Key Takeaways:
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Most insurance plans—including Medicare, Medicaid, and major private insurers—cover the Dexcom G6, making it more affordable for people with diabetes.
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With insurance, many people pay little or even nothing out of pocket, instead of the high full cost of the device.
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Aeroflow Diabetes can check your benefits for you, handle the paperwork, and help you get the Dexcom G6 through your insurance with less stress.
Continuous glucose monitoring (CGM) systems have been revolutionary in improving outcomes, helping those with diabetes say “goodbye” to frequent fingersticks and blood glucose meters.
With the Dexcom G6 CGM system, you can easily see your glucose levels on a dedicated receiver provided by the manufacturer, or on your smart device every few minutes.
Wondering how you can get Dexcom G6 through insurance? Read this article to find out how, with the help of Aeroflow Diabetes.
What is the Dexcom G6?
The Dexcom G6 is an FDA-approved CGM system designed for people with type 1 or type 2 diabetes. As a leading piece of durable medical equipment (DME), it's known for its accuracy and user-friendly features:
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No Fingerstick Calibration: The G6 is factory-calibrated, eliminating the need for routine fingersticks.
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Simple Application: A one-touch auto-applicator makes inserting the small sensor easy.
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Long-Wear Sensor: A water-resistant sensor can be worn for up to 10 days, providing continuous data even while showering or swimming.
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Predictive Alerts: An "Urgent Low Soon" alert can warn you up to 20 minutes before a serious hypoglycemic event, giving you time to act.
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Smart Device Compatibility: View and share your glucose data on compatible iPhone and Android devices, or even an Apple Watch.
The Dexcom G6 Cost Without Insurance
One of the first questions patients ask about the Dexcom G6 is the out-of-pocket price. Without any insurance benefits, the full cost of the Dexcom G6 can be significant, potentially reaching up to $6,000 annually for the complete system (sensors, transmitters, and a receiver).
While manufacturer coupons can sometimes lower this price, relying on them is not a long-term solution. The good news is that you likely won't have to pay this full amount. Most insurance plans now recognize the medical necessity of CGMs and offer coverage.
Which Insurance Covers Dexcom G6
Fortunately, coverage is now widespread. The key is understanding how your plan covers it.
- Medicare Coverage: Medicare Part B provides Dexcom G6 coverage for beneficiaries who meet specific criteria, such as testing their blood glucose four or more times per day and using insulin. Many Medicare Advantage plans also follow these guidelines.
- Medicaid Coverage: Most state Medicaid programs cover CGM systems like the Dexcom G6, though specific qualification requirements can vary from state to state.
- Commercial Insurance Coverage (Aetna, Blue Cross, UnitedHealthcare, etc.): The vast majority of commercial insurance plans offer Dexcom G6 coverage. This includes major providers like:
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Aetna
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Blue Cross Blue Shield (BCBS)
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Humana
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UnitedHealthcare
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Important Note - DME vs. Pharmacy Benefit: Your CGM supplies might be covered under your plan’s durable medical equipment (DME) benefit or your pharmacy benefit. This distinction affects where you get your supplies and what your out-of-pocket cost will be. Aeroflow Diabetes specializes in navigating these benefits to help you find the most affordable option.
Check your coverage for continuous glucose monitoring supplies through your insurance now!
Check your coverage for continuous glucose monitoring supplies through your insurance now!
What Is the Price of the Dexcom G6 With Insurance?
Your final price with insurance for the Dexcom G6 depends entirely on your specific health plan. After your provider covers its portion, your responsibility will be determined by:
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Your Deductible: The amount you must pay before your insurance begins to cover costs.
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Your Copay: A fixed amount you pay for a covered service or supply.
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Your Coinsurance: A percentage of the cost you pay after your deductible has been met.
For many patients with comprehensive insurance, the out-of-pocket cost for the Dexcom G6 is significantly reduced, and in some cases, may be $0. If you want to know more about how this works, you can read our CGM Insurance Coverage Guide.
How Can I Get My Dexcom G6 Through Insurance?
If you live with type 1 or type 2 diabetes and inject insulin, the Dexcom G6 might be one of the diabetes supplies that’s right for you. Read these steps to see if you can get the Dexcom G6 covered with your health insurance.
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Fill out the Aeroflow Diabetes eligibility form. Fill out our Eligibility Form to see if you qualify for receiving the Dexcom G6 or any other CGM products through Medicare, Medicaid, or commercial insurance. From there, we do the work for you by reaching out to your healthcare provider and the insurance company. After speaking with the proper resources about your insurance and care plan, we will let you know which systems you’re eligible for.
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Schedule a follow-up with your healthcare provider. After we notify you of your eligibility, you may need a prescription from your healthcare provider or may need to discuss your treatment decisions and health plan with them.
Take the Guesswork Out of Your Coverage
Navigating insurance policies, deductibles, and DME benefits to figure out your final cost can be a frustrating and time-consuming process. Let Aeroflow Diabetes handle all the paperwork and deal directly with your insurance provider and doctor's office for you. Our team of specialists will do the work to maximize your benefits and minimize your out-of-pocket costs.
Fill out our eligibility form and find out if you can get the Dexcom G6 shipped directly to your door at little to no cost.
Check Your Coverage for CGMs Through Insurance
With a 4.8 rating from Google users, Aeroflow Diabetes helps individuals qualify and receive continuous glucose monitors at low cost through insurance.
Here's how it works:
1. Fill out our Eligibility Form. You submit your information.
2. We verify your coverage. Our Diabetes Specialists will verify your insurance coverage.
3. You'll choose the CGM that's right for you. You'll select the CGM you'd like to receive.
4. We fulfill your order. We ship your items straight to your door.
Karen Case, Accuracy Reviewer & Continuous Glucose Monitor Specialist
Karen Case has a passion for working in the healthcare industry, understanding medicine, diabetes, and diseases. She holds an Associate’s degree in Medical Assisting and worked as the Head of Triage at Asheville Endocrinology for 10 years where she learned everything she could about diabetes, thyroid issues, and other endocrine issues. Karen currently works as the Continuous Glucose Monitor Specialist at Aeroflow Diabetes where she educates patients around the topics of diabetes, medications, continuous glucose monitors, pumps, insulin, and more.
About the Author
Julia Dietrich is the Marketing Coordinator at Aeroflow Diabetes. A graduate of Kean University with a Bachelor’s degree in Advertising, Julia understands the importance of diabetes prevention, management, and education, and is passionate about helping individuals access the resources they need for better health and wellness.
Outside of her work, Julia enjoys photography, cooking, and spending time with family. Her background in marketing and dedication to patient advocacy and wellness, coincide with her commitment to educate and promote diabetes management.
Aeroflow Diabetes Disclaimer
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.
