Some insurance plans provide coverage for medical foods. Individual plans have specific coverage guidelines and criteria that must be must. More often coverage exists in situations where there is medical necessity for a feeding tube, when medical foods are needed for inborn errors of metabolism or when a specialty product is needed for an infant or a child. Contact your insurance company directly for specific coverage and policy information.
Medical Necessity Template letters for EleCare®, EleCare® Vanilla, Alimentum®, Vital jr®, Nepro® with Carb Steady® and Juven® are attached below and can be printed at your convenience. These letters outline medical benefits and features of the products and serve as a template. They are meant to be customized by the physician for each patient. The payer will ultimately determine if reimbursement for a product is possible.