In what is being viewed as a tremendous victory, it has now become mandatory for insurance companies to cover the screening, diagnostic and treatment cost of autism in New York. The new law was signed by Gov. Cuomo on the 1st of November 2011. “When it comes to autism, early diagnosis and treatment is essential, and it is inexcusable that financial constraints would stand in the way of a brighter future for those affected by this disorder,” Governor Coumo said, speaking on the occasion. This comes as excellent news to those families who have children suffering from autism as now they will be able to save thousands of dollars.
There are worries, however, that this might now mean higher insurance premiums in public as well as private insurance sectors. Autism interferes with a person’s ability in developing social skills and in communicating effectively. It is estimated that in the US, one in every 110 children, most of who are boys, are diagnosed with this complaint.
The cause of the disease is still not known clearly. Patients are characterized by odd and repetitive behaviors. The insurance law has set the per-patient annual cap on reimbursements at $45,000.
The increase in the premium is anticipated at around $100 per the average family premium. For employers, this will mean an increase of thousands of dollars they pay as coverage for their employees.
Analysts say that the law can end up saving around $13 million over a period of six years due to the fact that Medicaid cost will be reduced which were earlier used for early intervention and special education programs for autistic students.
As of now Medicaid is the main reimbursement source. The law is to come into effect from Nov 1, next year. The law was debated for seven years before it was signed.
The new law will include normal toddler screenings, behavioral health treatments, speech therapy, occupational therapy and physical therapy. Families in the US have been faced with medical and therapy bills amounting up to $50,000 per year. Many families could not afford this and those who tried were faced with severe economic hardships and some had to forego early treatment of autism for their children.
New York has become the 6th state in 2011 alone to pass the law on insurance coverage for autism. Earlier this month, California became the 28th state to sign the bill. In Michigan, Gov. Rick Snyder is supporting the bill through the legislature.
Elizabeth Smith is a health blogger and also a contributing writer for www.policyexpert.co.uk/home-insurance/.
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autism,
insurance