We get a lot of questions from food allergy families about how to get insurance to cover elemental formula like Neocate. While some insurance companies do reimburse families for these formulas, many do not.
At Nutricia, we feel strongly that formula reimbursement is something insurance should do. And since too many insurers are not providing this important coverage, state laws should make sure that they do. After all, any parent who has had to watch their child endure the misery of food allergies, dairy and soy protein intolerance (MSPI), eosinophilic esophagitis (EE) or gastroesophageal reflux (GER), realizes how medically necessary elemental formulas are for certain kids.
The good news is that 13 states have some type of formula reimbursement legislation. The bad news is that only 13 states have some type of formula reimbursement legislation.
That’s why Children’s Magic exists. Children’s Magic is non-profit (a 501c4) organization. Their mission (straight from the website) is:
Children’s Milk Allergy and Gastrointestinal Coalition (MAGIC) is committed to promoting healthcare coverage and reimbursement of amino acid-based elemental formulas for children who are unable to consume a natural, life-sustaining diet due to various allergies or diseases.
They are working hard, state by state, to introduce new laws (or expand old ones) to ensure that insurers provide this coverage to the families who so desperately need it.
But, they can’t do it alone. They often need help from families like yours to rally grassroots support for legislation in your own communities.
You can check out their site to see if elemental formula reimbursement is required by law in your own state. If you want to know how you can help, you can reach out to them at firstname.lastname@example.org.
And, if you want to find out about how you can lead the charge for elemental formula legislation in your home state, you can download the Children’s Magic Guidebook for Enacting Legislation.
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