Letter from Health Insurance Company

WyattsMom's picture

We asked our health insurance company for a letter that said they did not provide diapers or "incontinece products" for our son.  They sent us that letter.  And they also sent us this almost identical letter which arrived on the same day:

Dear Member:

Thank you for your inquiry. 

Benefits for this condition:  Austism

are not covered  under your health coverage.  Please refer to your Benefit Agreement for the specific exclusions.

Well, I'm pretty sure I know

WyattsMom's picture

Well, I'm pretty sure I know what happened. They "merged" with a company from Ohio, so now they are no longer "based" in California, so they are arguing that they don't have to follow California laws.

Actually as far as I know

Cindy's picture

Actually as far as I know being in or out of California has nothing to do with it.
They dont wanta cover autism so they dont, they leave it to the schools.

My mom has a friend who has

shootingstars's picture

My mom has a friend who has a son like Michael who may have Autism, but they will not diagnose. In a way she is relieved because they will not pay for Autism on her insurance. But she cannot get the CAMPS therapies I got for Michael.

I do not understand why insurance will cover learning disabilities, but will not cover Autism...

Could it be because they're

Perseverence's picture

Could it be because they're greedy and that providing the services people really need is the last thing on their minds? My experience with insurance companies is that if they could collect a premium for providing absolutely no coverage at all - that is what they all would do.

Well THAT and they're

Cindy's picture

Well THAT and they're idiots!!

because they're idiots ugh

Cindy's picture

because they're idiots ugh