Does Medicare cover continuous glucose monitors (CGM)?

Those who have been diagnosed with diabetes are likely to be familiar with continuous glucose monitors or CGM devices. What CGM devices do is track the patient’s blood sugar levels by collecting readings every few minutes. This helps doctors to determine trends that will help manage diabetes.

Does Medicare cover continuous glucose monitors (CGM)? The good news is that Medicare can indeed provide coverage, provided that the patient meets the proper criteria.

Medicare is generally only available for people over 65 years of age. But for any age group maintaining a healthy blood sugar level is important. For those that do not qualify, it might be important to know how to buy health insurance that fits you.

If you are looking for affordable health insurance for medical equipment, you can enter your ZIP code into the box above for cheap health insurance quotes in your area. It can also be used for any other insurance needs you may have.

What is needed to qualify for CGM coverage under Medicare?

There are a few criteria necessary to receive coverage for a Continuous Glucose Monitor under Medicare:

• The patient must have been diagnosed with type 1 or type 2 diabetes.
• The patient currently uses a blood glucose monitor (BGM) and performs BGM testing at least four times a day.
• The patient is treated with multiple daily injections of insulin or uses a continuous subcutaneous insulin infusion (CSII) pump.
• The patient’s insulin treatment regimen requires frequent adjustments.
• Six months before ordering the CGM, the patient had an in-person visit with their doctor to evaluate diabetes control and make sure the above criteria has been met.

What brand of glucose meter is covered by Medicare?

There are several options for CGM devices that are covered by Medicare. In addition, there are other diabetes supplies that are covered through Medicare, either partially or fully. As this can change from year to year, it’s worth checking out the Medicare website for questions about coverage for continuous glucose monitoring.

You can also check out Medicare’s Coverage of Diabetes Supplies, Services & Prevention Programs. Not only does it have information about what Medicare covers, but also lets you know where you can find more information so you can make the best decisions regarding your health.

Who is eligible for Medicare?

All of the above is contingent on if you actually qualify for Medicare. As mentioned before, Medicare is generally only offered to people over 65. However, it is available to younger people with disabilities, and people with End State Renal Disease, which requires dialysis or a kidney transplant.

If you are not eligible for Medicare, there are other options to choose health insurance. For starters, you can take a look at our best insurance companies. This provides information not only on health insurance, but also on many others including auto, home, life, and even pet insurance.

For all people with diabetes, monitoring of blood glucose is important. So check your insurance coverage to see what’s available or compare options for your needs.

Read more: Best Life Insurance Policies When You Have Diabetes

Insurance can sometimes be a confusing, daunting prospect, so we also recommend checking out our insurance terms. There are many terms that will help you make sense of health (and other) insurance. Finding the insurance the fits you best is important.

Looking to buy health insurance? Type in your ZIP code into our free tool below to get good rates near you.

Case Studies: Medicare Coverage for Continuous Glucose Monitors (CGM)

Case Study 1: John’s Journey With Medicare Coverage for CGMs

John, a 70-year-old Medicare beneficiary, was diagnosed with diabetes and wanted to use a continuous glucose monitor (CGM) to better manage his blood sugar levels. He wondered if Medicare would cover the cost of the device. After conducting research and consulting with his healthcare provider, John found out that Medicare does cover CGMs under certain conditions.

He met the necessary qualifications and successfully received Medicare coverage for his CGM, which allowed him to monitor his blood sugar levels more effectively.

Case Study 2: Sarah’s Struggle to Obtain Medicare Coverage for CGMs

Sarah, a 55-year-old individual with diabetes, was not eligible for Medicare coverage due to her age. However, she still wanted to find a way to obtain health insurance coverage for a continuous glucose monitor. Sarah used an online tool to compare health insurance quotes and found an affordable health insurance plan that suited her needs.

She was able to purchase a plan that covered CGMs, ensuring she could monitor her blood sugar levels regularly.

Case Study 3: Mark’s Medicare Coverage for CGM Supplies

Mark, a 68-year-old Medicare beneficiary, relied on a CGM to manage his diabetes. He wondered if Medicare would cover the replacement supplies for his CGM. After researching Medicare’s coverage guidelines, Mark discovered that Medicare provided coverage for CGM supplies, including sensors and transmitters, every three months.

With this information, Mark was able to ensure he received the necessary supplies to continue monitoring his blood sugar levels effectively.