Does insurance cover it? I know that every insurance policy will be different, but before I spend a ton of time on hold trying to find out, I just wanted to check to see if its something that is ever done.
Maddie has to be on Nutramagin, per her doctor. She is 4 months, and already at about 3 cans a week, which is $75!!! We tried once to switch her to Gentlease, thinking it a good compromise (partially broken down proteins vs fully broken down ones in Nutramigin) but she reacted horribly to it.
Ive heard that doctors can write scripts to submit to insurance companies for such cicumstances. We have our 4 month appointment on Monday, but I wondered if anyone on here had any experience with this.
At our 2 month appointment, the doc said we could try to switch her to a regular formula at around 6 month or whenever shes eating some solids readily and not just mouthing them, so hopefully there will only be two more months of this.
Thanks!
Kaymadmom
01-12-2008, 01:12 PM
Neocate is prescription-only hypoallergenic formula. I know many insurance companies will not cover it. In Arizona it is the law that they must cover it. Good luck :) Eric has many food intolerances that I have been able to manage with a restricted diet. He was doing really well for a couple months, but things have gone downhill recently. Its such a hard decision to make!
Kaymadmom
01-12-2008, 01:16 PM
I wanted to come back and suggest that you try to get your pediatrician to hook you up with the rep that brings them Enfamil samples. The rep should be able to give you cans for free. Ds' allergist gives us free cans of Neocate (the usual price is $40/can). I'm sure your pediatrician could give you free cans as well.
tarah1218
01-12-2008, 03:48 PM
My son is on Monogen and our insurance covers it. It runs about 50-60 a can so if they wouldn't I don't know what we would do, we wouldn't be able to get it for him. I would call them and ask, it wouldn't hurt.
waddlewades
01-12-2008, 03:50 PM
...............
andreax3
01-13-2008, 08:02 AM
My DD is on Alimentum and her insurance is covering it.
Chrijodo
01-13-2008, 04:42 PM
If your insurance won't cover it.. get a referral for WIC from her pedi. If they put down that she needs Nutrimagen for medical reasons then WIC will pay for 8 or 9 cans a month.. We did this while my son was on Nutrimagen. It saved us 200 dollars a month.
jmred
01-14-2008, 04:23 PM
We are on Neocate, and WIC covers it. I would look into that, because they may cover it!
SativaStarr
01-14-2008, 05:22 PM
DS was on Nutramigen, and then switched to Alimentum RTF, and WIC was our saving grace.. when he was on nutramigen (the powder) they covered 8 cans per month($25/can).. and when he was on RTF Alimentum, they covered 25 1 qt bottles a month ($9/bottle).. w/out wic I dont know how we would have fed him.. (he could not nurse effectively at all, and my body hates the pump). Do you qualify for WIC?? I'd look into it.. their guidelines are much higher than other govt programs.
val01
01-14-2008, 05:23 PM
My DD is on Vanilla Elecare (multiple food allergies and a metabolic disorder). It's 31.50 per can x 3 cans per week.
Insurance would not pay for it unless she was tube fed. However, I did find a grant to pay for it for a year! YAY! :thumbsup:
Valerie
jpabruzzese
01-20-2008, 06:56 PM
Anyone who is on nutrimagen or alimentum do you mind my asking what insurance covers it? I've been breastfeeding up to now, 7 months, and GI wants dd on one of these. The cost about bowled me over, considering I haven't bough formula at all. The idea of spending almost $1500 until she can wean from a bottle is mind boggling.
BeckyP
01-20-2008, 09:47 PM
Our insurance will not cover it. Not even with a persciption. We don't qualify for WIC either. I know right where you are coming from. It sucks :(
Sarah2000
01-21-2008, 11:27 AM
One of my twins had to be on Elecare which is prescription only and that was covered. However her brother was in Alimentum which is just like Nutramigen and that was not covered since it was over the counter. My youngest son is also on Alimentum right now and that is not covered either.
nollysmom
01-26-2008, 12:29 AM
It varies state to state, insurance to insurance. Call you insurance and they can tell you. I actually did (up until my baby) insurance billing for tube feeders, and formulas. Wic is a good start, Dr's offices have alot of samples, contact the formula maker and find out about how to get coupons stuff like that.
carrottop76
01-26-2008, 12:56 AM
DD was on Alimentum and Tricare wouldn't cover it. WIC would have, but we didn't qualify. I certainly have heard of other private insurances covering these though. The problem is that both nutramigen and alimentum are available over the counter, so like OTC drugs, insurance companies don't think they should pay. If your insurance doesn't cover it, I'd look into WIC. If that doesn't work you can contact Enfamil, I believe they have a program that will give you a discount if your doctor writes a letter.
gvroach
01-26-2008, 01:14 AM
Yep, found out today, our insurance doesnt cover. Even with a script. We have Health New England.
