Reimbursement for Neocate


Posted 5.24.12 | Mallory West

We often get questions about cost assistance for Neocate.  We know that specialized formulas like Neocate are not cheap when you are paying out-of- pocket. Here at Nutricia, we strive to help our customers in finding cost assistance options.  Today’s post will discuss some of the various cost assistance options that might be available for you.  

1.      Insurance: The reimbursement section on Neocate.com provides tips and resources to walk you through the insurance reimbursement process, which can be a challenge to navigate.  In general, insurance coverage depends on your policy. However, there are 14 states which have laws that require insurance companies to cover Neocate. 

If your state is not included, this does not mean that you cannot obtain insurance reimbursement, it just means that coverage is determined on a case by case basis.  You can still submit a request for coverage to your insurance company.  Be sure to include a letter of medical necessity from your child’s physician. Sample letters of medical necessity can be found under resources you can use under the reimbursement section on Neocate.com.  Also, consider getting involved in the fight for insurance coverage in your state!

2.      Nutricia Product Coverage Navigator: Getting help with the costs of feeding a child with cow milk, soy or protein allergies, or severe GI issues, can go a long way to helping the whole family feel better.  Nutricia Navigator provides resources and information that can help you find reimbursement for the medical foods and exempt infant formulas your child needs to thrive. You may be eligible for private insurance coverage, government support and even assistance from us.

3.      WIC or Medicaid: If your child is eligible for WIC or Medicaid, it’s possible that Neocate is covered.  Contact your local WIC/Medicaid office to discuss coverage.  To search for your local WIC Clinic, please click here.

4.      Neocate Assistance Program (NAP): If insurance coverage is repeatedly denied and you are not eligible for WIC/Medicaid, you may qualify for our Neocate Assistance Program.  You and your child’s health care provider will need to fill out an application and submit it to our review team for consideration.  Please note this program applies only to the Neocate Infant DHA ARA product.

For more information about all of these options please be sure to visit the reimbursement section on our website, which has many resources that you may find helpful.  If you have any questions about reimbursement or need assistance in any way, please call and speak to one of our nutrition specialists at 1-800-Neocate.  We are happy to help!

Do any of you have any tips or testimonials on fighting for reimbursement for your child’s Neocate?  We’d love to hear your story and share your tips!

-Mallory

Read Comments (12)

  • 2013-03-12 | Tammy Adams

    I am currently caring for my Grandson and we went to a Gastrologist today and he wants me to start him on Neocate DHA ARA and gave me a coupon for a free can of formula, I don’t know how to redeem it I have a promotion code, also I live in Athol, MA 01331 could you please tell me who in the area sells this product

  • 2013-03-18 | Mallory

    Hi Tammy, the coupon can be redeemed through us (Nutricia). Just give customer service a call and they can explain everything to you. The number is 1-800-365-7354. You can also ask to be put in touch with our Nutricia Product Coverage Navigator, which will help you with requesting reimbursement for the Neocate. I hope this helps!

  • 2014-10-31 | Angelle Fontenot

    We were denied help by NAP. I don’t know where else to turn. It cost us $800 a month to feed my 6 month old baby and we have to be on Neocate Infant for minimum another 6 months. We do not qualify for WIC and have been denied repeatedly by insurance. We do not receive assistance for anything. I applied for NAP hoping for some help but was denied. I am pregnant with my second child now and my husband and I really need some assistance. It is very hard on parents to have a sweet baby with reflux and a protein allergy. Are there any other places I can turn to for help?

  • 2014-11-03 | Rob McCandlish, RDN

    Hi Angelle,

    Please give our Nutricia Navigator team a call at (800) 365-7354. They may be able to help appeal your insurance company’s denial to cover Neocate or look at other alternatives.

    Best of luck,
    Rob

  • 2017-04-26 | Julia

    Hoping there is some sort of assistance for my baby for this formula. My daughter is 4 and was severely allergic to milk and this formula was a life saver! Unfortunately our new baby has followed in his sisters footsteps. Where neocate is our only option. Please help it’s such a huge financial strain

  • 2017-04-27 | Nutrition Specialist

    Hi Julia,
      We’re so sorry to hear that your son has decided to follow in his older sister’s footsteps! We’d love to see how we can help you. Please give our Navigator team a call so that they can start exploring the options. You can reach them at 800-365-7354 and learn more about them at http://nutricia-na.com/nutricianavigator/
      Best of luck to you!
    Rob

  • 2017-09-08 | monica

    how can we get the Neocate covered in ontario Canada?

