information that could identify the patient is requested.
Autism Speaks' has worked to pass meaningful autism insurance reform across the country. More than 40 states have now enacted laws that require certain health insurance plans to cover the treatment of autism. These states appear in green on our state initiatives map. Unfortunately, determining whether your insurance plan includes a meaningful autism benefit is not as easy as looking at a map. Not all plan types are subject to state law. Additionally, many state autism insurance laws further exclude certain plan types or impose age caps that may adversely affect your coverage.
Before you begin
In order to provide you with the most accurate information, you will be asked a short series of questions (6 at most) about the patient's health insurance plan. While you should be able to answer most of these questions very easily, others are technical in nature and may require you to gather a little information. It may be helpful to have the following items available for reference:
- A copy of the patient's health insurance card;
- The patient's detailed Summary Plan Description, or "SPD" (SPDs are generally provided by your Human Resources Department at the time of enrollment in an employer-sponsored health benefit plan); and
- Contact information for the primary insured's Human Resources Department
If you cannot find the answers on the insurance card or SPD, you may need to contact the Human Resources Department. For your convenience you may want to print out a copy of the questions before you call so you can get all of your questions answered at once. After you have gathered the information, simply enter the responses in "Autism Speaks Insurance Link."