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Author Topic: Insurance paying for Ensure type drinks?  (Read 12187 times)
Chris
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« on: September 19, 2010, 06:23:53 PM »

Saw this on Facebook, but no further information was given that insurance will pay for Ensure drinks. The person received a case a month was the only other information given. Has anyone else done  this and how did they order it. A case of one flavor would make me  :puke;  especially when the doctor wants me to drink 4 a day.
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Diabetes -  age 7

Neuropathy in legs age 10

Eye impairments and blindness in one eye began in 95, major one during visit to the Indy 500 race of that year
   -glaucoma and surgery for that
     -cataract surgery twice on same eye (2000 - 2002). another one growing in good eye
     - vitrectomy in good eye post tx November 2003, totally blind for 4 months due to complications with meds and infection

Diagnosed with ESRD June 29, 1999
1st Dialysis - July 4, 1999
Last Dialysis - December 2, 2000

Kidney and Pancreas Transplant - December 3, 2000

Cataract Surgery on good eye - June 24, 2009
Knee Surgery 2010
2011/2012 in process of getting a guide dog
Guide Dog Training begins July 2, 2012 in NY
Guide Dog by end of July 2012
Next eye surgery late 2012 or 2013 if I feel like it
Home with Guide dog - July 27, 2012
Knee Surgery #2 - Oct 15, 2012
Eye Surgery - Nov 2012
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cloud393
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« Reply #1 on: September 19, 2010, 07:40:06 PM »

No, I haven't heard this but would be interested in knowing more about it myself.
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« Reply #2 on: September 19, 2010, 09:34:12 PM »

I have a HMO and they will cover Ensure. They will not cover Boost though. The eaiest way to find out is to get the Dr. to write a script and take that to your pharmacy. The Pharmasist can can tell you if it is covered or not. I'm pretty sure that Medicare- Medicaid cover Ensure for Cancer patients.
Pam
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needlephobic
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« Reply #3 on: September 19, 2010, 10:17:44 PM »

what about Nepro
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Zach
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« Reply #4 on: September 20, 2010, 11:06:35 AM »

Another possibility id use Novalsource Renal--17 grams of protein per eight oz:
http://www.walgreens.com:80/search/results.jsp?Ntt=novasource+renal

8)
« Last Edit: September 20, 2010, 11:08:29 AM by Zach » Logged

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« Reply #5 on: September 20, 2010, 02:15:21 PM »

when i was on midicaid covered zone bars. however they came through a medical supply group and they could only send a case at a time and that ment one flavor. gets old in a hurry. i now qualify for one from dialysis so at least i can switch between a couple of flavors. in general though i can't stand to eat the things.
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casper2636
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« Reply #6 on: September 20, 2010, 03:21:14 PM »

I order Nepro (which is specifically for renal patients as it's low in potassium, phosphorous, and high in protein) through a Chronic Renal Disease Program. It's called a Pace Program. I can get a case of Nepro for $9.00 when it's normally $45-50. It's through a medical company and comes in three flavors which you can mix in a case (vanilla, butter pecan, and berry). I live in Pa. so I don't know if you have access to any kind of programs like I have, but it's worth asking your social worker about. The drinks really aren't that bad and work in a pinch when I'm not feeling too hot and my stomach doesn't want anything solid.
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kamar55
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« Reply #7 on: September 20, 2010, 03:22:15 PM »

Here in Delaware we have the Chonic Renal Disease Program which pays for various supplements---all free. My dialysis dietician/nutritionist ordered them from CVS Caremark Specialty Pharmacy.  It also pays the 20% that Medicare doesn't cover so all my prescription drugs are free. Also free are my bus tickets for Paratransit. The CRDP has been a godsend   :2thumbsup;
« Last Edit: September 20, 2010, 03:31:39 PM by kamar55 » Logged

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« Reply #8 on: September 20, 2010, 03:35:25 PM »

my neighbors mom gets a prescription for it so ins will pay.
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gothiclovemonkey
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« Reply #9 on: September 20, 2010, 04:51:07 PM »

I was told medicare will cover Boost for renal patients, They deliver them to ur home. Unfortunately they arent that tasty, so id suggest trying one before u sign up, u can get them at walmart, and probably any other grocery.
 and some outside insurance companies cover the yummy lemon protien cookies (sooo much tastier than the bars! and moist too!) But medicare doesnt cover those! 

