Posted By Posting
Aug 04, 2008
For those of you who are using/have used the Neocate-Did anyone get their insurance to assist in paying for it??? If so, how did you go about it?
Aug 04, 2008
Mary & Nicholas 7-17-03 (non-refluxer)allergies, asthma on Singulair and Flovent & Aidan 1-28-07(my refluxer)Nissen Fundoplication on June 20, 2008, FTT, MSPI, DGE, ear tubes, allergies and severe GERD now currently taking just Prevacid and drinking Elecare Vanilla 1+.
Our insurance pays for our Elecare and has paid for both Neocate and Nutramigen when we used them. We had to fill out a bunch of paperwork from the insurer saying it was medically necessary due to FTT and severe GERD and severe milk and soy allergy. Then the ped and ped GI had to sign and send to the insurer. The initial process was cumbersome but I haven't paid for formula in the last 16 months. The insurer then contacted a formula company for us and they ship it to us and bill the insurance directly. I think my insurer is in the minority though as many people on here will attest to. Quite a few moms have had more luck going through Apria. Maybe one of them will chime in too. Good luck I know how expensive it can be.
Aug 04, 2008
Andrea: Mom to 3 crazy girls!
Jackie (3/01)
Payton (9/03)
Abby (4/06) Prevacid 7.5mg (evening), MSPI, goats milk (currently trying to wean off Prevacid)
We first tried just by getting her pedi Gi to write a letter of medical neccessity but that didn't work since they said that it was something that you could by over the counter. So aftet that another mom gave me the number for APRIA Healthcare 877-536-8372 they got our insurance to cover 80% of it b/c they classified it as durable medical equipment. :) Def give them a call. They have places all over the US.
Aug 04, 2008
Thanks for the advice. I'm going to talk to pedi and see what I can do.
Aug 04, 2008
Jessica, Mommy to Jedd, severe reflux, severe food and oral aversions, Finally G tube free!!! VSD repair 4-24-07 (open heart surgery), hypospadias, repaired 3 times and Ear tubes Visit Jedd at his CB site:
Can you apply or qualify for WIC. They covered 100% of Jedd's Peptamen JR. If it were not fo rthem we would have had to litterally sell the house and move in with my parents. At $195. for 24 cans when you are goign through 4 cans per day..YOU GO BROKE otherwise!!!

GOOD LUCK. We tried everythign to get our co. to cover Jedd's alimentum but they continued to deny even when he was 100% tube fed....:'(
Aug 05, 2008
Melissa - Mommy to Sebastian, born 9/28/07 @ 7 lbs 7 oz and 20.75 in. At docs at 12 months: 27 pounds and 32 in! Good grief! GERD - currently on Prevacid suspension (liquid equivalent of 45 mg a day). Allergic to dairy, soy, eggs, wheat, all treenuts, peanuts, fish, shellfish, peas, sesame, bananas, barley, coconut, dust, dust mite, dog, cat, latex. Seasonal allergies. Oral Allergy Syndrome (OAS). Neocate only - no solids - until further notice (drinks and loves water, too). Loves his doggie, our rescued Treeing Walker Coonhound, Louise, even though he is allergic to her. Louise will make your doctor a homemade pie if you would like her to. PHOTO: We couldn't do a cake on Sebastian's birthday, but that didn't stop him from tossing around the contents of a big bowl of popcorn! He now tries to eat it when we play with popcorn, so no more of that game.... :(
Our new insurance covers it (just started!), thank God...but when we had Aetna, they gave me the run around big time. They kept saying they'd cover, cover, cover, and then they didn't because Bassy wasn't tube fed. When I expressed sheer distress, the rep ACTUALLY ASKED ME IF HE COULD BE TUBE FED. I don't even know to say about that.
Check with your
doctor first!