/depts/,/depts/uwmf/,/depts/uwmf/patient-resources/,/depts/uwmf/patient-resources/social-guide/,/depts/uwmf/patient-resources/social-guide/manual/,/depts/uwmf/patient-resources/social-guide/manual/discharge-planning-and-referrals/,/depts/uwmf/patient-resources/social-guide/manual/discharge-planning-and-referrals/tube-feed/,/depts/uwmf/patient-resources/social-guide/manual/discharge-planning-and-referrals/tube-feed/coverage/,

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Patient Services,

Departments & Programs,UW Medical Foundation,Patient Resources,Social Work Services Quick Guide,Social Work Manual,Discharge Planning and Referrals,Tube Feeding

Notes on Coverage

Notes on Coverage - Departments & Programs, UW Medical Foundation, Patient Resources, Social Work Services Quick Guide, Social Work Manual, Discharge Planning and Referrals, Tube Feeding

Focus

Medicare Coverage

Both enteral and parenteral nutrition are included in the prosthetic device benefit provision of Part B of Medicare, which covers items that replace an organ or perform the function of a permanently inoperative or malfunctioning organ. The benefit covers supplies, equipment, and nutrients (Medicare defines permanent as more than 90 days).

The patient must have a permanent inability to permit food to reach or be absorbed from the small intestine (Medicare considers the test of permanence to be three months or more or at least the anticipation of three months or more of therapy).

Nutrition products taken orally are not covered by Medicare.

Medicaid Coverage

Does not need to be the sole source of nutrition.

Regular grocery products which can be mixed in a blender are considered food rather than a food supplement and are not covered.

Resources

Enteral nutrition supplies & equipment (feeding pump) – Medicare.gov