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…

Statement from The Arc on Anthem Class Action Lawsuit

The Arc of Indiana, along with other autism advocacy organizations and autism treatment providers, has made various efforts to work directly with representatives from Anthem to address serious concerns that parents, physicians and ABA providers have about the way the company handles medical necessity determinations for autism treatment, specifically for Applied Behavior Analysis therapy (commonly…