Coverage can vary depending on your insurance plan and provider. Below is a general overview of how coverage typically works across major insurance types. For plan‑specific details, we recommend confirming directly with your insurance provider or reaching out to our team here for support.

In this article:

Medicare

Medicare provides coverage for formula only when it is used exclusively for tube feeding. Unfortunately, Medicare does not cover formula intended for drinking. If you are using Kate Farms as an oral nutrition option and have Medicare with no secondary insurance, the best route is to purchase your formula online. If cost is a concern, please reach out to us. We may be able to help.

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Medicaid

Kate Farms formulas are covered by Medicaid in most states for both tube feeding and drinking. This applies whether Medicaid is your primary or secondary insurance. Because coverage details and eligible products vary by state, we encourage you to contact us so we can confirm which formulas are available through Medicaid in your area. We work closely with Medicaid programs across all 50 states and are here to help if you have trouble accessing coverage.

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Medi-Cal and California Children's Services (CCS)

Medi-Cal is California’s version of Medicaid. Most Kate Farms formulas are covered under Medi-Cal for both drinking and tube feeding. California Children's Services, or CCS, is a program for individuals under 21 with qualifying medical conditions. Most Kate Farms formulas are also covered under CCS when used for children with a CCS-eligible diagnosis. To learn which formulas are currently covered, please contact us. Our team is familiar with Medi-Cal and CCS processes and would be happy to help.

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Kaiser Permanente

Kate Farms formulas are available in Kaiser Permanente hospitals and through Kaiser home medical services. Kaiser generally follows Medicare guidelines, meaning they typically cover formula when used for tube feeding, but not for drinking. If you are a Kaiser member, we recommend speaking with your care team to ask about a prescription for Kate Farms.

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United Healthcare, Anthem Blue Cross Blue Shield, Blue Cross Blue Shield, Cigna and Aetna

These large insurers offer a wide range of plans, including private insurance and some public plans such as Medicaid or Medicare. Because benefits vary widely by plan type and region, the best way to determine your coverage eligibility is to contact your insurance provider directly. You can also follow the steps provided in our guide to checking coverage.

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Other private insurance companies

Many private insurance companies do offer coverage for medical nutrition, but the details of that coverage can vary based on your specific plan. Some plans may cover formula for tube feeding only, while others may also cover formula for drinking. The type of plan you have — whether it is commercial, Medicare, or Medicaid — will impact your eligibility.

To find out what is covered under your specific plan, the best next step is to contact your insurance provider directly. You can also follow the steps outlined in our coverage guide, which walks you through how to check your benefits and understand what documentation may be needed.

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