Maximum Annual Benefit for Autism Coverage

On April 21, 2018, the Pennsylvania Insurance Department issued Notice 2018-04, announcing the 2019 maximum benefit adjustment for autism spectrum disorders coverage. As background, group health insurance policies issued in Pennsylvania must provide coverage for the diagnostic assessment and treatment of autism spectrum disorders for covered participants under age 21. The coverage is subject to a maximum annual benefit, which has been increased to $40,501 for policies issued or renewed on or after Jan. 1, 2019, up from $39,668 for 2018.

PA Insurance Department 2018-04 »