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GiantHockeyFan
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05 Mar 2015, 12:50 pm

Adamantium wrote:
The stigma was about atypical behavior, not the diagnosis. You may conceal or avoid getting the diagnosis, but you can only go so far in concealing the behavior. People notice.

In my case, I was advised by "experts" to act cool and to do what the other kids did. This just made things ten times worse because it was laughably obvious I was faking it. I practically sounded and acted like a robot!

I did mention to someone who worked with Autistic children that I may be on the spectrum. She practically said "you are about the last person to figure that out!" It gets to the point where I ask how much more proof do I need of the obvious?



ASPartOfMe
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05 Mar 2015, 11:58 pm

starkid wrote:
ASPartOfMe wrote:
Don't know where you are from but in the USA insurance does not pay for this diagnosis for adults.


False. Depends on the insurance policy.


Tell me an issuance company that does this. Maybe a Cadillac Plan for a public or powerful union or just the extremely wealthy? I never heard described insurance paying for adult diagnosis. Read numerous descriptions of the opposite. Mine at the time did not did not as does the new one. but it does pay for if I remember correctly for 180 ABA sessions.
This was the standard for every insurance plan for 2014 I researched under Obamacare be it via exchanges or private companies using those guidelines.

Tell me it changed in 2015 . Show me one or two plans and I will be corrected. But until proven otherwise my point stands insurance be 100% or if i'm wrong from the vast majority of insurance plans available to the heavily under and underemployed population having enough trouble to seek a diagnosis does not provide reimbursement for adult Autism.

Even if you outsmart me and find one or more insurgence plans provide reimbursement for adult diagnosis you win on the details my main point remains. Because of unaffordability combined with lack of competent professionals adult diagnosis is unavailable for a large percentage of adults who would like to seek one.


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starkid
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06 Mar 2015, 12:00 am

ASPartOfMe wrote:
Even if you outsmart me


You have issues. I am not in a battle of wits with you.



ASPartOfMe
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06 Mar 2015, 12:06 am

starkid wrote:
ASPartOfMe wrote:
Even if you outsmart me


You have issues. I am not in a battle of wits with you.


We all have issues that is why most of us are here, but forget my personal issues. List insurance companies that pay for the sake of people that want a diagnosis.


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“My autism is not a superpower. It also isn’t some kind of god-forsaken, endless fountain of suffering inflicted on my family. It’s just part of who I am as a person”. - Sara Luterman


btbnnyr
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06 Mar 2015, 12:07 am

My insurance plan paid for my diagnosis (which occurred pre-obamacare).


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auntblabby
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06 Mar 2015, 12:08 am

btbnnyr wrote:
My insurance plan paid for my diagnosis (which occurred pre-obamacare).

if you don't mind, was it a high-end plan such as BCBS?



starkid
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06 Mar 2015, 12:09 am

btbnnyr wrote:
My insurance plan paid for my diagnosis (which occurred pre-obamacare).

I thought you were diagnosed as a child.



btbnnyr
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06 Mar 2015, 12:12 am

starkid wrote:
btbnnyr wrote:
My insurance plan paid for my diagnosis (which occurred pre-obamacare).

I thought you were diagnosed as a child.


No, as adult.


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btbnnyr
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06 Mar 2015, 12:13 am

auntblabby wrote:
btbnnyr wrote:
My insurance plan paid for my diagnosis (which occurred pre-obamacare).

if you don't mind, was it a high-end plan such as BCBS?


It was a regular kind of KP plan for young healthy people with no significant medical history.
Maybe it is because KP operates their own medical/psych system with their own medical centers and such, I mean that is why they would cover a diagnosis within their system.
Now I suddenly remember that I kept getting letters from KP about a class action lawsuit brought by parents of autistic children against KP.


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auntblabby
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06 Mar 2015, 12:22 am

btbnnyr wrote:
Now I suddenly remember that I kept getting letters from KP about a class action lawsuit brought by parents of autistic children against KP.

at the time I was high-option group health, and surprisingly they paid for it [but they would not pay for my Strattera! :x ]. anyways, what did KP do wrong that the parents were suing them for?



btbnnyr
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06 Mar 2015, 12:26 am

auntblabby wrote:
btbnnyr wrote:
Now I suddenly remember that I kept getting letters from KP about a class action lawsuit brought by parents of autistic children against KP.

at the time I was high-option group health, and surprisingly they paid for it [but they would not pay for my Strattera! :x ]. anyways, what did KP do wrong that the parents were suing them for?


I am not sure eggsacly, but it involved not enough coverage for certain therapies.
The letters detailed what KP covers and doesn't cover for autism therapies.


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auntblabby
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06 Mar 2015, 12:28 am

^^^
I guess HMOs will be HMOs about stuff like this. that is why people who are rich enough get the Cadillac plans like BCBS.



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09 Mar 2015, 1:05 am

btbnnyr wrote:
auntblabby wrote:
btbnnyr wrote:
Now I suddenly remember that I kept getting letters from KP about a class action lawsuit brought by parents of autistic children against KP.

at the time I was high-option group health, and surprisingly they paid for it [but they would not pay for my Strattera! :x ]. anyways, what did KP do wrong that the parents were suing them for?


I am not sure eggsacly, but it involved not enough coverage for certain therapies.
The letters detailed what KP covers and doesn't cover for autism therapies.


btbnnyr, a parent in California sued Kaiser because they would not pay for applied behavioral therapy for her young autistic child (I think he was two). A number of states (including California and New York, i forget who else) now require coverage for these kinds of therapies, but i am not sure if that is the case everywhere, or if coverage is required everywhere in the US. I ran across an article (I'll dig it up if you want) that said that legally, ASD diagnosis and therapies should be covered in all states and for all ages, based on the healthcare parity laws, but that this had not been tested in court. They didn't cite any supporting legislation so I can't verify the truth of this.

May i ask what state you live in? (to see if this is one of the ones requiring the coverage for adult testing) I live in Maryland and have Kaiser Permanente, and my psychiatrist first told me that there is no testing for adults, and then told me that Kaiser doesn't cover it when i said i had seen a lot of people here talk about their adult diagnoses. I did talk to one person online who had KP and got an adult diagnosis in California, but i was wondering if that is something that depends on state law. I am really hoping to find someone somewhere, even if it requires some travel within the eastern US. The alternative is to pay $1300 for testing at George Mason University's Psy. Clinic, and i don't even know if i can find any therapists or psychologists that can help with some of the issues i'm having lately (particularly sensory overload).


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