Using Employer Group Benefits for Autism Therapy

Together, the two plans cannot pay more than 100% of the eligible expense.

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Using Employer Group Benefits for Autism Therapy Some employer group benefit plans cover psychology, speech therapy and occupational therapy under paramedical benefits. For example, the federal Public Service Health Care Plan lists a $5,000 yearly maximum for psychological services and reimburses 80% of eligible expenses. If both parents carry coverage, use the birthday rule: the parent born earlier in the calendar year submits first, then the remaining balance goes to the other parent's plan as secondary coverage. Together, the two plans cannot pay more than 100% of the eligible expense. Request a separate receipt for each type of therapy your child receives. Coordinate spouses’ plans and claim the unreimbursed part on your tax return. Read the guide www.endthewaitontario.com/answers/group-benefits-autism-therapy-ontario

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Together, the two plans cannot pay more than 100% of the eligible expense. A short explainer with music and captions. 59 seconds.

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Early Start Denver Model (ESDM) delivered to children aged 18–30 months produced significant gains in IQ, adaptive behaviour, and autism severity — some children no longer met diagnostic criteria at follow-up

Primary source Dawson G, Rogers S, Munson J, et al. (2010) Verified 2010-01-01

Cochrane systematic review finds evidence that early intensive behavioural intervention (EIBI) may produce positive effects on adaptive behaviour and communication for young children with ASD (low certainty of evidence)

Primary source Reichow B, Hume K, Barton EE, Boyd BA (2018) Verified 2018-05-09

WHO recommends accessible, community-based early interventions for children with autism. Timely evidence-based psychosocial interventions improve communication and social engagement

Primary source World Health Organization (2025) Verified 2025-09-17
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Last system verification: 2026-11-03. Next scheduled update: 2027-02-01.

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Written by Spencer Carroll

Founder & Autism Advocate

Lived experience: Parent of autistic child in the OAP system