insurance support & shipping

At Hearts Enteral, we believe in a personalized approach to ensuring you get the care and support you need. After receiving your order, we will reach out directly to your physician’s office to gather any required information and complete the necessary steps for processing your order.

This collaborative process ensures that all medical and dietary needs are met, allowing us to provide you with the appropriate enteral nutrition products promptly.

If you have any questions or need further assistance, don’t hesitate to contact us—we’re here to support you every step of the way!

At Hearts Enteral, we are committed to ensuring that patients receive the coverage they need for medically necessary enteral nutrition products. Our team will work directly with your insurance provider to verify your benefits and submit any required prior authorizations. Here’s how the process works:

1. Insurance Verification:
   We will verify your health insurance benefits to confirm coverage for the enteral nutrition products you need. This step is crucial in ensuring you are eligible for reimbursement before proceeding with any orders.
2. Prior Authorization:
   If your insurance plan requires prior authorization for coverage of enteral nutrition products, we will submit the necessary documentation to your insurance provider. This step is essential to prevent any future denials or coverage issues.
3. Predetermination Process:
   As part of our policy, we require a predetermination for all enteral nutrition products before submitting claims. This ensures that the product will be covered and reduces the likelihood of unexpected denials, providing peace of mind for both you and your healthcare provider.
4. Claim Submission:
   Once coverage has been verified and prior authorization (if needed) is approved, we will submit a claim to your insurance company for reimbursement. We will handle the entire billing process, allowing you to focus on your health rather than navigating insurance paperwork.

This process ensures that all necessary steps are taken upfront to verify coverage and prevent any delays or denials down the line. Let me know if you'd like to add more details or adjust any section!

Hearts Enteral is dedicated to making the process of obtaining enteral nutrition products as seamless as possible for our patients. We handle the billing process directly with your insurance companies to help you access the coverage you need.

1. Claim Submission:
   Hearts Enteral will submit a claim directly to your primary health insurance carrier for reimbursement of your enteral nutrition products. If you have any secondary insurance plans, we will also bill them to ensure you receive full consideration of benefits.
2. Patient Responsibilities:
   While we strive to cover as much as possible, patients are responsible for their co-pays and deductibles. These costs will be outlined and communicated to you, and we will ensure you understand your financial obligations.
3. Ensuring Full Benefits:
   We go above and beyond to ensure that our patients receive their full health benefits. We work closely with your insurance provider to avoid any claim denials and to ensure that you are getting the maximum coverage possible.

If you choose to submit your own claims directly to your insurance carrier, Hearts Enteral is here to support you every step of the way. We will provide you with a complete reimbursement claims packet to help facilitate the process and ensure it goes smoothly.

Our claims packet includes all the necessary documentation and instructions to make your submission as efficient as possible.

For more information or if you need assistance with your claims, please don’t hesitate to call us at 877-659-5540. We’re here to help!

Our dedicated team focuses exclusively on medical food and enteral nutrition coverage. That's our main focus!  

At Hearts Enteral, we understand that dealing with insurance issues can be stressful, especially when it comes to the essential medical foods and enteral nutrition you rely on. That’s why our dedicated team focuses exclusively on medical food and enteral nutrition coverage—it's our main priority!

If you experience any issues with your health insurance plan, we are committed to doing whatever it takes to ensure you can afford and maintain your diet. Whether it’s dealing with denials, appeals, or other insurance-related challenges, we work directly with YOU to resolve these issues and alleviate the stress.

Our Patient Advocacy Support is designed to help you stay on track with your diet and ensure that financial or insurance obstacles don’t get in the way of your health.

For more information or if you need assistance, please don’t hesitate to reach out at 877-659-5540. We’re here to support you every step of the way!

Hearts Enteral does not maintain its own warehouses. Instead, all shipping is handled directly by the manufacturers or wholesalers of the medical foods and enteral nutrition products.

Once your order is processed and shipped, we will provide you with the shipping tracking number from the manufacturer or wholesaler. This allows you to easily track your order and stay updated on its delivery status.

We are committed to ensuring that your products arrive safely and on time. If you have any questions or concerns regarding your shipment, please don’t hesitate to reach out to us.

Hearts Enteral DME accepts a wide range of health insurance plans to ensure you can access the medical foods and enteral nutrition products you need. We accept:

• All Commercial Insurance Plans
• Managed Care Organization (MCO) Plans
• Medicaid (availability may vary by state)
• Medicare (coming soon)

If you have any questions about your health insurance plan or need help understanding your coverage options, please feel free to get in touch with us at 877-659-5540. Our team is here to walk you through your options and help you navigate your benefits.