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deluccs
LIF Infant
Member since 10/13 84 total posts
Name:
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Alimentum and Insurance Coverage
Does anyone know if Empire covers Alimentum, and if it does, how do I go about getting it covered?
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Posted 7/7/14 9:10 PM  |
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Jpteach95
LIF Infant
Member since 8/13 315 total posts
Name:
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Alimentum and Insurance Coverage
Yes. I had it fully covered. Call the nurse line. You will need a note from your pediatrician saying it is medically necessary.
It was approved for 1 year. 5 cases delivered to my door every month. No charge, no copay.
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| Posted 7/7/14 10:20 PM |
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MrsO
Big Brothers to Be
Member since 1/07 4521 total posts
Name:
Maureen
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Re: Alimentum and Insurance Coverage
Ours is covered. I called the pharmacy and the dr called in the prescription and then it gets delivered monthly.
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| Posted 7/7/14 10:41 PM |
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ShhhTTCin11
3 under 3?!
Member since 5/11 2229 total posts
Name:
Coleen
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Alimentum and Insurance Coverage
Yup! Covered fully
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| Posted 7/8/14 6:57 AM |
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deluccs
LIF Infant
Member since 10/13 84 total posts
Name:
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Alimentum and Insurance Coverage
Thanks for the information. I guess I'm confused because I can get the alimentum off the shelf at a pharmacy, say cvs. So do I need to order through insurance?
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| Posted 7/8/14 8:35 AM |
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blu6385
Member since 5/08 8351 total posts
Name:
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Re: Alimentum and Insurance Coverage
Posted by deluccs
Thanks for the information. I guess I'm confused because I can get the alimentum off the shelf at a pharmacy, say cvs. So do I need to order through insurance?
I don't have empire but usually you have to order it through a company like edgepark.
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| Posted 7/8/14 9:12 AM |
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PotofLuck06
Our Baby Boy Is Here!!!
Member since 11/06 13241 total posts
Name:
Betsy
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Re: Alimentum and Insurance Coverage
Posted by Jpteach95
Yes. I had it fully covered. Call the nurse line. You will need a note from your pediatrician saying it is medically necessary.
It was approved for 1 year. 5 cases delivered to my door every month. No charge, no copay.
Yup! The formula will be delivered to your front door by a Catholic organization that also handles dialysis, wheelchairs, etc for patients.
ETA: if you need the contact info, let me know,
Message edited 7/8/2014 9:20:09 AM.
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| Posted 7/8/14 9:19 AM |
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deluccs
LIF Infant
Member since 10/13 84 total posts
Name:
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Alimentum and Insurance Coverage
I would love the contact info. I'm completely overwhelmed by this whole thing (first time mom here). I see my ped Thursday for DS' 1 month check up and was told I can get the letter for the insurance company then. Does empire cover the ready made formula or just powder?
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| Posted 7/8/14 9:22 AM |
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Jacksmommy
My love muffin!
Member since 1/07 5819 total posts
Name:
Liz
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Re: Alimentum and Insurance Coverage
Posted by deluccs
I would love the contact info. I'm completely overwhelmed by this whole thing (first time mom here). I see my ped Thursday for DS' 1 month check up and was told I can get the letter for the insurance company then. Does empire cover the ready made formula or just powder?
You can get whichever u want. Ds was on nutramigen and I got rtf. Now we are on neocate and it is only powder. Call your insurance company. If you have "durable medical equipment" .under your plan you will be covered. If you are, They will connect you with a company that provides durable medical equipment like edge park. The people at edge park contacted the pediatrician and I got 5 cases within a week.
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| Posted 7/8/14 10:00 AM |
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Miznan78
LIF Infant
Member since 7/13 71 total posts
Name:
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Re: Alimentum and Insurance Coverage
Like the others have said empire does fully cover it. We had to pay $100 deductible and then the insurance covers the rest. We have the formula delivered to us through medical supply company Empire uses. Initially I just contacted insurance and they told us what we needed in order to get it covered.
Hope that helps!
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| Posted 7/10/14 9:21 PM |
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