UNMC Munroe-Meyer Institute NE Autism Insurance “Thank You, Thank You” Christy Williams University of Nebraska Medical Center’s Munroe-Meyer Institute.

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Presentation transcript:

UNMC Munroe-Meyer Institute NE Autism Insurance “Thank You, Thank You” Christy Williams University of Nebraska Medical Center’s Munroe-Meyer Institute

UNMC Munroe-Meyer Institute Hints for Parents  Be familiar with your health care policy (read it carefully)  Check to see if your doctor is part of your plan’s network of providers  Check your policy’s “exclusions” or “limitations” for specific information about what your plan does not cover.

UNMC Munroe-Meyer Institute Hints - Continued  Verify the amount your insurance plan will cover for certain services.  Do not assume that a healthcare service will be covered - VERIFY  If you have questions about your policy, call customer service or your benefit’s manager

UNMC Munroe-Meyer Institute Important Things to Remember  Medical Necessity (work with your physicians to obtain proper documentation)  Work with your autism service provider to obtain clearance  Don’t be afraid to talk with your employer’s benefits manager if you need help  You are your child’s best advocate

UNMC Munroe-Meyer Institute Pertinent Information Child’s NameDOB Insurance IdentificationCPT Code Diagnosis CodePayment rate Discount Amount HICFA 1500 Insurance Billing Address

UNMC Munroe-Meyer Institute Our clinical experience is:  Developing rapport with case managers and claim managers facilitates a better outcome.  Proper documentation is critical in obtaining clearance and payment for services.  Knowing your benefits allows you to advocate more effectively.

UNMC Munroe-Meyer Institute

University of Nebraska Medical Center