Elemental Formula Coverage

Individuals who suffer from allergies, eosinophilic disorders (EGID’s), or other diseases may be on an elemental diet, in which all or most sources of protein are removed from the diet. Individuals on elemental diets have two delivery methods: they can drink the formula, or the formula is delivered via a gastronomy feeding tube (or G-tube). Either way, it is important for health insurance carriers to cover reimbursement for all families affected.

Children’s Milk Allergy and Gastrointestinal Coalition (MAGIC) is committed to promoting healthcare coverage and reimbursement of amino acid-based elemental formulas for children who are unable to consume a natural, life-sustaining diet due to various allergies or diseases. The following states currently mandate formula coverage:

States with Elemental Formula Coverage

FAACT will advocate with American Partnership for Eosinophilic Disorders (APFED), International Association for Food Protein Enterocolitis, and Children's MAGIC for healthcare coverage and reimbursement of amino acid-based elemental formulas. To advocate in your state, please Contact Us.