HealthPartners has Medical Policies that contain coverage criteria that describe how we make coverage decisions for certain health care services and items. Which coverage criteria apply to your plan depends upon the state in which the plan was purchased, which is not necessarily your state of residence. For a customized experience, log on to myHealthPartners. For questions, call the Member Services number on the back of your member identification card.
The information regarding coverage guidelines is regularly updated and is subject to change without notice. Read more…
For Medicare coverage criteria, click here.
For a list of services requiring Medicare prior authorization, click here.
If unsure of the keyword spelling, enter the first three letters of the word followed by an asterisk (*). Example: enter acu* to locate the acupuncture policy.
Policy search filters
|Policy name||Policy category||Product||Prior authorization required|
|Feeding/oral function therapy, pediatric||
|Formula - amino acid based elemental - Minnesota Health Care Programs||