How do you know if your insurance plan covers products like PediaSure®?
Navigating through the insurance coverage process can be difficult and complex. Coverage of nutritional products varies depending on many things, including the type of insurance plan, the coverage policy, the care setting, patient diagnosis, and the route of administration (oral or tube-fed). Out-of-pocket costs such as deductibles, co-pays, and co-insurance also vary depending on the insurance plan. To help you better understand your insurance coverage and payment options, contact Abbott Nutrition’s PATHWAY Reimbursement Support program at 800-558-7677 (Monday through Friday, from 8:30 AM to 5:00 PM EST) and speak with a PATHWAY reimbursement counselor.
You can also visit www.pathwayreimbursement.com for additional information.
PediaSure products are WIC-eligible in most states with an appropriate diagnosis and a prescriber’s medical referral. Check with your local WIC agency for additional information on which products are available through WIC in your state.
Abbott Nutrition believes that access to products recommended by healthcare providers is important for all patients. If you do not have access to alternative sources of coverage or funding of Abbott Nutrition products, you may qualify for the Abbott Nutrition Patient Assistance Program. This program is designed to provide supplemental products at no cost to eligible patients experiencing financial difficulties. For additional information about the Abbott Nutrition Patient Assistance Program, visit PATHWAY or call 1-866-801-5657 to speak with a representative.
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. 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.*
WIC is a registered trademark of the USDA and is an abbreviation for Special Supplemental Nutrition Program for Women, Infants, and Children.
