Families raising autistic children often assume that modern health plans now provide full autism insurance coverage, especially since every state has some type of autism mandate in place. The reality is far more complicated once parents begin filing claims for therapies, evaluations, and long-term support services. Many families still face denials, strict visit limits, or expensive out-of-pocket bills that can climb into the thousands every year. According to advocacy groups and insurance policy reviews, coverage gaps remain common even in states with stronger autism laws. That disconnect leaves many parents fighting for care while trying to manage work, school, and daily life for their children.