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btrflygrl
me and baby #3!
Member since 5/05 12013 total posts
Name:
Shana
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does anyone know WHICH insurance co will cover formula?
we know which insurance we're getting as of Sept 1, I was just wondering if anyone would be willing to tell which insurance they have that has covered formula.
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Posted 8/18/07 9:35 AM  |
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Long Island Weddings
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partyof6
b nice like u want ur kidz 2
Member since 7/06 7752 total posts
Name:
jeannine
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Re: does anyone know WHICH insurance co will cover formula?
Empire government
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| Posted 8/18/07 9:36 AM |
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Diane
Hope is Contagious....catch it
Member since 5/05 30683 total posts
Name:
D
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Re: does anyone know WHICH insurance co will cover formula?
Posted by lastchance1222
Empire government
that is what I have
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| Posted 8/18/07 9:49 AM |
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CathyB
Member since 5/05 19403 total posts
Name:
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Re: does anyone know WHICH insurance co will cover formula?
Shana it depends on what level of coverage your company selects. We could both have United Healthcare and it may be covered for you and not for me. You have to look at each specific plan.
If they are giving you a hard time, get Apria involved (do a search on here for the toll free number) They know who to talk to and what to say if your insurance company is being denied and it seems like on here they have gotten many people covered.
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| Posted 8/18/07 10:22 AM |
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btrflygrl
me and baby #3!
Member since 5/05 12013 total posts
Name:
Shana
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Re: does anyone know WHICH insurance co will cover formula?
TY Cathy!
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| Posted 8/18/07 10:26 AM |
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CathyB
Member since 5/05 19403 total posts
Name:
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Re: does anyone know WHICH insurance co will cover formula?
Actually, now that I think about it, ask your doctor if they know what the laws in your state are. In NY I believe that there is a law that if your baby needs it to survive it must be covered. There are a few expections, I know Rachel was having to pay for Neocate out of pocket (which is awful  )
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| Posted 8/18/07 10:31 AM |
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jenny
L O V E
Member since 4/06 2784 total posts
Name:
Mommy
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Re: does anyone know WHICH insurance co will cover formula?
Posted by Diane
Posted by lastchance1222
Empire government
that is what I have
I have this too. How do you go about getting the formula covered?
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| Posted 8/18/07 11:35 AM |
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want2beamom
Love my boys soooo much!!!
Member since 8/06 10164 total posts
Name:
True love doesn't end with happily ever after...
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Re: does anyone know WHICH insurance co will cover formula?
Posted by CathyB
Shana it depends on what level of coverage your company selects. We could both have United Healthcare and it may be covered for you and not for me. You have to look at each specific plan.
If they are giving you a hard time, get Apria involved (do a search on here for the toll free number) They know who to talk to and what to say if your insurance company is being denied and it seems like on here they have gotten many people covered.
Yes, call Apria...they got back to me in less than 24 hours to tell me that my insurance covered it. It does depend on the type of coverage...not just the company.
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| Posted 8/18/07 12:17 PM |
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KateDevine
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Member since 6/06 24950 total posts
Name:
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Re: does anyone know WHICH insurance co will cover formula?
Posted by jenny
Posted by Diane
Posted by lastchance1222
Empire government
that is what I have
I have this too. How do you go about getting the formula covered?
It isn't every formula, ones like Nutrimagen and Neocate which are for allergies and are very expensive.
ETA: We have GHI, but it is a Government Employee plan as well and it would be covered for us as well.
Message edited 8/18/2007 12:40:20 PM.
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| Posted 8/18/07 12:39 PM |
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Re: does anyone know WHICH insurance co will cover formula?
we have BCBS and get our formula through Apria and its 100% covered and gets delivered to the house
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| Posted 8/18/07 1:40 PM |
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MrsG
LIF Adolescent
Member since 8/06 552 total posts
Name:
M
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Re: does anyone know WHICH insurance co will cover formula?
We have Aetna and it is covered. There is a law in NY - State Assembly bill 1818A that says your insurance must pay for it. the only exception is if it is a self funded plan. Apria is awesome at handling this. I have all the info - feol free to fm me if you have any questions...
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| Posted 8/18/07 4:40 PM |
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JRG71
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Member since 5/05 5025 total posts
Name:
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Re: does anyone know WHICH insurance co will cover formula?
I have BC/BS - Nutramigen is covered for both my DD's.
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| Posted 8/18/07 4:41 PM |
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btrflygrl
me and baby #3!
