Insurance cover formula?

Re: Insurance cover formula?

• Missa_g member

  October 2013

  You will have to look at your benefit plan. Ours specifically said formula was only covered if given through a g-tube. We tried anyways but were turned down.

  

  Married 9/22/07, began TTC 8/10

  Diagnosed with DOR, LP defect, mild endometriosis and cysts
  

  BFP #1 EDD 9/10/11, natural miscarriage at 6w

  BFP #2 Medicated cycle, twin boys born 4/4/12 at 29w4d
  

  BFP #3 EDD 8/8/14, D&C for missed miscarriage at 8w, baby boy with triploidy

  BFP #4 June 2014 CP

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• Brummy14 member

  October 2013

  Ours did - we still get Neosure delivered, my OOP cost is like $17 for 8 cans. Because the Neosure was "medically necessary," it was covered for us.

  TTC Since 11/10 due to Unexplained IF 

  4 Rounds of Clomid, 2 Rounds of Femara + IUI, 2 rounds of IUI+ Injectables (Bravelle + Menopur) = First BFP! TWIN GIRLS!

  
  

  November 2, 2012 - Claire (2lbs 8.9oz) and Paige (2lbs 10oz) arrive at 29w3d due to PTL and pPROM at 28w5d 

   
  

  

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• ashleymarie512 member

  October 2013

  @brummy14--you're lucky! What insurance do you have?
  
  I just got off the phone with Wellmark and they only cover if it's tube fed or if baby has some sort of disease that three specific formulas are covered (elecare, neocate and nutramine). DD has SSI so I wonder if they would pick it up since Wellmark won't?

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• Brummy14 member

  October 2013

  We have Humana -- it all came through Children's Hospital Medical services here in Cincinnati -- along with the NG tube materials (while we needed them, which was like 6 weeks), and then all of DD2's o2 equipment for the first few months.

  TTC Since 11/10 due to Unexplained IF 

  4 Rounds of Clomid, 2 Rounds of Femara + IUI, 2 rounds of IUI+ Injectables (Bravelle + Menopur) = First BFP! TWIN GIRLS!

  
  

  November 2, 2012 - Claire (2lbs 8.9oz) and Paige (2lbs 10oz) arrive at 29w3d due to PTL and pPROM at 28w5d 

   
  

  

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• ashleymarie512 member

  October 2013

  Good to hear, thanks for the information. Her Medicaid is still pending, but should be approved. I'll have to talk to the dr about it further once we get the final approval. Thanks again!

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• Irishsapphire member

  October 2013

  We had K01 Medicaid since my son was in the hospital over 30 days and we qualified for WIC.  And it was through WIC we got the Neosure.  But with the government shutdown, I am not sure if WIC is going to be available for the next couple of months.   

  BFP on 07/18/08. Miscarriage 07/30/08. BFP 3/25/09. Confirmed second miscarriage, no heartbeat, no growth beyond 7 weeks, 5/19/09. TTC again, on baby aspirin, due to value of 23 on Anticardiolipin Antibodies. BFP 11/15/09. Brown spotting, Beta 3735 11/25/09, Beta 5602 11/28/09. Anticardiolipin Antibodies now negative, still on baby asprin. On 100 mg of Prometrium (progesterone) until 10 weeks. Good heartbeat at 1st appt. 12/16/09. Started taking fish oil. Perigestational hemorrhage and red bleeding 12/17/09. 2nd Ultrasound-8 weeks, still a heartbeat 12/17/09. Baby measured 9 weeks, still a heartbeat 12/23/09. Good NT Scan on 1/8/10, heartbeat 164. EDD 7/28/10. TEAM BLUE! Aidan Thomas born on May 26, 2010. Baby #2, BFP 11/27/11, EDD 6/5/12. TEAM PINK! Noelle Elizabeth born 4/30/12. Blessing from God, Blessing from God, Blessing from God, Blessing from God.

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• hoping&praying2013 member

  October 2013

  Im so glad you posted this bc it made me call and check with my insurance bcbs and they do cover mine. So I was paying $670 a mth for my twins Similac Neosure liquid formula and now all I have to pay is a 20 copay for a 3 mth supply they will ship me!

  
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