It is not discrimination, however, for a plan to exclude specific benefits, even if the exclusion would have a greater impact on people with disabilities. Thus, a plan can clearly state that it does not cover assistive communication devices as long as it applies the limitation consistently. In that case, they would be subject to stricter anti-discrimination mandates than health benefit providers in other contexts. Private health benefit plans provide benefits. State funding for this program comes from tobacco tax funds.
Limited funding limits the number of people who can participate.
There is usually a waiting list. Almost all health benefit plans provide for an internal appeal. If you are persistent, you can get a decision reversed-especially if you can provide more documentation of medical necessity or information that the health benefit plan has purchased similar devices in the past. The appeal is often informal. It consists of explaining the need and justification for the device in writing, with copies of supportive documents.