Parenteral and Enteral Therapy
Parenteral therapy requires all or part of the gastrointestinal tract to be missing. Nutritional formulas are delivered through a vein.
Enteral therapy is covered if you cannot swallow or take food orally. Nutrition must be delivered through a tube directly into the gastrointestinal tract.
Medicare will not pay for nutritional formulas that are taken orally.
Specialty nutrients/formulations can be covered if you have unique nutrient needs or specific disease conditions which are well documented in your physician’s records. In some cases you may have to try standard formulas and document that they are unsuccessful before you can receive the specialty nutrients.