Continuous Glucose Monitoring Devices Covered By Medicare

Home blood glucose monitors.

Continuous glucose monitoring devices covered by medicare.

In the past it has not been covered. The dexcom g6 continuous glucose monitoring cgm system is covered by medicare for patients who meet the medicare coverage criteria. Medicare coverage of these devices varies with respect to both the type of device and the medical condition of the patient for whom the device is prescribed. Cms announced the criteria decision march 23 following their january ruling about granting coverage for cgm.

If your health care provider recommends a different way to monitor your blood sugar other than the finger stick glucose monitor you might want to check with medicare to see. Medicare does not generally cover continuous glucose monitoring which according to the nih involves a sensor inserted under your skin for several days to a week. Medicare coverage for therapeutic cgm includes certain beneficiaries who have either type 1 or type 2 diabetes and intensively manage their insulin. In a surprise move late last week the centers for medicare and medicaid services cms issued a policy decision allowing for certain continuous glucose monitors cgm to be covered under medicare.

The centers for medicare and medicaid services cms will cover therapeutic continuous glucose monitoring cgm and have set the criteria that must be met.