Medical Foods. We cover medical foods and formulas for outpatient total parenteral nutritional therapy; outpatient elemental formulas for malabsorption; and dietary formula when medically necessary for the treatment of Phenylketonuria (PKU) and inborn errors of metabolism. No benefits will be paid for any other non-medical dietary formulas, oral nutritional supplements, special diets, prepared foods/meals and formula for access problems. We cover charges for chiropractic and osteopathic services. These services shall be provided at the request of the member who presents a condition of an orthopedic or neurological nature necessitating treatment for which falls within the scope of a licensed chiropractor or osteopath. See the Schedule of Benefits for benefit levels or additional limits.
Medical Foods. We cover medical foods and low protein modified food products for the treatment of inherited metabolic diseases caused by an inherited abnormality of body chemistry for which the State screens newborn babies. Coverage is provided if the medical foods and low protein food products are prescribed as Medically Necessary for the therapeutic treatment of inherited metabolic diseases, and are administered under the direction of a Plan Provider. Medical foods are intended for the dietary treatment of a disease or condition for which nutritional requirements are established by medical evaluation and are formulated to be consumed or administered enterally (i.e. by tube directly into the stomach or small intestines) under the direction of a Plan Provider. Low protein modified foods are food products that are
(a) specially formulated to have less than one gram of protein per serving, and (b) intended to be used under the direction of a Plan Provider for the dietary treatment of an inherited metabolic disease. Medical Foods Exclusions: • Medical food for treatment of any conditions other than an inherited metabolic disease.
Medical Foods. We cover medical foods and formulas for outpatient total parenteral therapy; outpatient elemental formulas for malabsorption; and dietary formula when medically necessary for the treatment of Phenylketonuria (PKU) and inborn errors of metabolism. Exclusions: any other dietary formulas, oral nutritional supplements, special diets, prepared foods/meals, and formula for access problems.
Medical Foods. We cover medical foods and low protein modified food products for the treatment of inherited metabolic diseases caused by an inherited abnormality of body chemistry including a disease for which the State screens newborn babies. Coverage is provided if the medical foods and low protein food products are prescribed as Medically Necessary for the therapeutic treatment of inherited metabolic diseases, and are administered under the direction of a Plan Provider. Medical foods are intended for the dietary treatment of a disease or condition for which nutritional requirements are established by medical evaluation and are formulated to be consumed or administered internally (i.e., by tube directly into the stomach or small intestines) under the direction of a Plan Provider. Low protein modified foods are food products that are (1) specially formulated to have less than one (1) gram of protein per serving, and (2) intended to be used under the direction of a Plan Provider for the dietary treatment of an inherited metabolic disease.
Medical Foods. Medical foods are covered within limitations defined in the AMPM for members diagnosed with a metabolic condition included under the ADHS Newborn Screening Program and specified in the AMPM. The medical foods, including metabolic formula and modified low protein foods, must be prescribed or ordered under the supervision of a physician.
Medical Foods. We will provide benefits for low protein modified food products, enteral formulae, and medical foods prescribed by a participating provider for use under the direction of a participating physician for the medically necessary dietary treatment of an inherited metabolic disease. A low protein modified food product must be specifically formulated to have less than one gram of protein per serving. A medical food means an amino acid modified preparation. You must pay the Cost Share listed on your Schedule.
Medical Foods. Foods prescribed by a physician to manage a patient’s disease or health condition. New Excluded IP: all new Know-how and intellectual property created as a result of the collaboration by Xxxxxx and Oxis hereunder which, if commercially exploited, would not infringe and/or be covered by a claim being prosecuted in the Ergo Patent Application or would not infringe any other Existing IP covered by the Assignment. New Included IP: all new Know-how and intellectual property created as a result of the collaboration by Xxxxxx and Oxis hereunder (except for the New Excluded IP), including, without limitation, patents, patent applications, goodwill and know-how. Nutraceutical Products: Natural, bioactive chemical compounds that have health promoting, disease preventing or medicinal properties.
Medical Foods. Benefits are provided for medical foods when ordered by a Health Care Practitioner qualified to provide diagnosis and treatment in the field of metabolic disorders. "Medical food" means a food that is: • Intended for the dietary treatment of a disease or condition for which nutritional requirements are established by medical evaluation; and • Formulated to be consumed or administered enterally under the direction of a Physician.