Member since 5/05 12013 total posts
Name:
Shana
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Re: does anyone know WHICH insurance co will cover formula?
do any of you think it will be an issue with BC/BS if we are not in NY???
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| Posted 8/18/07 4:44 PM |
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monkeybride
My Everything
Member since 5/05 20541 total posts
Name:
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Re: does anyone know WHICH insurance co will cover formula?
You really have to wait and see what group your plan purchased and see if nutritionals are a covered benefit. You can try to appeal if they're not but it will take a lot to get it covered. We tried with Miranda's Neocate and Alimentum and had no luck because nutrition/feeding was not covered on the plan we had.
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| Posted 8/18/07 5:46 PM |
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dm24angel
Happiness
Member since 5/05 34581 total posts
Name:
Donna
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Re: does anyone know WHICH insurance co will cover formula?
Posted by monkeybride
You really have to wait and see what group your plan purchased and see if nutritionals are a covered benefit. You can try to appeal if they're not but it will take a lot to get it covered. We tried with Miranda's Neocate and Alimentum and had no luck because nutrition/feeding was not covered on the plan we had.
exactly!
Also There are 25 bc/bs's across the country and each one is run by someone else, they are not affiliated, they simply share the name and they pay to use the nameYou cannot tell till you get the plan.
You can check to see if your state covers it as a mandate and if you group come sept. is a group which plans under the states mandates.
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| Posted 8/18/07 5:50 PM |
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antoinette
boy mamma
Member since 5/05 2975 total posts
Name:
Antoinette
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Re: does anyone know WHICH insurance co will cover formula?
empire blue cross blue sheild covered my sons formula.
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| Posted 8/18/07 8:15 PM |
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mitabtrfly
Member since 12/06 2770 total posts
Name:
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Re: does anyone know WHICH insurance co will cover formula?
This is interesting and something I never knew. We have Empire BC/BS...would it be covered with us as well??
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| Posted 8/18/07 8:18 PM |
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dee7772
My Loves
Member since 5/05 4852 total posts
Name:
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Re: does anyone know WHICH insurance co will cover formula?
We had Blue Cross Blue Shield and it was not covered. We now have United Healthcare and they cover the Neocate for us.
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| Posted 8/18/07 8:34 PM |
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whyteach
LIF Adult
Member since 8/06 2697 total posts
Name:
Christina
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Re: does anyone know WHICH insurance co will cover formula?
I have Aetna for my health insurance but our prescriptions are under medcohealth. My DD is on Alimentum for reflux and they said they do not cover it. I am going to look into Apria and ask my doctor to see if he has heard about that law
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| Posted 8/18/07 9:50 PM |
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KateDevine
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Member since 6/06 24950 total posts
Name:
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Re: does anyone know WHICH insurance co will cover formula?
Posted by mitabtrfly
This is interesting and something I never knew. We have Empire BC/BS...would it be covered with us as well??
Like the others said, if it is in your plan and is medically necessary. They don't cover regular formula.
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| Posted 8/18/07 9:51 PM |
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JRG71
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Member since 5/05 5025 total posts
Name:
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Re: does anyone know WHICH insurance co will cover formula?
Posted by btrflygrl
do any of you think it will be an issue with BC/BS if we are not in NY???
My company is based in Massachusettes so my plan is actually BC/BS of Mass... I don't think it matters.
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| Posted 8/18/07 9:52 PM |
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JRG71
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Member since 5/05 5025 total posts
Name:
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Re: does anyone know WHICH insurance co will cover formula?
Posted by mitabtrfly
This is interesting and something I never knew. We have Empire BC/BS...would it be covered with us as well??
If it's medically necessary they will cover some formula's. I know with my plan I can look it up on there website.
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| Posted 8/18/07 9:55 PM |
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danigirl108
LIF Zygote
Member since 9/07 1 total post
Name:
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Re: does anyone know WHICH insurance co will cover formula?
WE HAVE GHI (MY HUSBAND IS A NYC TEACHER). THEY COVERED NEOCATE AFTER BEING DENIED FOR 2 MONTHS. THEY NOW COVER NUTRAMIGEN WITHOUT ANY PROBLEM AND FOR ONLY A CO-PAY EACH MONTH. GHI ALSO REFUNDED SOME OF THE OUT OF POCKET COST FOR THE NEOCATE. KEEP YOUR RECEPITS. 
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| Posted 9/19/07 11:29 PM |
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