Nutrition and Reimbursement
Enteral nutrition reimbursement is reviewed on a case by case basis and requires specific documentation of medical conditions and proof of medical necessity. Enteral nutrition in the home setting is most often supplied by a durable medical equipment (DME) provider. Coverage guidelines will differ by insurance plan. Healthcare Professionals are encouraged to provide thorough letters of medical necessity and associated documentation in order to improve the likelihood of coverage for their patients.
Nestlé has provided the resources on this page to assist practitioners with navigation and proper documentation of nutrition claims.
The Nestlé Health Science Market Access team is available to provide additional information and assistance to enhance the likelihood of 3rd party payer coverage for medical nutrition therapies.