| Posted By |
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btrflygrl
me and baby #3!
Member since 5/05 12013 total posts
Name:
Shana
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Our insurance WILL cover formula BUT...
it has to be "medically necessary"?
How do I go about doing this? The lady said the Peds' office has to put the claim in.
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Posted 9/6/07 11:00 AM  |
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Charly
LOVE!
Member since 5/05 12578 total posts
Name:
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Re: Our insurance WILL cover formula BUT...
My doctor wrote a "letter of medical necessity" to the insurance company. It just stated she's allergic to milk protein a nd needs to be on a hypoallegic formula. They faxed it that day and Apria ordered and delivered our formula in a few days
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| Posted 9/6/07 11:02 AM |
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Smileyd17
kids
Member since 5/05 20997 total posts
Name:
Mommy
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Re: Our insurance WILL cover formula BUT...
Posted by Charly
My doctor wrote a "letter of medical necessity" to the insurance company. It just stated she's allergic to milk protein a nd needs to be on a hypoallegic formula. They faxed it that day and Apria ordered and delivered our formula in a few days
Exactly!
We also had this prob with my neice so it was also, family history.
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| Posted 9/6/07 11:03 AM |
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dm24angel
Happiness
Member since 5/05 34581 total posts
Name:
Donna
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Re: Our insurance WILL cover formula BUT...
Posted by btrflygrl
it has to be "medically necessary"?
How do I go about doing this? The lady said the Peds' office has to put the claim in.
Is he on Gentlease or any of the specialty formulas? Is he is, then call the peds office and tell them you need them to send you or the insurance a letter of medical neccesity ...They will write he needs to be on it b/c of gas issues, stomach issues, etc etc.
ITs done ALL the time. The peds office will know what to do.
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| Posted 9/6/07 11:03 AM |
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CathyB
Member since 5/05 19403 total posts
Name:
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Re: Our insurance WILL cover formula BUT...
Our ped had to write a letter of medical necessity, and then the insurance company faxed the ped some form they filled out and that was that. We do have a $40 copay each time we refill the rx at the pharmacy. But that's nothing compared to what Neocate costs out of pocket.
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| Posted 9/6/07 11:18 AM |
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dee7772
My Loves
Member since 5/05 4852 total posts
Name:
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Re: Our insurance WILL cover formula BUT...
Your Dr. needs to write a letter of why your son needs to be on the formula - then you can fax it over to the insurance company.
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| Posted 9/6/07 11:22 AM |
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btrflygrl
me and baby #3!
Member since 5/05 12013 total posts
Name:
Shana
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Re: Our insurance WILL cover formula BUT...
Posted by dm24angel
Posted by btrflygrl
it has to be "medically necessary"?
How do I go about doing this? The lady said the Peds' office has to put the claim in.
Is he on Gentlease or any of the specialty formulas? Is he is, then call the peds office and tell them you need them to send you or the insurance a letter of medical neccesity ...They will write he needs to be on it b/c of gas issues, stomach issues, etc etc.
ITs done ALL the time. The peds office will know what to do.
he's on nutramigen right now and is doing well with it.
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| Posted 9/6/07 11:23 AM |
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Teri
my girls!
Member since 2/06 1491 total posts
Name:
Teri
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Re: Our insurance WILL cover formula BUT...
yep, our allergist wrote my insurance company a letter and then followed it up with an RX.
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| Posted 9/6/07 12:06 PM |
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