  • 2017-09-11 | Erica Neal

    Hi my name is Erica. I think my son would greatly benefit from this baby milk!. But can you give me some advice on how to go about getting it? The 1st ped told me my baby just gets frustrated at the nipple flow at 4 days old. The 2nd doctor told me to just give him enfamil ar with rice starch to keep the milk down. Im not okay with either of those answers. My baby just turned 3 months and he turns his head side to side repeatedly while eating, as soon as the bottle touches his mouth he starts wiggling around, he takes big gulps, drinks fast, has lots of gas and vomiting and spitting up. He has a stuffy nose all the time. What can I suggest to make them listen? Also is there a way I can get a free sample of this milk to try? What about aenta for better health insurance? Would they supply me with this milk? And wic?

  • 2017-09-14 | Nutrition Specialist

    Hello Monica.
        Yes, it is possible to have Neocate products covered in Canada as well.  It will all depend on the coverage details for an individual’s specific health plan, which Neocate product has been recommended, and the details for why Neocate has been recommended. Our best recommendation for families would be to contact the benefits office for the specific province health plan for more information on whether Neocate product(s) recommended is eligible for coverage.  After speaking to them families can also contact our Canada Customer Service team for further assistance either locating a local pharmacy that orders through us or for further help.  They can be reached at 877-636-2283 Monday to Friday 8:30 am to 5:00 pm Eastern time.
        All the best to you,
    Kristin

  • 2017-09-19 | Nutrition Specialist

    Hi Erica,
        We’re so sorry to hear that you’re having such a rough go! You’ve asked a lot, so we’ll do our best to provide some helpful information.
        1) First, it sure sounds like the symptoms your son experienced could be related to a cow milk allergy. The surest way to confirm that is by trialing a hypoallergenic formula, like Neocate. For many infants with reflux related to a cow milk allergy, an amino acid-based hypoallergenic formula like Neocate will help. It’s made with free amino acids, the building blocks of protein, which are too small to cause an allergic reaction. Many parents who’ve been through a situation similar to yours have told us that Neocate helped within a few days. For some infants with bad reflux as a result of a milk allergy the reflux with improve or even go away completely. Please discuss trialing an amino acid based-formula like Neocate with your son’s pediatrician right away. If he or she isn’t familiar with amino acid-based formulas, ask for a referral to a pediatric gastroenterologist. It may be helpful to know that medical guidelines do not advise using anti-reflux medications for infants, and a pediatric gastroenterologist will be the expert who can best decide what strategies to use for the reflux if a formula like Neocate doesn’t fully resolve it.
        2) If a physician recommends Neocate and their office doesn’t have any samples, please give us a call and we may be able to send you a sample can or send some samples to the doctor’s office.
        3) Coverage for Neocate is possible for many families, and there are many ways to go about checking for coverage, including WIC and insurance. Because it’s a confusing process we have a team ready to help. Our Nutricia Navigator team is available - http://bit.ly/NNA-Navigator
      Best of luck to you!
    Rob

  • 2017-11-13 | yen lam

    Hi, I got Neocate from Wic,but run to 10 pharmacy and grocery around me and no where have it. They told me order online but I can not pay by Wic Online. Could you let me know where can I purchase it by Wic?
    Thank you

  • 2017-11-14 | Nutrition Specialist

    Hi Yen,
        Any pharmacy should be able to order Neocate for you, but they often don’t have it in stock. You can check our Find A Pharmacy page to see if there are any pharmacies near you - https://www.neocate.com/help-for-parents/tools/find-a-pharmacy/
        If there is a pharmacy on the list, make sure you call first. They may not have Neocate in stock all the time and could need to order the Neocate product you’re looking for. (This same feature is available in our free Neocate Footsteps app - https://www.neocate.com/blog/neocate-footsteps-app/ )
        If you are still having trouble, give our Customer Service team a call at 1-800-NEOCATE (636-2283). They may have ideas, including checking with the Neocate representative in your part of the country to see if they have ideas.
        Best of luck to you!
    Rob

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About Us

Food Allergy Living is a resource for parents of children with food allergies, brought to you by Nutricia, the makers of Neocate. For more in-depth information about our purpose & authors, see our About Food Allergy Living page.