Why this matters: Unfortunately, some insurance policies and companies do not cover nutrition at all. If this is the case, contact our Customer Care team at 805.845.2446, and we may be able to enroll you in our Patient Assistance Program.
Kate Farms medical formulas are broadly covered by insurance
Our medical formulas (not including Komplete) are eligible for coverage with Medicare, Medi-Cal, and most Medicaid and private insurance plans.
Many public and private plans provide coverage for enteral nutrition when prescribed for a covered medical need. To find out if your policy provides coverage, call the member services phone number listed on the back of your insurance card.
When you call, tell the representative how you will use Kate Farms, either for tube feeding or drinking, and provide the HCPCS code for the Kate Farms formula you want.
- Kate Farms Standard 1.0 – HCPCS B4150
- Kate Farms Peptide 1.5 – HCPCS B4153
- Kate Farms Pediatric Peptide 1.5 – HCPCS B4161
- Kate Farms Pediatric Standard 1.2 – HCPCS B4160
Questions to ask your insurance provider
Here are a few questions to ask to help you understand your coverage.
Letters of Medical Necessity
We’ve created Letter of Medical Necessity templates for each Kate Farms formula. Your doctor can use this template to explain your medical need to your insurance company.
Kate Farms Komplete is not eligible for insurance coverage. If you have a medical need for formula and need help determining the right one for you, give our Customer Care team a call at 805-845-2446.