What Does an Elemental Diet Do?
Elemental diets help in the dietary management of GI dysfunctions by sustainably supplying proper nutrients without the need for traditional food, giving the GI ample time to rest and reset.
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There is no requirement for private insurance to cover medical foods, including enteral formulas such as Physicians’ Elemental Diet™. Below are a few recommendations regarding insurance reimbursement.
Check your state laws and reach out to your insurance company.
Each state has different mandates around the coverage of enteral nutrition products. Depending on the state, they may require different documentation regarding diagnosis/reason for use. Always check the specific requirements for your state. However, because Physicians’ Elemental Diet is a medical food available without a prescription (but still through a practitioner), you may find yourself reactively appealing a claim vs. proactively obtaining coverage. Contacting your health insurance company in advance will allow you to prepare the necessary documentation with your practitioner.
Appealing a Denied Claim
You may be able to appeal a denied claim. Start by having your healthcare practitioner provide a letter of medical necessity regarding your use of Physicians’ Elemental Diet.
Physicians’ Elemental Diet is designed to maintain nutritional sustenance as a sole source of nutrition for up to four weeks. Typical use is 2-3 weeks in duration. Physicians' Elemental Diet can also be used in certain applications for just a few days. Longer use (beyond 4 weeks) of Physicians' Elemental Diet may be used in “half-elemental diet” scenarios, in which 50% or less of calories come from the elemental formula, and the remainder from food sources.
Yes, Physicians’ Elemental Diet is strictly hypoallergenic and does not contain yeast, wheat, gluten, dairy products, fructose, sucrose, lactose, disaccharides, sorbitol, mannitol, xylitol, artificial colors, flavors, soybean oil, soy lecithin, corn or preservatives.
Physicians’ Elemental Diet is designed to be used according to our dosing calculator.
Physicians’ Elemental Diet is a medical food intended for use under medical supervision. Caution should be taken whenever recommending or consuming medical foods. Healthcare professionals can use our DNI Checker to view potential interactions with the ingredients of Physicians’ Elemental Diet: http://www.integrativepro.com/Resources/Drug-Nutrient-Interaction-Checker
Patients using an elemental diet should follow their practitioner's recommendation regarding prescription medications and supplementation.
At Integrative Therapeutics, we give practitioners the products and knowledge they need to offer their patients more choices for healthy living. We are among the top-tier manufacturers of supplements in use by integrative practitioners today – including naturopathic, chiropractic, nutrition, acupuncture, as well as a variety of general health and specialty practitioners. Learn more at IntegrativePro.com
Yes. Integrative Therapeutics produces a wide variety of supplements. Click here to learn more.