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You are here: Home / Financial Wellness / Health Insurance / What Health Insurance Covers Dexcom?

What Health Insurance Covers Dexcom?

October 25, 2021 by Janey Danes

What health insurance covers Dexcom? Is it covered by Medicare? Let’s find out here.

what health insurance covers Dexcom

What Health Insurance Covers Dexcom?

The Dexcom G6 Continuous Glucose Monitoring (CGM) System is covered by several health insurance policies. And yes, Medicare will cover it if you meet the coverage criteria.

If you have Medicare and you need Dexcom G6, then you need to prove that you have type 1 or type 2 diabetes. You also need to prove that you need it to manage your insulin intensively.

The company will ship Dexcom G6 to your doorstep free of charge if you’re a Medicare subscriber and you meet the criteria.

Read: What Health Insurance Pays for Gym Membership?

What are the Requirements to Get Reimbursement for Dexcom?

  • You’ve been diagnosed with diabetes.
  • You’re getting more than three daily administrations of insulin.
  • Your insulin treatment needs frequent adjustments.
  • You previously visited your treating doctor six months before ordering CGM. The practitioner should have evaluated your diabetes control and find out whether or not you’ve met the cretics of getting Medicare coverage.

In addition to the criteria above, your receiver should be compatible with Dexcom G6.

Your health insurance may not cover Dexcom G6 supplies that can only be used with a mobile device.

Even though many health insurers offer Dexcom coverage, the benefits will depend on an individual policy.

How Does CGM Work?

what health insurance covers Dexcom - hypoglycemia

CGM devices allow patients and healthcare providers to identify patterns in diet and blood glucose levels that would otherwise be difficult to determine.

This device operates through a glucose sensor placed below the skin’s surface. It’s held in place using an adhesive patch.

You can wear its sensors for up to 14 days continuously to transmit blood glucose levels to a reader every few minutes. In that case, the reader gets a lot of data.

With more data, your doctor can help you better manage your diabetes. This type of monitoring system is shown to be better at assisting patients with type 1 diabetes to lower their HBA1C compared to traditional self-monitoring.

The said device will also make it easier to predict hypoglycemia and hyperglycemia events. This is especially useful if you have erratic blood glucose levels. It’s also useful for children who can’t monitor their diabetes numbers.

Furthermore, users can see the effects instantly on their behavior and adjust it accordingly. In that case, you’re likely to skip dessert if you see its immediate effects on your blood glucose levels.

It may be a small change. But it can have a huge impact on your health.

Read: What Health Insurance Do I Need When Living in Spain?

What is the Cost of a CGM Device?

It’s significant if you pay for it with your own money. The amount is more than the traditional blood glucose monitoring system.

But you will need prescriptions for different items and obtain them at a retail pharmacy if you don’t have health insurance that covers it.

The average cost can go around $6000 a year or $500 a month. It’s prohibitive for most people.

That’s why it’s truly good news when Medicare announced that it’s going to cover Dexcom. Other health insurers have also followed suit.

Conclusion

What health insurance covers Dexcom? Medicare and other private health insurance companies are offering coverage for this device. Talk to your health insurer about it.

Find out more about what your health insurance covers here.

About the author

Janey Danes Janey Danes started her career as a part-time article writer, editor and proofreader in 2008. She specializes in topics related to health, travel, technology, family, and spiritual life. Danes is a licensed medical technologist and she holds a Bachelor of Science Degree in Information Technology. She is also a contributor to Travel Philippines | Entertainment and Medical Technology Avenue. You can also find her on Google+.

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