Anthem

Anthem Agrees to Settle Indiana Autism ABA Case  

Anthem agreed to pay approximately $1.63 million to class members and agrees to cease using guidelines that based coverage solely on age. Settlement also requires reviewers to participate in periodic outside training related to Autism and ABA.  In 2012, Anthem sent letters to their Indiana subscribers with autism stating that medical necessity reviews for ABA…

A View into Insurance and ABA Therapy

The parents of a 12-year-old boy with severe autism recently filed a class action lawsuit against insurance company Anthem for refusing to cover the level of Applied Behavioral Analysis (ABA) therapy prescribed by a doctor for their son.  In…