Accessibility insurance coverage management is provided. An insurance server receives a coverage request from a requestor that includes a user identifier corresponding to a user (i.e. policyholder). The insurance server matches the user identifier with a stored policyholder identifier and retrieves accessibility data corresponding to the matched policyholder identifier. If required, the insurance server updates the policyholder's accessibility data by receiving accessibility data from an accessibility database server. The insurance server identifies the policyholder's coverage using the user's accessibility data along with the user's policy information. The insurance server sends a message to the requestor which indicates an amount of the particular item corresponding to the coverage request the insurance server covers. The insurance server receives accessibility service bills on a frequent basis, such as monthly. The insurance server verifies the billing information, pays the bill, and updates policyholder claims paid to date information.