FreeStyle Libre vs Dexcom for Seniors: Which CGM Works Best with Medicare?

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This article provides general information about Medicare coverage for CGM systems. Always verify coverage details with Medicare and consult your healthcare provider for personalized medical advice.

If you’re comparing the FreeStyle Libre vs Dexcom for Medicare coverage in 2025, you’re not alone. Many seniors find choosing between these two leading continuous glucose monitoring (CGM) systems overwhelming. Let’s break down exactly how these devices work with Medicare and help you make the best choice for your needs.

Quick Comparison: FreeStyle Libre vs Dexcom Medicare Coverage

• Both FreeStyle Libre and Dexcom are covered under Medicare Part B
• Medicare pays 80% of approved costs after meeting deductible
• Both require documentation of diabetes and proper training
• Key difference: Dexcom sends automatic alerts, Libre requires manual scanning

Medicare Coverage Requirements for Both Systems

Before we compare devices, let’s confirm you qualify for Medicare CGM coverage:

    • Diagnosed with Type 1 or Type 2 diabetes
    • Recent face-to-face or telehealth visit (within 6 months)
    • Training completed on using CGM (your prescription proves this)
    • Either using insulin OR having documented problematic low blood sugar
New for 2025: Medicare no longer requires testing blood sugar 3 times daily to qualify for CGM coverage.

FreeStyle Libre: Medicare Coverage and Features

The FreeStyle Libre system offers several benefits for seniors:

    • No finger pricks needed for calibration
    • 14-day sensor wear
    • Simple scanning motion to check readings
    • Lower monthly Medicare co-pay (typically $10-20)
    • Easier application process for many seniors
The Libre is often recommended for seniors who want simplicity and lower costs. Its manual scanning requirement means you must remember to check your glucose.

Dexcom: Medicare Coverage and Features

Dexcom provides additional features that may benefit certain seniors:

    • Automatic readings every 5 minutes
    • Real-time alerts for high/low glucose
    • Share readings with family members
    • Slightly higher monthly Medicare co-pay ($30-40)
    • More components to manage

Making Your Choice: Freestyle Libre vs Dexcom Medicare Options

Consider these factors when deciding:

Choose FreeStyle Libre if you:

    • Prefer simplicity and lower costs
    • Can reliably remember to scan sensor
    • Have good manual dexterity for scanning
    • Want minimal maintenance

Choose Dexcom if you:

    • Need automatic alerts for safety
    • Want family members to monitor remotely
    • Have hypoglycemia unawareness
    • Don’t mind managing more components

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Need Help with Medicare CGM Coverage?

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