Does Medicare cover Dexcom?

Yes. The Dexcom G6 and G7 Continuous Glucose Monitoring (CGM) Systems are covered by Medicare for patients who meet the Medicare coverage criteria. Medicare coverage for therapeutic CGM includes certain beneficiaries who have diabetes, are insulin-treated, and see their doctor for their diabetes every 6 months.

How much does Medicare pay for Dexcom supplies?

For eligible beneficiaries, Medicare covers Dexcom supplies at its normal rate under “medical benefit.” After your deductible has been met, your co-insurance payment on Dexcom will be 20% of billed charges. If you have a Medicare Advantage or supplemental insurance plan, your out-of-pocket portion may be less. Please reach out to our Diabetes Care team for specifics on your patient responsibility.

In order to qualify for Medicare coverage of your Dexcom supplies, Medicare requires that you have a receiver that is compatible with your Dexcom CGM and that you use that receiver with your supplies, even if you also use a compatible smart device. Medicare does not cover Dexcom supplies that are only used with a smartphone or other mobile device. If you are interested in upgrading from a Dexcom G6 to Dexcom G7 and are not eligible for a new receiver, EHCS has options — please email our Diabetes Care team for details at DCA@myehcs.com.

To view a list of compatible smart devices, visit dexcom.com/compatibility