Also, I was told that the AKF has grants for things like this, as well as transportation costs, so u might ask ur clinic about it, or contact them urself!
:) good luck
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« Reply #10 on: September 20, 2010, 06:38:07 PM »

gothiclovemonkey[/t]How did you go about getting it from Medicare? Did you call Boost first? I have Medicare and Medicaid, but usually have trouble with local pharmacy with OTC products that Medicare or Medicaid will pay for if there is a prescription. This is why I l am leaning towards mail order.
 
Got another prescription from another doc for Ensure.
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Diabetes -  age 7

Neuropathy in legs age 10

Eye impairments and blindness in one eye began in 95, major one during visit to the Indy 500 race of that year
   -glaucoma and surgery for that
     -cataract surgery twice on same eye (2000 - 2002). another one growing in good eye
     - vitrectomy in good eye post tx November 2003, totally blind for 4 months due to complications with meds and infection

Diagnosed with ESRD June 29, 1999
1st Dialysis - July 4, 1999
Last Dialysis - December 2, 2000

Kidney and Pancreas Transplant - December 3, 2000

Cataract Surgery on good eye - June 24, 2009
Knee Surgery 2010
2011/2012 in process of getting a guide dog
Guide Dog Training begins July 2, 2012 in NY
Guide Dog by end of July 2012
Next eye surgery late 2012 or 2013 if I feel like it
Home with Guide dog - July 27, 2012
Knee Surgery #2 - Oct 15, 2012
Eye Surgery - Nov 2012
Lifes Adventures -  Priceless

No two day's are the same, are they?

I do not except friend request on Facebook without a message telling me who you are.
gothiclovemonkey
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« Reply #11 on: September 20, 2010, 07:03:14 PM »

The social worker at the clinic was going to set it up for me, but i couldnt handle taking the boost, it made me sick. I think its a texture thing with me...
Does ur clinic have a social worker? u might see if they can assist, i think its quite a large bit of paperwork
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« Reply #12 on: September 20, 2010, 07:33:23 PM »

Ahhh,
Social Worker I do not have. If I knew ahead of time before my recent hospital visit, I would have asked the social worker at the hospital.
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Diabetes -  age 7

Neuropathy in legs age 10

Eye impairments and blindness in one eye began in 95, major one during visit to the Indy 500 race of that year
   -glaucoma and surgery for that
     -cataract surgery twice on same eye (2000 - 2002). another one growing in good eye
     - vitrectomy in good eye post tx November 2003, totally blind for 4 months due to complications with meds and infection

Diagnosed with ESRD June 29, 1999
1st Dialysis - July 4, 1999
Last Dialysis - December 2, 2000

Kidney and Pancreas Transplant - December 3, 2000

Cataract Surgery on good eye - June 24, 2009
Knee Surgery 2010
2011/2012 in process of getting a guide dog
Guide Dog Training begins July 2, 2012 in NY
Guide Dog by end of July 2012
Next eye surgery late 2012 or 2013 if I feel like it
Home with Guide dog - July 27, 2012
Knee Surgery #2 - Oct 15, 2012
Eye Surgery - Nov 2012
Lifes Adventures -  Priceless

No two day's are the same, are they?

I do not except friend request on Facebook without a message telling me who you are.
gothiclovemonkey
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« Reply #13 on: September 20, 2010, 08:46:52 PM »

No reason u couldnt get in touch with the SW at the hospital even after being discharged......
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Trikkechickk
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« Reply #14 on: September 21, 2010, 02:18:07 PM »

Chris

I order my Nepro direct from Abbott Labs (Ross Division) for $45/case of 24.  Normally it retails for $90 but being "special" you get a 50% discount if you are a kidney patient.  They will ask which clinic you go to.

It you order more than one case, no $$ for shipping.

Contact # 800-986-8502

I don't know about any insurance coverage for me.  I use nepro to replace meat as I hate to cook!

Nepro is formulated for us Dialysis types - more calories, diabetic friendly, less K+ and less PO4 plus the correct vitatmins.  Ensure and Boost have alot of the bad things for us.

