Insurance Coverage
Your purchase of mBIOTA Elemental™ may be eligible for insurance coverage or reimbursement through your HSA/FSA. We've partnered with Truemed to streamline the process, allowing you to use your HSA/FSA funds directly at checkout for eligible purchases if approved.
Navigating Coverage Options
-
1. Insurance Coverage/Reimbursement
A prescription is NOT required to purchase mBIOTA Elemental™ as it is a medical food.
If you prefer to seek proactive coverage of your purchase, we recommend contacting your insurance provider to request information on the documentation they require to apply for coverage of an enteral nutrition product.
However, it is often easiest to appeal a claim with your provider after purchase, submitting the necessary documentation for reimbursement. Coverage options vary widely depending on your state, insurance provider, and reason for using mBIOTA Elemental™ diet.
If a Letter of Medical Necessity is required, we have provided a sample below that you can provide to your health care provider for use.
-
2. HSA/FSA Eligibility
mBIOTA Elemental™ is eligible for purchase using Health Savings Accounts (HSA) or Flexible Spending Accounts (FSA). Through our partnership with Truemed, you may be able to use your HSA/FSA funds directly at checkout or get easily reimbursed after purchase, depending on your purchase type.
Please note that reimbursement approval varies based on your HSA/FSA provider, the reason for using the mBIOTA Elemental™ diet, and your state's regulations.
For more information and to begin the Truemed qualification process, visit our dedicated HSA/FSA Page.
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.
The sample letter provided above 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.
Better Taste. Better Results.
A truly palatable Elemental Diet is finally here.