If you have concerns about being able to afford EleCare, insurance coverage may be available. Pathway Plus is here to help navigate you through the coverage process and connect you with a supplier who can deliver EleCare right to your door. All you have to do to get started is contact Abbott Nutrition's Pathway Plus Reimbursement Support at 1-855-217-0698 (Monday through Friday from 8:30 AM to 5:00 PM, EST) and speak with a Pathway Plus Reimbursement Counselor. You can also visit Pathway Plus for additional information.
Pathway Plus Offers Insurance Coverage Verification & Assistance with Access to EleCare Formula.
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There is a growing list of states that have mandated elemental formula coverage to help support families with children needing medical nutrition such as EleCare and EleCare Jr.*
*The coverage requirements of each state’s insurance mandate all vary and may not apply to all insurance plans.
WIC-eligible† in 48 states, regardless of who holds the WIC state formula contract.
Medicaid – Some Medicaid plans will cover elemental formulas. Each state plan establishes its own criteria for coverage of elemental formulas.
† Visit your state’s WIC website for additional information on allowable products and conditions. WIC is a service mark of the US Department of Agriculture and an abbreviation for the Special Supplemental Nutrition Program for Women, Infants, and Children. No endorsement of any brand or product by the USDA is implied or intended. Excludes Washington and Arkansas.
Each health care 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 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.