Baby Formula
A health care professional must provide evidence of medical necessity showing the infant requires special dietary requirements, and a specific baby formula is recommended to treat an illness or disorder to be an eligible medical expense. Include evidence of medical necessity by providing a Letter of Medical Necessity (LMN) that specifically identifies the recommendation and expense is for treatment of a medical condition with the request for reimbursement.
Note: If your baby requires a special formula to treat an illness or a disorder, the difference in cost between the special formula and routine baby formula can be reimbursed.
Autopsy
Fees associated with an autopsy are not eligible medical expenses.
Automated External Defibrillator (AED)
The cost of an automated external defibrillator is an eligible medical expense.