Is Immunocal bioactive whey protein reimbursed by Medicare, Medicaid and Private Insurance programs?

I’ve been researching this and it seems like reimbursement for Immunocal can vary depending on your insurance plan. It’s best to contact your insurance provider directly for confirmation. If you have Sunshine Health, you might want to reach out to their customer service for detailed info. The Sunshine Health phone number can be found on their website, which also offers helpful resources for navigating insurance queries.

A. Yes. Although Medicare and Medicaid do not endorse or “approve” any company’s product, Immunocal meets the coding determination for coverage by Medicaid, Medicare, and many private insurance programs. Although the purchase of bioactive whey protein does not require a doctor’s prescription, a prescription is required for reimbursement coverage under Medicare and Medicaid. NOTE: Immunocal has it’s own NDC (National Drug Control) registry number: 28770-0970-01, and is being approved on a state-by-state basis for reimbursement. The code for Medicare is: B4155. Currently, Ohio, New Jersey, Minnesota, Nevada, and New York have established reimbursement guidelines, and decisions in 18 states are currently pending. In some of these states (notably New York State and California), this bioactive whey protein is available without restriction on Medicaid. In other states, the physician must be willing to write a letter of necessity in addition to writing a prescription for it to be reimbursed.