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FAQs about formula 4 success®

At formula4success® , we are committed to helping get the Nestlé nutrition products you need. We provide resources at every stage in the claims process, including Benefit Investigation, Claim Support, Claim Appeal, and Product Supply information. Your dedicated reimbursement specialist will work with you, your healthcare provider, and your insurance plan to determine the coverage requirements under your plan. If necessary, formula4success® can share information on other resources to access Nestlé products. The formula4success® program does not reimburse for out-of-pocket expenses including deductibles and copays.
The process will vary from case to case and could range from a few business days to several weeks. Your dedicated formula4success® representative will work with you to help identify the process time requirements. Throughout the process, the formula4success® team will keep the you and your healthcare provider up to date on the status of your case.
There is no charge to access the resources provided through the formula4success® program.
Your formula4success® representative will investigate your insurance plan to understand the reasons for the denial and determine if there are options for coverage. If appropriate, your dedicated reimbursement specialist will provide information and resources to help your healthcare provider submit the necessary appeal documentation.
The formula4success® program works with all types of payers:
  • Commercial Plans (including, but not limited to, Aetna, BlueCross/BlueShield, Humana, and United Health Care)
  • State Medicaid and Medicaid HMO plans
  • Medicare and Medicare Advantage plans
  • Tricare/Tricare for Life
  • And more

formula4success® and its agents and contractors do not guarantee coverage by any insurance plan providers
and will not reimburse any claims denied by third party payers.

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Our dedicated Reimbursement Specialists are available through every stage of the coverage process. formula4success® is committed to helping you get the Nestlé nutrition products you need.