“content”: “
Great news for Medicare beneficiaries with diabetes! Starting in 2025, FreeStyle Libre Medicare coverage has become more accessible than ever. The previous requirement of testing insulin three times daily has been eliminated, opening doors for more seniors to access this life-changing continuous glucose monitoring technology.
Important 2025 Medicare Update: Medicare coverage criteria for the FreeStyle Libre now focuses on medical necessity rather than insulin frequency, making CGM technology available to more beneficiaries who need it.
What’s Changed with FreeStyle Libre Medicare Coverage in 2025?
The most significant change to FreeStyle Libre Medicare coverage 2025 is the elimination of the \”three times daily insulin\” requirement. This means more seniors with diabetes can qualify for coverage, regardless of their insulin regimen.
New Medicare Coverage Requirements for FreeStyle Libre
- Diagnosed with Type 1 or Type 2 diabetes
- Either using insulin OR having documented problematic hypoglycemia
- Completed CGM training (your prescription serves as proof)
- Had a face-to-face or telehealth visit in the past 6 months
- Willing to attend follow-up visits every 6 months
Pro Tip: Keep records of any low blood sugar episodes (below 54 mg/dL). Two or more of these events can help qualify you for coverage, even if you’re not on insulin.
How to Get Your FreeStyle Libre Covered by Medicare
Follow these simple steps to secure your Medicare coverage:
- Schedule an appointment with your doctor to discuss CGM
- Document any hypoglycemic events
- Get a prescription for FreeStyle Libre
- Choose a Medicare-approved supplier
- Complete the required training
Need help checking your coverage? Call us at 888-649-5705, and our Medicare specialists will guide you through the process.
Understanding Your Costs
With Medicare coverage, you can expect:
- Medicare pays 80% of approved costs
- You pay 20% after meeting your Part B deductible
- Monthly supplies (sensors) are covered under code A4239
- Initial CGM system covered under code E2103
Money-Saving Tip: A Medicare Supplement (Medigap) plan can help cover your 20% share of costs.
Common Questions About FreeStyle Libre Medicare Coverage
Do I Need to Test with Fingersticks?
The FreeStyle Libre eliminates routine fingersticks* for most people. However, you should check with fingersticks when:
- Your symptoms don’t match readings
- During times of rapidly changing glucose levels
- If you suspect a reading may be inaccurate
How Often Can I Get New Sensors?
Medicare covers up to three sensors per month, ensuring continuous monitoring coverage.
Medical Disclaimer: This information is for educational purposes only and isn’t medical advice. Always consult your healthcare provider about your specific medical needs.
Ready to check your FreeStyle Libre Medicare coverage? Call us at 888-649-5705 or use our online coverage checker tool to verify your eligibility today.
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