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Elecare not covered

Posted By Message

Melis2700
LIF Adolescent

Member since 10/09

508 total posts

Name:
Melissa

Elecare not covered

My insurance which I now hate- will not cover the elecare. Does anyone know where I get it???

Posted 8/1/14 2:55 PM
 
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mami
LIF Infant

Member since 6/13

226 total posts

Name:
shey

Elecare not covered

formuladirecttoyou.com and there are groups on facebook that sells elemental formulas

Posted 8/1/14 3:18 PM
 

jdbaby
LIF Adolescent

Member since 4/11

660 total posts

Name:

Elecare not covered

If you go to a GI doc they may be able to help get it covered.

Posted 8/1/14 3:24 PM
 

want2beamom
Love my boys soooo much!!!

Member since 8/06

10164 total posts

Name:
True love doesn't end with happily ever after...

Re: Elecare not covered

Did you try calling apria? I have an extra can the expires in December I believe if you would like it.

Posted 8/1/14 3:42 PM
 

donegal419
St. Gerard, pray for us.

Member since 7/07

7650 total posts

Name:
K

Re: Elecare not covered

Bummer!!! My twins are on it and I don't know what I would do if it wasn't covered. I would ask your ped. For any and all samples he can give you. Also, I believe when I was researching elecare, Abbott ( the manufacturer) had something on their website about helping families with the cost. I think people also sell it on Amazon. I would also try appealing the insurance company's decision. Perhaps your doctor could make a case for you, even more so of he has already done so.

Message edited 8/1/2014 4:04:26 PM.

Posted 8/1/14 4:03 PM
 

blu6385

Member since 5/08

8351 total posts

Name:

Re: Elecare not covered

don't quote me on this but I am pretty sure there is a law now insurance companies have to cover it; If I am reading the law correctly. I found out through if your insurance is I guess through a union (not through a company say like oxford, blue shield etc) they don't have to abide by NYS Laws . Also you have to have prescription coverage
Hannahs law

ETA: Amazon seems to have the best price or go on FB groups people usually sell them cheaper than in the store.

its hard to find in the stores but Walgreens carries them.

Message edited 8/1/2014 4:20:26 PM.

Posted 8/1/14 4:17 PM
 

MrsG823
Just call me Mommy.

Member since 1/11

5570 total posts

Name:
S

Elecare not covered

Have you tried having your pediatrician write a letter of medical necessity?

You can order the formula directly from Abbott and they will ship it to your home. Abbott has a help line to assist with insurance payment info 1-800-558-7677. The website has a lot of information.

Message edited 8/1/2014 5:40:43 PM.

Posted 8/1/14 5:32 PM
 

NewLeaf2012
LIF Adult

Member since 1/11

2741 total posts

Name:
....

Re: Elecare not covered

Just keep fighting it.. Ours refused to cover it too... My sons Pedi and pedi GI wrote letters and everything.It took almost 2 months to get it covered but they finally did it.. We used Landau to get it.

Walmart.com carries it too now.... Some stores may carry it

Message edited 8/1/2014 6:25:37 PM.

Posted 8/1/14 6:23 PM
 

lbride
Lovin' my mini man!

Member since 3/07

2475 total posts

Name:
Lisa

Elecare not covered

my sister in law is selling a bunch of cans to just cover her copay on them. FM if interested

Posted 8/1/14 7:33 PM
 

Melis2700
LIF Adolescent

Member since 10/09

508 total posts

Name:
Melissa

Re: Elecare not covered

Thanks everyone! She sees a GI and they called to tell me it was not being covered. Told me to go to head of HR to make a case. I venture to guess they cannot msg e an exception or they would always have to.

Posted 8/1/14 10:03 PM
 

want2beamom
Love my boys soooo much!!!

Member since 8/06

10164 total posts

Name:
True love doesn't end with happily ever after...

Re: Elecare not covered

Posted by Melis2700

Thanks everyone! She sees a GI and they called to tell me it was not being covered. Told me to go to head of HR to make a case. I venture to guess they cannot msg e an exception or they would always have to.



What is her diagnosis? Def try apria. They so all the leg work.for you. And I do have that unopened can if you would like it

Posted 8/1/14 10:56 PM
 

luvmotherhood
california dreamin'

Member since 2/13

1443 total posts

Name:
love my family!

Elecare not covered

my dd was on neocate and insurance would not cover it no matter what. i had to pay oop for the entire time she was on it.

Posted 8/2/14 8:15 PM
 

Strawberry2468
It's summatime

Member since 3/09

4739 total posts

Name:
Christine

Re: Elecare not covered

Your employer makes the ins plan and decides if its one that covers or doesn't cover formula. DHs ins excluded it no matter what. Alimentum Is found in stores though while elecare is script only so it's complete bs!

Posted 8/3/14 6:49 AM
 

pookie
LIF Adolescent

Member since 6/05

800 total posts

Name:

Elecare not covered

http://formuladirecttoyou.com/ I used this to buy elecare in the past. It was great!!! I think the cheapest too

Posted 8/3/14 10:23 AM
 
 

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