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Similac Alimentum?

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DanandNette
Love my baby boy!

Member since 9/08

2830 total posts

Name:
Jennette

Similac Alimentum?

Is this formula covered by insurance?

Posted 2/3/12 5:15 PM
 
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iluvmynutty
Mom to E&M

Member since 12/08

1762 total posts

Name:
D

Re: Similac Alimentum?

My insurance covered it. My peds office wrote a letter of medical necessity and took care of everything with the insurance company. The insurance company then gave me a list of home care supply providers that shipped me monthly supplies.

Posted 2/3/12 5:18 PM
 

whoababy1
Love my little girls <3

Member since 8/10

1418 total posts

Name:

Re: Similac Alimentum?

Same as PP.

It gets delivered to my house. It was a bit of a fight though b/c every time I called the insurance to ask them about it they told me something different. And I ended up having to buy it myself and submit for reimbursement while it was being figured out.

I also requested the powered to the RTF and that delayed things a bit, but it all ended up working out fine.

Posted 2/3/12 7:46 PM
 

babylove628
mommy of two!

Member since 11/09

2733 total posts

Name:
Maggie

Re: Similac Alimentum?

We get it covered through our Rx coverage through my husbands union (UFT) and we got the same as PP (letter of med. necessity) plus an Rx from the dr. We pick up 5 cases of RTF bottles every month at our local pharmacy.

Posted 2/3/12 8:55 PM
 

Peainapod
Peanuts are here!

Member since 1/09

13591 total posts

Name:
Diana

Re: Similac Alimentum?

mine didnt. I had UHC PPO and Medco pharmacy. b/c it was over the counter they would not. i appealed, had dr. write letters, no go.

every company is different.

Posted 2/3/12 9:19 PM
 

mrskmurphy
LIF Adolescent

Member since 7/09

688 total posts

Name:
Kate

Re: Similac Alimentum?

I have 44 cans for sale!!! All expirations of either 2013 or 2014. Let me knw if you're interested.

$15/can OBO

Posted 2/3/12 11:33 PM
 

aliwnec10
mom of 3 boys

Member since 4/06

11426 total posts

Name:
Ali

Re: Similac Alimentum?

yes my insurance just called me to let me know it was covered. We have Empire.

Posted 2/4/12 7:01 AM
 

Tina1117
LIF Adult

Member since 11/07

1447 total posts

Name:
Tina

Re: Similac Alimentum?

I have BCBS PPO and it covers 85% of your formula receipts after a $150 deductible.

ETA: Insurance would only cover it if the pediatrician documented that we tried all other alternative before using alimentum (ex: regular, soy then alimentum).

Message edited 2/4/2012 8:29:15 AM.

Posted 2/4/12 8:27 AM
 

whoababy1
Love my little girls <3

Member since 8/10

1418 total posts

Name:

Re: Similac Alimentum?

Posted by Tina1117

I have BCBS PPO and it covers 85% of your formula receipts after a $150 deductible.

ETA: Insurance would only cover it if the pediatrician documented that we tried all other alternative before using alimentum (ex: regular, soy then alimentum).



We have BCBS PPO and they cover 100%. When I first started asking they said 75% then the next time it was 80% and eventually they said 100%.

Posted 2/4/12 8:47 AM
 

AMLMT1
LIF Adult

Member since 10/09

933 total posts

Name:

Re: Similac Alimentum?

Yes, my DS has a milk protein allergy and the specialist prescribed it. We have empire and it covers it. They send it to my house.

Posted 2/4/12 9:03 AM
 
 

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