Materials to Help Convince Your Self-funded Company to Provide an Insurance Benefit for Autism Lorri Unumb, Esq. Autism Speaks
[email protected] Table of Contents Letter from Lorri . Presentation Slides . Sample Letters to the Company . List of Companies that offer an Autism Benefit . Examples of policy language . Letter from Lorri explaining the issue Sincerely yours, Lorri Shealy Unumb, J.D. Senior Policy Advisor & Counsel Autism Speaks Autism Coverage Benefits The Self-funded Company Lorri Unumb, Esq. Autism Speaks
[email protected] What is Autism? • Autism is a medical condition, brought on through no fault of the family. • Autism affects a person’s communication abilities and social skills, and often causes repetitive patterns of behavior. • Autism is diagnosed by a medical doctor (usually a developmental pediatrician). • Treatment is prescribed by a medical doctor. “Autism” • The term “autism” is often used imprecisely: – some people use it interchangeably with “autism spectrum disorder” – others use it to mean one of the autism spectrum disorders. • In fact, there are 3 distinct diagnoses within the family of autism spectrum disorders. (See chart on next slide.) • Across the spectrum, people vary greatly in terms of type and severity of deficits. Pervasive There are 5 Pervasive Developmental Developmental Disorders (PDDs). Disorders Within the 5 PDDs, there are 3 Autism (the umbrella category Spectrum Disorders in the DSM-IV) (ASDs), shown in purple below. Autistic Asperge Pervasive r’s Disorder Developmental Syndro (classic me Disorder – Not autism) Otherwise Specified a/k/a “autism” (PDD-NOS) Less than Approx. ½ of all ASDs 1/3 of all 1/6 ASDs of all ASDs Rett’s Syndrome Curable? Treatable? • Although there is no known cure for autism, it can be treated so that the symptoms are not disabling.