Autism Benefit Denials: How An Attorney Can Help Your Child

If you are the parent of an autistic child, you know how challenging it is to access, and pay for, the care your child needs. However, the newly passed Autism Insurance Act now requires your health insurance company to fund your child’s therapy such as Applied Behavior Analysis (ABA) and others. If you have a valid insurance claim that you feel has been wrongfully denied, an attorney experienced in health insurance law can be help you to recover the autism therapy benefits you deserve.

Making The Impossible – Possible

While it may seem impossible to take on a big insurance company when your valid autism therapy benefits have been denied, hiring an experienced ERISA (Employee Retirement Income Security Act) lawyer or bad faith insurance lawyer can make the impossible – possible. Attorneys whose practices focus in this area of law understand how insurance companies operate and the tactics they often use to deny, delay or unfairly settle claims for less than they’re worth.

The truth of the matter is that an insurance company’s autism therapy denial is notthe last word. With the help of an experienced attorney, policyholders DO have options, CAN fight back and may be able to RECOVER what is rightfully theirs. Here’s what an attorney can do for you:

• review your policy in depth and determine what benefits you’re entitled to
• investigate your claim, medical records and doctor recommendations
• review your insurance company’s denial letter
• file an appeal with an insurance company, state regulatory body (DOI or DMHC) or through an ERISA appeal
• collect interviews from your care providers
• file a bad faith insurance lawsuit
• and more

Most health care insurance lawyers, ERISA lawyers and bad faith insurance lawyers offer free initial phone conversations and many work on a contingency fee basis, meaning fees are paid exclusively out of funds you recover without paying fees upfront.

If you’re dealing with an autism therapy insurance denial for treatments such as ABA services for your young or adult child who suffers from Autism Disorder Spectrum (ASD) including Autism, Asperger Syndrome or Pervasive Developmental Disorder, contact an experienced ERISA lawyer, healthcare lawyer or bad faith insurance lawyer today.

Case Studies: How An Attorney Can Help Autism Benefit Denials in Action

Case Study 1: Challenging an Insurance Company Denial

Smith family’s health insurance company denied coverage for their child’s ABA therapy, claiming it was not medically necessary. The Smiths consulted an experienced ERISA lawyer who guided them through the appeals process. With the lawyer’s assistance, they successfully challenged the denial and obtained the coverage their child needed.

Case Study 2: Overcoming Bad Faith Insurance Tactics

The Johnson family faced a situation where their insurance company repeatedly delayed their child’s autism therapy benefits. Frustrated and unsure of their rights, they sought the help of a bad faith insurance lawyer. Through legal representation, the Johnsons were able to hold the insurance company accountable for their unfair practices and secure the timely and full payment of their child’s therapy expenses.

Case Study 3: Securing Coverage for Specialized Therapies

Rodriguez family’s insurance company denied coverage for their child’s specialized therapies, such as speech therapy and occupational therapy. Faced with the financial burden of paying for these essential treatments out of pocket, the Rodriguez family sought the help of a knowledgeable healthcare lawyer.

The lawyer reviewed their insurance policy and identified key provisions that supported coverage for the therapies. Through skilled negotiation and advocacy, the lawyer successfully convinced the insurance company to reverse their denial and provide the necessary coverage for the child’s therapies.