The University of Miami/Aetna benefit for autism includes the diagnosis and treatment of autism spectrum disorders. Autism coverage will be limited to $36,000 per year and will include all benefits used through Aetna, University of Miami Behavioral Health (UMBH) and Special Employee Benefits except for Applied Behavioral Analysis (ABA). Autism benefits will have a lifetime limit of $200,000, excluding ABA. Medical copayments and deductibles apply according to plan.
Benefits are based on medical necessity and are for enrollees 18 years of age or younger. Enrollment in UM/Aetna coverage is required.
NOTE: Effective 1/1/2014, ABA will not count towards the $36,000 annual benefit limit or the $200,000 lifetime limit.
Please click here to review autism benefits summary.