MCL 550.1416e: Autism Coverage for Health Care Corporation Certificates
Blue Cross Blue Shield of Michigan operates under this act, so section 416e is the counterpart to section 3406s.
What the section provides
Coverage duty
A health care corporation group or nongroup certificate must provide coverage for diagnosis and treatment of autism spectrum disorders.
Prohibitions
No visit limits, no denial as educational or habilitative, and no cost sharing stricter than for physical illness generally, apart from the age and annual maximum provisions.
Allowed limits
Coverage may be limited through age 18 with annual maximums of $50,000, $40,000 and $30,000 by age band.
History
Added by Public Act 99 of 2012, applying to certificates beginning 180 days after enactment.
Back to the ABA guide.
MCL 550.1416e: Autism Coverage for Health Care Corporation Certificates: short answers
How does it differ from section 3406s?
The wording is nearly identical. Section 416e has no short-term policy carve-out and does not list the termination bar.
Who does it govern?
Health care corporation group and nongroup certificates in Michigan.
Does it apply to self-funded plans administered by a Blue plan?
No. Self-funded plans sit outside state mandates even when a carrier administers them.
MCL 550.1416e: Autism Coverage for Health Care Corporation Certificates: not legal advice. Send us your renewal.
Where these details come from
The laws and rules named on this page link to the official text. This is general information, not legal advice, and rules change, so check the current text.
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