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.