Ins. not covering Peptin Jr. but Nestle Co will be!!

[Guest guest]

To anyone that may be battling their ins company for coverage.

After attending the convention last year and being placed on Peptin

Jr and having the ins. company cover it from June of 2003 until May

of 2004. The insurance company said they wouldn't cover it because

the enteral feeding has been completed. (in their eyes!) We are

still on a gtube for 40/50% of the time. The ins. company policy

states a taste and there is no coverage. Yes, I am appealing it and

have spoke to the case manager. (Just have to write it up yet).

There is a program through Children's Hospital of the Kings Daughter

Norfolk Va that they will help cover cost based on $$ need for like

three months. They purchased this last month supply. Care

connection great part of the hosipal but kept a quiet secret I think.

My husband contacted Nestle last year after the convention but at

that time we didn't qualify.

I again contacted them two weeks ago. Since we are not covered by

medicare, medicaid, SSI, or ins. for the feeding along with Dr.

note, and Tax information, proof of US residency and living at

home.

I receieved a letter in the mail stated they will cover us for one

year up to seven cases a month!!! After a year it can be looked at

again with $$ need and new note from the Dr.

If this can help any of you the person to contact is

Frances J

Financial Assistance Program Coordinator

Nestle Clinical Nutriton Company

Phone Fax

email frances.moore@...

Website www.nestleclinicalnutrition.com

Another reason to attend the Magic convention or be a Magic member.

With out the vendors we would of never found out about Peptin Jr.

and how well it works for Tori.

Maloy mom to Tori.

[Guest guest]

Maloy,

This is such fabulous news. Thanks for taking the time to post this

note and getting this valuable information out to the list. I am a

firm believer, that some where, somehow things get taken care of.

There are so many " hidden " programs out there. It is so frustrating,

I wish there were one book that just listed all the secret programs

available.

Alison

> To anyone that may be battling their ins company for coverage.

>

> After attending the convention last year and being placed on Peptin

> Jr and having the ins. company cover it from June of 2003 until May

> of 2004. The insurance company said they wouldn't cover it because

> the enteral feeding has been completed. (in their eyes!) We are

> still on a gtube for 40/50% of the time. The ins. company policy

> states a taste and there is no coverage. Yes, I am appealing it and

> have spoke to the case manager. (Just have to write it up yet).

>

> There is a program through Children's Hospital of the Kings Daughter

> Norfolk Va that they will help cover cost based on $$ need for like

> three months. They purchased this last month supply. Care

> connection great part of the hosipal but kept a quiet secret I think.

>

> My husband contacted Nestle last year after the convention but at

> that time we didn't qualify.

>

> I again contacted them two weeks ago. Since we are not covered by

> medicare, medicaid, SSI, or ins. for the feeding along with Dr.

> note, and Tax information, proof of US residency and living at

> home.

> I receieved a letter in the mail stated they will cover us for one

> year up to seven cases a month!!! After a year it can be looked at

> again with $$ need and new note from the Dr.

>

> If this can help any of you the person to contact is

>

>

> Frances J

> Financial Assistance Program Coordinator

> Nestle Clinical Nutriton Company

> Phone Fax

> email frances.moore@u...

> Website www.nestleclinicalnutrition.com

>

> Another reason to attend the Magic convention or be a Magic member.

> With out the vendors we would of never found out about Peptin Jr.

> and how well it works for Tori.

>

> Maloy mom to Tori.