CountyCare Member Story

CountyCare Helps Member With Autism

Ashley* is a 4-year-old CountyCare member living with autism. Ashley is sensitive to food textures making it difficult for her to eat. During an appointment with her primary care provider (PCP) they discussed concerns regarding Ashley’s development. A treatment discussed was adding PediaSure, a nutrient-dense and caloric-filled drink, to Ashley’s diet.

Over the next several months, Ashley’s mom was thrilled that she took so well to PediaSure but was concerned with the ongoing costs as it was one of the few things Ashley was able to tolerate. She shared her financial concerns with her CountyCare care coordinator who checked to see if PediaSure was a covered benefit. It was confirmed that since PediaSure was medically necessary, it could be covered if there was a prescription from her PCP.

Ashley’s mom reports that she obtained the prescription and is thankful for the financial relief and monthly shipments of PediaSure - more importantly she is thrilled to see her daughter thriving.

*Names and identifying details have been changed to protect anonymity.