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alex7-2
LIF Adult
Member since 4/06 1418 total posts
Name:
alycia
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insurance coverage for formula question.
is there ANY way that i can fight for SOME coverage for my son's formula? he is on neocate for a milk protein allergy and its triple the amount of $$$ than other formula..im NOT looking for a free ride but i def need some relief from this..i truly cant afford this. and i want to cry right now because i truly will do what it takes for my son to feel better..but i dont want to be stressed doing it. what do i do?
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Posted 12/7/09 2:50 PM  |
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Michmouse
LIF Adult
Member since 11/07 1260 total posts
Name:
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Re: insurance coverage for formula question.
Are you in NY? I thought there was a mandate on this?
Check out this link. Scroll al the way to the end and read the part about enternal formulas.
http://www.ins.state.ny.us/acrobat/ah_basichosgrp.pdf
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| Posted 12/7/09 2:59 PM |
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Michmouse
LIF Adult
Member since 11/07 1260 total posts
Name:
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Re: insurance coverage for formula question.
If you are not in NY here is a list of state requirements:
Again, scroll down.
http://elecare.com/reimbursement-information
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| Posted 12/7/09 3:01 PM |
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dm24angel
Happiness
Member since 5/05 34581 total posts
Name:
Donna
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Re: insurance coverage for formula question.
What insurance company do you have and who is it under ( whose employer and what employer ...you can FM me if needed).
Call your insurance and tell them ( if your in NY) its mandated, and ask if you are exempt from that mandate and if they say yes, ask them WHY.
If they seem unsure, get a supervisor on the phone....They are the ones who know whats going on.
I used to work for Empire BCBS, FM me more details and I can help you.
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| Posted 12/7/09 3:01 PM |
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monkeybride
My Everything
Member since 5/05 20541 total posts
Name:
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Re: insurance coverage for formula question.
Call Apria healthcare. They can help you get it covered and have it delivered to you.
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| Posted 12/7/09 3:06 PM |
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pinkandblue
Our family is complete, maybe
Member since 9/05 32436 total posts
Name:
Stephanie
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Re: insurance coverage for formula question.
call Apria's enteral department at 1-888-334-7978
you will need a letter of medical necessity from your doctor and Apria will work with the insurance to get this covered
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| Posted 12/7/09 3:19 PM |
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DRMom
Two in Blue
Member since 5/05 20223 total posts
Name:
Melissa
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Re: insurance coverage for formula question.
Before I got mine approved, I got lots donated from the Enfamil rep through my Dr's office-you can ask your ped(I used Nutramigen AA which is the same thing as Neocate and Elecare-I have 7 cans left-do you want them?)
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| Posted 12/7/09 3:19 PM |
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alex7-2
LIF Adult
Member since 4/06 1418 total posts
Name:
alycia
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Re: insurance coverage for formula question.
Posted by Michmouse
Are you in NY? I thought there was a mandate on this?
Check out this link. Scroll al the way to the end and read the part about enternal formulas.
http://www.ins.state.ny.us/acrobat/ah_basichosgrp.pdf[/QUOTE
yes i am. thanks,ill check it out!
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| Posted 12/7/09 3:35 PM |
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alex7-2
LIF Adult
Member since 4/06 1418 total posts
Name:
alycia
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Re: insurance coverage for formula question.
Posted by pinkandblue
call Apria's enteral department at 1-888-334-7978
you will need a letter of medical necessity from your doctor and Apria will work with the insurance to get this covered
what is this? do i just call and tell them i need help with paying for formula??
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| Posted 12/7/09 4:12 PM |
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pinkandblue
Our family is complete, maybe
Member since 9/05 32436 total posts
Name:
Stephanie
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Re: insurance coverage for formula question.
Posted by alex7-2
Posted by pinkandblue
call Apria's enteral department at 1-888-334-7978
you will need a letter of medical necessity from your doctor and Apria will work with the insurance to get this covered
what is this? do i just call and tell them i need help with paying for formula??
yes, call that number, tell them that your childs needs this formula...they will tell you to fax a letter of necessity and demographics from your Ped...they take care of the rest in trying to get the formula covered or appealing if the insurance denies it
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| Posted 12/7/09 4:13 PM |
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