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Paediatrician/Paediatric Gastroenterologist Heilbronn/Stuttgart

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Hi all, 

We are contemplating a move from Sydney, Australia to Heilbronn in a couple of months. 

I have a 5 month old baby who has a cows milk protein intolerance (intolerance to dairy), so we will need to find a paediatrician who will be able to manage this and potentially a paediatric gastroenterologist. Does anyone know of a good one? 

 

Also, he may be put on Neocate formula, has anyone seen this available for purchase? It is a prescription formula here in Australia and the government does subsidise it. Our health cover in Germany will be top level (I'm not sure what, I just know the company pays for decent insurance). Does anyone know if health insurance covers formulas like these?

 

Thank you. 

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I can't comment on Heilbronn.

I don't think Neocate is available in Germany, but there are equivalents and they can be prescribed by your paediatrician.

(Unfortunately I couldn't find the relevant information in English, just in German.)

 

The German word for cows' milk protein intolerance is Kuhmilcheiweißallergie (assuming it's an allergy, not 'just' an intolerance), if you ever need to double check a box of formula.

 

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A quick google seems to suggest that the sticking point here is paying up front for any of the substitutes, while waiting for medical confirmation that the baby has a Kuhmilcheiweißallergie.  So good idea to bring over results of tests and results.

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Yes, it's always a good idea to bring some supplies. Having said this, a lot of the highly specialised babyfood is *only* available "under medical supervision" (e.g. "Aptamil PEPTI und Aptamil Pregomin® AS sind diätetische Lebensmittel für besondere medizinische Zwecke (bilanzierte Diät) und sind nur unter ärztlicher Kontrolle zu verwenden.")

which means you won't be able to purchase them just over the counter, so monetary considerations are probably of secondary importance.

Given that the OP is relocating from Australia, I assume there will be  a decent salary attached to the job in question.

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Neocate is available here without a prescription but is not cheap.  Which is what the threads I found were complaining about.in  Once a baby is confirmed with allergy it is covered by insurance.   400 g costing 45 euros.  Breast milk would be cheaper of course,  though the mother needs to cut out cow milk and products from her diet.

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OP does not spcify what type of insurance they would have. Public, private, international travel? Would this make a difference to coverage of a pre- existing condition? I  believe public would cover and be best choice for a family.

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2 hours ago, snowingagain said:

Try going to Australia with a child with a pre existing condition.  Look it up.

What the Aussies say-

"Cannot be refused coverage with Private insurance because of pre-existing condition, but there may be period of exclusion before the claim would be covered.

If covered under Medicaid ( Aussie public health, then pre -existing conditions covered".

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37 minutes ago, RedMidge said:

What the Aussies say-

"Cannot be refused coverage with Private insurance because of pre-existing condition, but there may be period of exclusion before the claim would be covered.

If covered under Medicaid ( Aussie public health, then pre -existing conditions covered".

 

 

Sure but you get kicked out of Australia for medical conditions even if born there because of medical conditions.

 

https://metro.co.uk/2019/06/10/irish-boy-3-faces-deportation-australia-despite-born-9879763/

https://www.theguardian.com/australia-news/2019/apr/04/family-face-deportation-from-australia-because-deaf-son-deemed-taxpayer-burden

 And of course not eligible to work in Australia because your child is disabled.

https://www.abc.net.au/news/2015-03-21/visa-claim-refused-because-daughter-has-down-syndrome/6337058?pfmredir=sm

 

 

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Well, the one case involved a family who did not have permanent residency. Sad story, but same cases happen in Canada, UK and other countries., where medical problems may be considered a bar to permanent residency. 

Hopefully, their appeal will be successful.

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Thanks for the replies, very useful. We do have a confirmed allergy to dairy, so I don't think we will have any troubles getting a script for him once we arrive in Germany. I'll bring all records along though, good suggestion. 

 

Pepti is available here in Australia, I guess what I am looking for is a formula I can start my Son on now and then keep buying in Germany. We will bring tins over as I plan to get a script here before I go and then just bring some tins over. 

 

Insurance will be paid by the company and I have no idea about German Health insurance, so I assume at this point it will be private health insurance. In that case, I think we will be able to get a prescription and health insurance will cover it. 

 

Snowingagain - breastmilk is definitely easier and cheaper, but I currently don't speak much German  (but will be learning) so I think being able to read labels and tell cafes/restaurants of restrictions could be tricky. Not impossible, but definitely tricky. I have a hard enough time here in Australia where I can communicate properly with people and have been served dishes cooked in butter etc. which of course leads to a very unhappy baby when I don't realise before I eat it.

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Restaurant menus here have to list 14 allergens including Milchprodukte.  But of course mistakes get made, so always best to ask, remind, etc.

 

So called public insurance would cover you for the prescription.  Funnily enough, private insurance could possibly exclude it (though most do not seem to).    Make sure the Kasse is aware of the allergy and see what they say.  Private insurance exclude some preconditions.  I got this info from the Neocate website.

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16 hours ago, snowingagain said:

Restaurant menus here have to list 14 allergens including Milchprodukte.  But of course mistakes get made, so always best to ask, remind, etc.

 

So called public insurance would cover you for the prescription.  Funnily enough, private insurance could possibly exclude it (though most do not seem to).    Make sure the Kasse is aware of the allergy and see what they say.  Private insurance exclude some preconditions.  I got this info from the Neocate website.

 

Ohh, good to know about the allergen list. Very helpful information and will certainly make it easier. We're headed over next month for a visit, so I'll see how we go then. 

 

Hopefully whatever insurance we get covers it. Would be a shame if it didn't! Thanks for your information, it has been really helpful. 

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