REIMBURSEMENT SUPPORT

Insurance and Letter of Medical Necessity








mBIOTA Elemental may be eligible for HSA/FSA usage or insurance reimbursement depending on your individual plan and medical history.

HSA/FSA Coverage
Sample Letter of Medical Necessity
REIMBURSEMENT SUPPORT

How Do I Get
Insurance Coverage?

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mBIOTA Elemental™ is classified under HCPC code A9270, and although elemental diets aren’t typically covered, some patients have successfully obtainied reimbursement by submitting an appeal with their medical history - especially when prior treatments have failed.

To pursue insurance reimbursement:

01
Verify Coverage
Contact your insurer to see how to apply your benefits to an enteral nutrition product.
02
Document past treatments
Compile your history of failed therapies and diagnostic findings.
03
Obtain provider support
Ask your healthcare provider to supply a Letter of Medical Necessity referencing the HCPC code and your documented history.
04
Submit your claim
It's often easiest to pay out of pocket first, then follow up with your insurance for reimbursement using your documentation.
Success varies by plan, but many of our customers have seen positive results. Please note: coverage depends on your specific insurer, state regulations, and individual health profile.
Support Resources

Letter of Medical Necessity

Often a Letter of Medical Necessity from your health care provider will be necessary when seeking coverage or reimbursement of your purchase.

Download our sample letter below to give to your health care provider to use for informational purposes.*

Download Sample Letter

Shop With HSA/FSA Funds

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HOW IT WORKS


mBIOTA Elemental is HSA/FSA eligible. Thanks to our partnership with Truemed, eligible customers can purchase mBIOTA Elemental with pre-tax dollars - saving you an average of 30%. Learn more about how to checkout with Health Savings Account (HSA) or Flexible Spending Account (FSA) funds.

Visit HSA/FSA Page

*The sample letter provided is for informational purposes only. mBIOTA Labs LLC makes no representation or warranty that insurance companies will provide coverage for mBIOTA Elemental™ Diet Powder if this sample letter is provided to insurance companies. Health plan requirements may vary. Please confirm specific information required by the health plan to ensure you are providing accurate and complete information.

mBIOTA Labs LLC does not provide medical advice and does not participate in the determination of what constitutes proper medical care for individual patients. It is the responsibility of the healthcare provider to evaluate the patient to determine the best treatment for the patient’s condition.