CGM devices have proven to be transformational not only in how patients manage their diabetes but also in how caregivers and healthcare providers support them; and if you're a person with diabetes, you understand the benefit of knowing in advance what can cause hypoglycemia. Since CGM devices have hit the industry, many questions have arisen not only about how to use the system but also about how to obtain one. Now that the Dexcom G7 is widely available throughout the country, many in the diabetes community are wondering: Does Medicare cover the Dexcom G7 system?
Below, you’ll learn how continuous glucose monitoring systems (CGMs) are covered through Medicare and how to receive a new Dexcom G7 through your insurance.
Dexcom G7
The Dexcom G7 is a groundbreaking continuous glucose monitoring (CGM) system that has received approval from the U.S. Food and Drug Administration (FDA) for use in adults and children as young as two years old.
The new Dexcom CGM has many new features and updates compared to the Dexcom G6. People with type 1 diabetes and type 2 diabetes will be able to manage their blood sugar levels by getting real-time blood glucose readings through the improved system.
Dexcom G7’s updates include:
- Quicker warm-up time of just 30 minutes, claiming to be faster than other CGMs on the market, including the Abbott Freestyle Libre 2 Systems.
- Smaller design.
- More wearable options, including on the upper arm, upper buttocks, or abdomen.
- Smoother transitions with a 12-hour grace period of glucose data readings.
- Integrated systems with the transmitter and sensor in an all-in-one device.
- Improved alerts that are more discreet.
- More compatibility with Apple Watch, Android, Apple phone, and other smart apps.
- New mobile app with faster calibration and quicker glucose level readings.
- New receiver with a more readable display.
CGM Coverage Through Insurance
CGMs without fingersticks have changed diabetes care for many people with type 1 or type 2 diabetes. They help you make better decisions about diet and lifestyle, as well as identify potential problems before they become serious; thus reducing the risk of hypoglycemic events. All in all, The Dexcom G7 is transforming diabetes treatment decisions and has offered much-needed financial relief to those who require it and meet the medicare coverage criteria. This allows CGM users and healthcare providers to see significant cost savings due to reduced emergency room visits and better overall diabetes management.
Some major insurance plans that help reimburse or cover costs for CGMs include Blue Cross Blue Shield, CIGNA, and United Healthcare.
Navigating the cost of the Dexcom G7 CGM System with Medicare coverage can be challenging. However, with accurate information, it's possible to ascertain the expenses associated with the device and any related supplies and services. By comprehending the cost structure of the Dexcom G7 CGM System, patients can make well-informed decisions about their diabetes management. By getting your CGMs covered through insurance, you could save thousands of dollars a year.
Dexcom G7 Through Medicare
Since 2017, Medicare has provided coverage for CGMs for those who meet specific medicare coverage criteria. As of late, the changes from the medicare cgm requirements 2023 say that you must meet these requirements:
- Are diagnosed with diabetes.
- Use an insulin pump, inhaled insulin, or inject insulin daily.
- Require frequent changes to your insulin regimen.
- See your healthcare provider routinely.
Upon meeting these criteria, Medicare Part B will cover 80% of the cost of the Dexcom G7 CGM System, which includes the device, sensors, and transmitter. The patient is responsible for the remaining 20% of the cost, along with any applicable deductibles and coinsurance. Having secondary insurance also helps to reduce the cost even further, to where some patients will pay $0.
If you’re looking to get the Dexcom G7 covered through Medicare or another insurance plan, you can order them through a durable medical equipment (DME) company, such as Aeroflow Diabetes, with a prescription from your endocrinologist or another physician.
We deliver the CGM device straight to your home and offer monthly resupply services. All you need to do is fill out our Eligibility form to get started!
Once approved for coverage, you’ll need to reach out to your healthcare provider for a prescription if you’d like to receive your CGM device faster.
Other CGMs Covered Through Insurance
There are other CGMs to consider and it’s highly encouraged to review all available options for managing diabetes and discuss them with your healthcare provider.
Aeroflow Diabetes also offers the Dexcom G6, the Abott Freestyle Libre 2 and the Abott Freestyle Libre 3 System through Medicare.
About the Author
Marlee Septak is the Senior Content Specialist at Aeroflow Urology. She brings a deep understanding of incontinence and health conditions associated with it to her writing. She graduated from Columbia College Chicago and holds a Bachelor's degree in Journalism. Marlee has contributed to various magazines and blogs, including Borgen Magazine, Echo Magazine, Chicago Ideas Week, Assuaged, and Peaceful Dumpling. In her spare time, she enjoys traveling, trying new restaurants, and just sitting down with a good book.
Information provided on the Aeroflow Diabetes website is not intended as a substitute for medical advice or care from a healthcare professional. Aeroflow recommends consulting your healthcare provider if you are experiencing medical issues relating to diabetes care.
