I’ve posted several times before about how the insurance coverage I have through work (a company based in California) in theory covers treatments such as ABA, and yet there are no providers in my state (Maryland) that are on the insurance plan. The reason for this is simple – here, ABA is not defined as “appropriate and medically necessary”, so insurance providers are not required to cover this proven treatment.
To be fair – our current insurer has told the wife that if we can find a provider here who is covered for other services, they would be amenable to discussing payment. I have no idea if the new provider in January will feel similarly, but I can fight that battle when we get there. Continue reading