If you have an insurance plan (through an employer or elsewhere) that does not provide the benefits your child needs, you can purchase a plan now through February 15, 2015 on the Washington Health Benefit Exchange.
All HBE plans must cover habilitative and rehabilitative therapies (e.g. speech and OT); they must adhere to Washington state mental health parity law, and they must provide mental health treatments as one of the ten essential health benefits. Effective January 1st, most plans will be required to cover residential treatment, partial hospitilization and intensive outpatient treatments in parity with medical treatments. Washington has adopted ABA coverage as part of its HBE benefits, ABA must be covered.
Which plan should you buy? Think about what your child's been prescribed. If you have a preferred ABA or other therapy provider in mind, you will want to choose a plan that has that provider in-network.
Customer Support Network
Washington Healthplanfinder has a network of customer support across Washington State to help you get the information you need to enroll in health coverage that best meets your needs and your budget. Whether you prefer to receive assistance online, over the phone or in person, trained representatives will be there to help educate you about your options and walk you through the enrollment process:
Customer Support Center: Our toll-free Customer Support Center is open to enroll individuals, families and smalll businesses in quality health coverage and answer questions about financial help and the enrollment process. Call center business hours are 7:30 a.m. – 8 p.m. Monday through Friday. Help will be available in up to 175 different languages. Call 1-855-WAFINDER (1-855-923-4633) or TTY/TDD 1-855-627-9604.
Find a Broker: Washington Healthplanfinder offers assistance through registered brokers who often live in and support their local communities. Brokers are uniquely educated and licensed professionals that can help you find a health insurance plan. Washington Healthplanfinder's brokers are the only individuals who are able to recommend an appropriate plan for you. You can find a broker here.
Find a Navigator: A navigator is a trained, certified representative who can help you enroll in coverage through Washington Healthplanfinder. Ten lead organizations have been selected to oversee outreach and enrollment in a specified geographic area. Contact information for network organizations with navigators is available here. You can find a navigator here.