Suffolk family denied autism treatment by insurance plan despite mandated coverage

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State and federal law require insurance companies to cover these services, but Team 12 Investigates found some health plans are exempt from these mandates.

Chris and Trisha Sarli stay busy as a family of five. The couple has three young children, including 3-year-old Mikey. When Mikey was 2 years old, he was diagnosed with autism.

“It’s a behavioral therapy that works on different skillsets to get him to clap his hands, to start feeding himself,” Trisha said. Among the millions of New Yorkers covered by health care, Team 12 Investigates found roughly 62,869 people have grandfathered plans. “It can cost anywhere from $40,000 up to $100,000 a year to get those services provided for a family,” said Veronica Garcia, development and education professional with the

 

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