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COVERAGE ASSISTANCE

EleCare® is a specialty formula and may be covered by insurance or other assistance programs.

In a doctor’s office, a doctor is listening to a young boy’s heart with a stethoscope. His mom is standing next to him.
In a doctor’s office, a doctor is listening to a young boy’s heart with a stethoscope. His mom is standing next to him.
In a doctor’s office, a doctor is listening to a young boy’s heart with a stethoscope. His mom is standing next to him.

If your doctor has recommended EleCare as part of a medically necessary treatment plan for your child, insurance coverage may be available with a prescription from your doctor.

Use under medical supervision. 

Insurance Coverage Support

Abbott’s Pathway Plus service can help you determine if insurance coverage is available and connect you with a supplier (a durable medical equipment supplier or pharmacy).

The program works with all types of insurance, including commercial, Medicaid, military healthcare, Medicare, and more.




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Assistance Programs

Other programs may be available to help patients access EleCare formulas.

Check with your provider to see if you’re eligible for these programs.

WIC is the Special Supplemental Nutrition Program for Women, Infants, and Children. EleCare is WIC-eligible* in 48 states, regardless of who holds the WIC state formula contract. Requires a WIC medical documentation form with a qualifying condition from your child’s healthcare provider.

Supplemental Nutrition Assistance Program (SNAP) benefits can be used to purchase EleCare formulas at grocery stores that carry EleCare formulas and that accept SNAP benefits in all
50 states.

* The WIC (Special Supplemental Nutrition Program for Women, Infants, and Children) and SNAP (Supplemental Nutrition Assistance Program) names are service marks of the US Department of Agriculture. USDA does not endorse any goods, services, or enterprises. WIC state approval is subject to change.

Insurance coverage may be available in your state

Depending on your child's condition, some states may offer insurance coverage for elemental formulas. This varies from state to state and may not apply to all insurance plans.
To check eligibility, contact your insurance plan or call Pathway Plus for assistance.

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Each healthcare provider is ultimately responsible for verifying codes, coverage, and payment policies used to ensure that they are accurate for the services and items provided. Providers should consult with the insurance plan for complete and accurate details concerning documentation for claims. Abbott Nutrition does not guarantee reimbursement by any third-party insurance plan and will not reimburse physicians or providers for claims denied by third-party insurance plans.