Nutritional Support and Supplements. This Plan will cover the following Nutritional Supplements that are prescribed by a licensed and qualified Provider: Nutritional Supplements for prenatal care for a pregnant Member; Nutritional Supplements when Medically Necessary to replace a specific documented deficiency; Nutritional Supplements when Medically Necessary and administered by injection at the Provider’s office; Enteral formulas or products, as Nutritional support, when administered by enteral tube feedings; Total Parental Nutrition (TPN) through intravenous catheters via central or peripheral veins; and Special Medical Foods as listed in the IEM Benefit section of this Contract. Some Nutritional Support and Supplements require Preauthorization; please refer to the Preauthorization Section for more information.
Appears in 2 contracts
Samples: Health Plan, www.christushealthplan.org
Nutritional Support and Supplements. This Plan will cover the following Nutritional Supplements that are prescribed by a licensed and qualified Provider: Nutritional Supplements for prenatal care for a pregnant Member; Nutritional Supplements when Medically Necessary to replace a specific documented deficiency; Nutritional Supplements when Medically Necessary and administered by injection at the Provider’s office; Enteral formulas or products, as Nutritional support, when administered by enteral tube feedings; Total Parental Nutrition (TPN) through intravenous catheters via central or peripheral veins; and Special Medical Foods as listed in the IEM Benefit section of this ContractPolicy. Some Nutritional Support and Supplements require Preauthorization; please refer to the Preauthorization Section for more information.
Appears in 2 contracts
Samples: Health Plan, www.christushealthplan.org