Quoting AF - Blessed with 2:" I
We have Fallon. If they didn't help cover it then her medicaid(which she gets cause the state considers micro-preemies disabled) would've kicked in and paid full price for it, but since Fallon is willing to help then we have to pay that "copay".
The reasoning is that being a preemie she has to catch up and requires a higher caloric and more specific formula. The Dr insists she have a specific formula so they are willing to cover it if it's for her health. The same goes for when a baby is allergic and requires specific formulas, their insurance might be willing to help. It doesn't hurt to ask. I don't know what pump you are using, but the insurance told us it wouldn't cover both formula and a pump (we were renting through the hospital), just a heads up.