Insurance, Insurance and New Service Options
Headway made! Blue Cross Blue Shield processed a claim! They denied it, but Step 1 is complete AND I know how to fix it. I’m thrilled – small progress is still progress. I’ll keep you updated when we get our first PAID claim.
We’re also all worked out with United. We’ve got a method that works to determining rather a child is eligible for service or not. 
We’re throwing around a couple different ideas for expanding service at FAC. I really want to hear your feedback on these ideas, so please comment. We want to find out if there is interest in our conceptualizations.
First, I’m tossing around the idea of offering low-level service by interns. The purpose of this is threefold. 1. It gets people new to our profession experience. 2. It gives families an option to increase their level of service for cheap. 3. It gives parents a way to start service at an affordable price so that we can get the insurance ball rolling and find out if they are eligible.In this program, families could receive 5 hours of one-on-one per week from an intern for $100. Parents would need to understand that program updates and other services needing the time of someone certified would bear and additional cost, approximately 2 hours per month at $60 per hour.
The second idea I’m kicking around is to increase access to our school program for higher functioning kids. We’ve had a lot of people asking about school for their older elementary children who are able to do the work academically, but are having social and / or behavioral difficulties. We’re considering a classroom of 8 kids with a single teacher, using the McKay, that focuses on social skills. This would allow access to our program for families with Matrix Scores of 251, 252, and 253 without extreme co-pay.
Let me know what you think! I look forward to everyone’s input.
We like the first option since Ian has recently turned 2 and the only reason why we have not made the move to FAC is due to cost. We have United Healthcare as well however they decided to deny our claims because the company is self insured. A low cost option would be a great option in the community for parents who cant afford the high costs without any support.
This option has been popular among others we’ve surveyed, too. It’s going to be available in October, but still needs to be tweaked a little. If you want to talk with me about it off the blog, e-mail me directly at CBullock@FloridaAutismCenter.net I certainly hope this will be a feasible option for you!
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Bodyc
Great Article! Thank you!
I hope that the healthcare plan backed by President Obama does not go through until it is clearly thought through. A law as huge as this one demands as debate as we can afford.
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