We think you have liked this presentation. If you wish to download it, please recommend it to your friends in any social system. Share buttons are a little bit lower. Thank you!
Presentation is loading. Please wait.
Published byAlfred McBride
Modified over 5 years ago
Cigna’s Autism Coverage An Overview
2 Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2012 Cigna What is autism? Autism Spectrum Disorders (ASD) are a range of complex behavioral disorders that can cause serious, lifelong impairments in behavior, cognition, and social development. –Prevalence: 1 in 110 children (CDC study released December 2009) –More common than Down Syndrome and Spina Bifida Autism spectrum disorders, also called pervasive developmental disorders, are identified by ICD-9 codes in the 299.xx range –Autism or autistic disorder: 299.00, 299.01 –Childhood disintegrative disorder (Heller’s syndrome): 299.10, 299.11 –Other specified pervasive development disorder including Asperger’s disorder and Rett’s disorder: 299.80, 299.81 –Unspecified pervasive development disorder: 299.90, 299.91 Autism spectrum disorders are separate and distinct from developmental delays and learning disabilities –Cigna considers developmental delays to be slower than expected attainment of developmental milestones, but progress occurs in the anticipated sequence. Learning disabilities are conditions that affect educational performance. –A child can have a developmental delay or learning disability without having autism –Children with autism often also have developmental delays or learning disabilities
3 Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2012 Cigna How is autism treated? There is no cure for autism; however, the condition is most commonly managed through a combination of medical, behavioral, pharmacological, and educational interventions. Medical Treatments Clinical history, physical exams, office visits Hearing, communication, and cognitive assessments Lab/radiology tests to rule out other underlying conditions Speech, physical, occupational therapy Behavioral Treatments Psychotherapy to manage behavioral issues ABA therapy or other early intensive behavioral intervention Pharmacological Treatments Prescription drugs to manage behavioral issues Educational Interventions Early intervention programs (birth to 3) Individualized Education Plans
4 Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2012 Cigna Does Cigna Provide Coverage for Autism? Diagnosis/ Medical Treatments Clinical history, physical exams, office visits Hearing, communication, and cognitive assessments Lab/radiology tests to rule out other underlying conditions Behavioral Treatments Psychotherapy to manage behavioral issues Pharmacological Treatments Prescription drugs to manage behavioral issues Educational Interventions Early intervention programs (birth to 3) Individualized Education Plans Covered same as any other illness Covered same as any other mental health condition Covered same as any other medication Not covered unless required by law Behavioral Treatments ABA therapy or other early intensive behavioral intervention Not covered unless required by law Medical Treatments Speech, physical, occupational therapy Not covered unless required by law Cigna’s standard benefits cover services to diagnose autism as well as some treatments for autism “Not covered unless required by law” – only applicable to insured plans sitused in states with autism mandates
5 Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2012 Cigna Services Offered by Autism Team Educates customer about plan and coverage Helps with provider search for independently licensed individuals who work with ASD Locates community based support groups Offers Cigna Autism Awareness Series —telephonic seminars focusing on aspects of parenting and intervention Resources available on Cigna.com/autism, cignabehavioral.com and other online sites.
"Cigna" is a registered service mark and the "Tree of Life" logo is a service mark of Cigna Intellectual Property, Inc., licensed for use by Cigna Corporation and its operating subsidiaries. All products and services are provided by such operating subsidiaries and not by Cigna Corporation. Such operating subsidiaries include Connecticut General Life Insurance Company, Cigna Health and Life Insurance Company, and HMO or service company subsidiaries of Cigna Health Corporation and Cigna Dental Health, Inc. 000000 00/11 © 2011 Cigna
AUTISM AWARENESS DID YOU KNOW?.
How 2014 ACA Insurance Plans Cover Autism William Luvisi, President Senior Consultants Inc.
INSTITUTIONAL SPECIAL NEEDS PROGRAM Best Practices in Care Coordination and Care Transitions Beth Ann Martucci, DNP, CRNP Director of Clinical Operations.
Commonwealth of Massachusetts Executive Office of Health and Human Services Autism in Massachusetts: A look at the population, current services, new opportunities,
Surrey Place Centre: Raising Awareness About Autism Spectrum Disorder in the Community Kelly Alves, Parent and Education Support Supervisor.
© 2009 The McGraw-Hill Companies, Inc. Students with Autism Spectrum Disorders Chapter 11.
The Illinois Autism Training and Technical Assistance Project Kathy Gould, Project Director IATTAP Lombard State Office 1590.
Laura Aspinall-Disability Specialist, SRJC. Disability Resources Department… DRD provides advising, services, academic accommodations and classes for.
Source: A Parent’s Guide to Autism Spectrum Disorder Copyright © Notice: The materials are copyrighted © and trademarked ™ as the property of The Curriculum.
AUSTIM By : Deshonda Reed WHAT IS IT ? Autism or autism spectrum is a developmental disorder where a child’s normal developmental and social skills.
Understanding Students with Autism Spectrum Disorders ESE 380 March 24/26, 2009.
BETTER HEALTH. BETTER VALUE. MEDICARE ADVANTAGE GUIDE Y0036_15_21295 Approved
AUTISM SPECTRUM DISORDERS (ASD) A range of pervasive developmental disorders, with onset in childhood, that adversely affect a pupil's functioning and.
Learning in the 21 st century with Autism -a perspective by Sean Old.
TEXAS A&M UNIVERSITY SYSTEM Long-Term Disability Insurance Enrollment Event July 1 through July 31, 2015 Electing Long-Term Disability insurance can help.
INTRODUCTION FOR THE LIONHEART SCHOOL AUTISM AND ASPERGER’S.
Copyright © 2007 by The McGraw-Hill Companies, Inc. All rights reserved. Chapter 13 Childhood Disorders.
ABOUT Washington Autism Advocacy A grass roots state-wide coalition of families with children affected by an autism.
SUMMARY OF BENEFITS AND COVERAGE Toolkit for employers June, 2012.
Chapter 7 Autism Spectrum Disorders
© 2021 SlidePlayer.com Inc. All rights reserved.