Medicare CGM Coverage by State: Complete 2026 Guide

Medicare CGM coverage is a federal benefit, which means the same eligibility requirements apply whether you live in California, Texas, Florida, or anywhere else in the United States. However, your experience getting CGM through Medicare can vary by state based on available suppliers, Medicare Advantage plan options, and local support resources.

About the Author: Susie Adriance brings over 10 years of experience in the durable medical equipment (DME) industry, currently serving as CFO and Chief Compliance Officer for One Health Direct LLC, managing operations across 17+ healthcare companies. Her expertise in Medicare DME coverage and healthcare compliance helps seniors navigate the complex world of CGM benefits.
Last Updated: February 2026

Universal Medicare CGM Requirements (All States)

No matter which state you live in, you must meet these requirements to qualify for Medicare CGM coverage:

• Have Type 1 or Type 2 diabetes
• Use insulin OR have documented problematic hypoglycemia
• See your doctor every 6 months
• Have a prescription from your healthcare provider
• Be enrolled in Medicare Part B

Select Your State

Click on your state for specific information about local resources, top Medicare Advantage plans, and DME suppliers in your area:

What Varies by State

Medicare Advantage Plan Availability

Different insurance companies operate in different states. Some areas have 50+ Medicare Advantage plans to choose from, while rural areas may have only a few options. This affects your CGM copays and extra benefits.

DME Supplier Networks

The availability of Medicare-approved DME suppliers varies by region. Urban areas typically have more choices, while rural areas may need to rely more on mail-order suppliers.

State Assistance Programs

Some states offer additional assistance programs for diabetes supplies beyond what Medicare covers. Contact your state’s SHIP program to learn about local resources.

Tips for Getting CGM Coverage in Any State

1. Start with your doctor – Get a prescription with proper medical necessity documentation
2. Compare Medicare Advantage plans – Use Medicare.gov Plan Finder for your ZIP code
3. Choose a reliable DME supplier – Look for Medicare-approved suppliers with good reviews
4. Keep documentation organized – Save copies of prescriptions, approvals, and correspondence
5. Know your rights – You can appeal any Medicare denial

Related Resources

• Complete Medicare CGM Coverage Guide
• Medicare Advantage vs Original Medicare for CGM
• Free Medicare CGM Eligibility Checker
• How to Appeal a Medicare CGM Denial