Spectrum Behavioral Services Inc.
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Aetna United Health Care Cigna
Agency for Persons with Disabilities (APD Children's Medical Services

Autism Spectrum Insurance in Florida

Reforms to insurance policy across the country have led to increased funding for autism. Many policies will now cover screening, diagnosis, and therapies mentioned above. Autism is a recognized medical condition, no longer considered just a behavioral anomaly, and families are not expected to suffer alone.

Contact your insurance company to see what is covered.

Two Important Links for Payment Assistance

Mckay Scholarship

Step up for Kids


Medicare supports the needs of senior citizens in any tax bracket living in the United States. Medicaid helps low-income families cover medical expenses. Personal medical insurance is an independent program provided through an employer or other means. How do these programs help citizens of Florida faced with diagnosis of an autism spectrum disorder for their child?

Autism Spectrum Disorder Range

The many levels of autism help how much, if any, ongoing support a family is going to receive. Some people manage to succeed without assorted therapies which are extremely useful and appreciated when cases are more extreme. Cases are determined on an individual basis in the state of Florida and, therefore, so is funding.

Health care agencies regularly update what they know about symptoms and treatment of Autism. Their goal is to help parents identify potential cases of ASD (Autism Spectrum Disorder) among their children and provide them with assistance in a situation which might seem overwhelming at first.

What Families Face

Autism symptoms range from social difficulties and communication challenges to severe medical health problems, hearing and speech disorders, and mental illness. Individuals with autism often have difficulty expressing emotion but are gifted in disciplines where order and organization are important. These might be skilled academic disciplines or less skilled forms of employment. Depression is common for those suffering from autism and the family members who care for them.

Outbursts in the home cause families tremendous stress. Respite — getting a break while the child is cared for by a trusted and trained support worker — is not a luxury. This time is needed to promote mental and physical well-being among caregivers.

Medicaid Coverage

Coverage will take a person into his or her adult years if autism is diagnosed before the age of 18. In this case, Medicaid can provide an annual amount of up to $36,000 to pay for physical, occupational, and other medical therapies as the client requires. Medicaid also pays for screening and diagnosis. The lifetime cap is currently $108,000.

Respite in the form of camps and unlicensed care is not covered. Funding is limited after the age of 18.

Extending Funding

Medicaid is federal, but other state programs enrich funding for the care of children in low-income families. Physicians have found that the earlier they can diagnose and treat autism, the better each outcome will usually be for everyone concerned.

Professionals and parents in the autism community do lobby for more independent medical insurance coverage. The policy for funding any screening, treatment, or support is that professionals and agencies be both licensed in the state and approved by an insurance company.

 Determining Who Is in Need

Individuals in the state of Florida who believe they need coverage for Autism Spectrum Disorder have to qualify. Doctors, therapists, and mental health experts will determine how much help a person needs and help to ascertain funding levels.

The biggest hurdle to receiving care is not recognition but funding. Young children and their families are at risk because they cannot afford treatment. They endure conditions which, when treated, might improve such as poor speech and immune deficiencies. When the condition is diagnosed, it is easier for families to arrange adapted schooling programs for children afflicted with ASD and teachers are empowered to help them.

Medicaid benefits for young children are fuller than those for adults because in the early days some issues could be prevented or corrected, especially health problems and developmental issues such as language proficiency. Another possible form of coverage is to ensure that parents know what services they have access to such as in-home nursing, medical equipment, vision tests, and dental treatment.

Call Us for Information: 561-491-2335