The tube is put in place for many reasons. Usually due to burns in the throat from radiation, to allow healing after major surgery, or for many other difficulties with eating and drinking due to treatment for oral cancer. I had my tube for several months. I was lucky it was that brief. Some oral cancer patients are on a tube permanently after treatment, never able to swallow again.
Naturally, when I heard that an insurance company might possibly turn down this request, I was appalled. This is not cans of deliciousness that are refreshing and tasty. This is not something extra to "give you wings". It's life n a can. Even more so for the infirm, elderly or income challenged who can't buy a $600 blender and lots of fresh whole foods every day. As a matter of fact, if you took these formulas by mouth I bet it's disgusting. The formula I used smelled like a can of salty meat. And no, I never even touched a drop to my tongue. No way. No sirree, Bob. In spite of it seeming very unappetizing, I was grateful for it. It saved my life.
When I finally had my tube put in I was consuming about 100 calories per day and taking 3-5 sips of water. You quite literally cannot live on that. When I arrived home from the hospital there was a case of my "food" waiting for me. It never even occurred to me that insurance wouldn't cover it. Yet here I am, in just one weeks time, pondering a conversation and reading an article about an insurance company refusing to pay for this necessity. You can read the article here if you like.
Some would say "Well, her family would need to feed her anyway. Why should insurance pay?" Here's the thing... Many families don't spend $500 a month on groceries and now this is what it will cost to feed just one person. What if they can't afford the extra $500? Then what does this 25 year old girl in California do? Hopefully her doctor has some sort of patient assistance fund. Hopefully there is an organization in her area that can help. Hopefully we will soon be able to help the next person in our area who runs up against this dreadful issue.