[DYSPHAGIA] Ins co pay for formulas?

[Jcarved@aol.com (Jcarved@aol.com)]

In a message dated 2/28/01 7:16:18 PM Eastern Standard Time, 
julia@simmons-family.org writes:

<< Does anyone out there have any suggestions for getting an ins company to
 pay when they initially refuse? Letters you've written, particular
 wording you've used....
  >>
I'm in New York state. We have not had problems as far as I know with 
prescriptions written by physicians with statement of medical necessity. We 
have gotten coverage for Pediasure and similar formulas for children who take 
them orally for meeting major nutrition needs, in addition to children on GT 
feeds. Maybe we have just been fortunate, but our dietitian and physician in 
our Feeding Team are the leaders in this type request. 

Joan Arvedson, Ph.D., Director
General Mills Voice and Swallow Center
Children's Hospital of Buffalo
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