Cindy
« Last Edit: September 21, 2010, 02:20:32 PM by Trikkechickk » Logged
Rerun
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« Reply #15 on: September 21, 2010, 03:21:53 PM »

I drink Nepro too.  I save it for dialysis as a snack.  I like the butter pecan.  I think I will ask my Dr. for an Rx and send it in and see what happens.  Right now I pay the $45 for a case which is $1.88 a bottle.  I pay more than that for coffee!   ::)

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Chris
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« Reply #16 on: September 21, 2010, 09:33:03 PM »

Today I tried calling social workers at my local hospital where I normally go and at my transplant hospital, but I did not get a call back yet. Tied local chain pharmacy who then referred me to a couple home health supply places. Had no idea where one place was which I found out later the street name given is rarely known because most people go by the US Route nmer. So the place I went to say's Medicare does not cover Ensure unless I was already on tube feeding  ???  but will try to go through Medicaid and was told that was a lengthy process. However there was no diagnostic code on prescription, so I need to go back to my doctor for that. Never heard of having a diagnostic code on a prescription.
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Diabetes -  age 7

Neuropathy in legs age 10

Eye impairments and blindness in one eye began in 95, major one during visit to the Indy 500 race of that year
   -glaucoma and surgery for that
     -cataract surgery twice on same eye (2000 - 2002). another one growing in good eye
     - vitrectomy in good eye post tx November 2003, totally blind for 4 months due to complications with meds and infection

Diagnosed with ESRD June 29, 1999
1st Dialysis - July 4, 1999
Last Dialysis - December 2, 2000

Kidney and Pancreas Transplant - December 3, 2000

Cataract Surgery on good eye - June 24, 2009
Knee Surgery 2010
2011/2012 in process of getting a guide dog
Guide Dog Training begins July 2, 2012 in NY
Guide Dog by end of July 2012
Next eye surgery late 2012 or 2013 if I feel like it
Home with Guide dog - July 27, 2012
Knee Surgery #2 - Oct 15, 2012
Eye Surgery - Nov 2012
Lifes Adventures -  Priceless

No two day's are the same, are they?

I do not except friend request on Facebook without a message telling me who you are.
Quickfeet
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« Reply #17 on: September 24, 2010, 04:23:35 AM »

I am applying for free supplements. they will ship the cases to your clinic. it is for nepro and ensure. it is from abbott.
 :shy;
http://www.abbottpatientassistancefoundation.org/medical_nutritionals.asp

the pdf on the site is the same form my social working gave me.
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Riki
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« Reply #18 on: September 29, 2010, 01:25:35 AM »

I've never heard of the bars before.  I was on Boost as a kid, with a protein supplement and Kayexalate added to it. I hated drinking it, but if there was a bar that was easier to take, I probably would have prefered that than drinking the "formula" as we kids called it.
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Dialysis - Feb 1991-Oct 1992
transplant - Oct 1, 1992- Apr 2001
dialysis - April 2001-May 2001
transplant - May 22, 2001- May 2004
dialysis - May 2004-present
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HD - Dec 2008-present
Chris
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« Reply #19 on: November 02, 2010, 04:44:08 PM »

I got a letter today from my state's Medicaid office. I was approved for them to pay for the Ensure drinks. Now I have to wait for medical supply place to get on track with the informationso the can ordr my supply. One flavor for a months supply is gonna suck, but hope I can get two flavors with the amount I am supose to drink a day.
Logged

Diabetes -  age 7

Neuropathy in legs age 10

Eye impairments and blindness in one eye began in 95, major one during visit to the Indy 500 race of that year
   -glaucoma and surgery for that
     -cataract surgery twice on same eye (2000 - 2002). another one growing in good eye
     - vitrectomy in good eye post tx November 2003, totally blind for 4 months due to complications with meds and infection

Diagnosed with ESRD June 29, 1999
1st Dialysis - July 4, 1999
Last Dialysis - December 2, 2000

Kidney and Pancreas Transplant - December 3, 2000

Cataract Surgery on good eye - June 24, 2009
Knee Surgery 2010
2011/2012 in process of getting a guide dog
Guide Dog Training begins July 2, 2012 in NY
Guide Dog by end of July 2012
Next eye surgery late 2012 or 2013 if I feel like it
Home with Guide dog - July 27, 2012
Knee Surgery #2 - Oct 15, 2012
Eye Surgery - Nov 2012
Lifes Adventures -  Priceless

No two day's are the same, are they?

I do not except friend request on Facebook without a message telling me who you are.
Riki
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« Reply #20 on: November 02, 2010, 08:41:16 PM »

I'm wondering if those bars are available in Canada.. I'm intrigued... or those lemon cookies that GLM mentioned might be cool too...
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transplant - Oct 1, 1992- Apr 2001
dialysis - April 2001-May 2001
transplant - May 22, 2001- May 2004
dialysis - May 2004-present
PD - May 2004-Dec 2008
HD - Dec 2008-present
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