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Third-party payors (insurance companies) are LEAST likely to reimburse which of the following home enteral nutrition expenses?

1: Feeding bags and tubing
2: Enteral feeding pumps
3: Enteral formula
4: Intravenous poles and/or syringes

1 Answer

3 votes

Final answer:

Third-party payors are least likely to reimburse expenses for intravenous poles and/or syringes for home enteral nutrition, as they are associated with IV therapy, not enteral feeding.

Step-by-step explanation:

Insurance companies, or third-party payors, are least likely to reimburse for items that are not directly necessary for the administration of home enteral nutrition. Of the options provided, intravenous poles and/or syringes are the least likely to be covered because they are typically associated with intravenous (IV) therapy, not enteral feeding which is via the gastrointestinal (GI) tract.

Insurance companies commonly cover feeding bags and tubing, enteral feeding pumps, and enteral formula as these are essential components of home enteral nutrition. Coverage for enteral formula often requires specific medical justifications, but it is still more likely to be reimbursed than intravenous equipment. The specific coverage will depend on the patient's insurance policy and the medical necessity of each item in the context of enteral nutrition therapy.

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