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Find A Individual Insurance Plan For ABA

A MyAutismTeam Member asked a question 💭
Rockville, MD

Hi,

I have 5 years old autistic son and we are leaving in Maryland.My son was receiving ABA therapies from a private company.ABA services were provided almost every working day for 15-16 months.

Unfortunately, on March 1st, our company was reverifying the benefits for the 2016 policy, United Health Care (private insurance from my husband work in Virginia) did find an error in the previously stated benefits
They are stating that this is a small group policy and it does not have ABA therapy… read more

April 11, 2016
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A MyAutismTeam Member

You weren't exaggerating about the waiting list for Medicaid waivers in Maryland. I thought Georgia's was bad.

You should still be eligible to enroll on the health insurance marketplace because you had a special event- you lost insurance coverage on your kid. We bought an individual insurance policy covering ABA therapy in Texas so it shouldn't be impossible in Maryland.

"Open Enrollment for 2016 plans has ended. At this time you may qualify to enroll for 2016 coverage if you are eligible for Medicaid, or if you’ve had a major life event or special circumstance, such as having a baby, getting married or losing other health coverage."

https://www.marylandhealthconnection.gov/
https://www.marylandhealthconnection.gov/life-i...

Check this out if you haven't seen it already.
http://www.pathfindersforautism.org/resources/u...
https://www.autismspeaks.org/node/300226

Is There a Waiting List For Services?

How long is the waiting list in Maryland? You can expect to wait many years before receiving Medicaid waiver services in Maryland. There are nearly twice as many people waiting for services as those receiving services.

How many people are currently receiving services in Maryland?
◾New Directions Waiver 268
◾Model Waiver For Disabled Children 197
◾Waiver for Children with Autism 876
◾Waiver for Older adults 3,365
◾Waiver for Adults with Traumatic Brain Injury 52

How many people are on the waiting list in Maryland?
◾Living at Home Waiver 3,500
◾Waiver for Children with Autism 3800
◾Waiver for Older Adults 21,800

http://medicaidwaiver.org/state/maryland.html

April 11, 2016
A MyAutismTeam Member

thank you. I will look them up. I wish I could help you, but INSURANCE SUCKS! everytime I walked into a therapy I was required to pay

April 23, 2016
A MyAutismTeam Member

Hi,
We were working with Verbal Begginnings, and i really liked to work with them.Unfortunately, we have to stop because of our problems with insurance.

April 21, 2016
A MyAutismTeam Member

the md waiting list is....ha....I don't know....but my child has been on for 6years now
p.s. which aba are you using, I would love to get one for my son, to follow him throughout his school day

April 19, 2016
A MyAutismTeam Member

Good evening,

Thank you very much for your answer.
We are not qualify for a Medicaidifferent because our family income for 4 is 106.000.

We are in waiting list for Maryland Waiver Program wich is not based on income.

Concerning the enrollment true state market,the problem is we still have the insurance from my husband work but the company is considered as small so they don't cover ABA.And the company is in Virginia.

We live in Maryland,after contacting several insurance company in Maryland state to buy a individual plan for my son they said you cannot because the market is closed and you don't met the criterias.

I very confusing..

That is why we try to find a solution but I don't see the end of the tunnel.

Thanks again for your answer

April 11, 2016

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