
	Tufts University School of Medicine and Floating Hospital for Children Reports on: Neonatal Respiratory Diseases^®

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Private Insurance

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 jrTM, Nepro® with Carb SteadyTM 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.

Alimentum Insurance Letter.pdf

EleCare Insurance Letter.pdf

EleCare Vanilla Insurance Letter.pdf

Juven Insurance Letter.pdf

Nepro Insurance Letter.pdf

Vital jr Insurance Letter.pdf