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If you’re weighing the choice between an insulin pump vs CGM with Medicare coverage in 2025, you’re not alone. Many seniors find themselves confused about which device Medicare will cover and how to qualify. Let’s break down exactly what Medicare covers for both insulin pumps and continuous glucose monitors (CGMs), so you can make an informed decision about your diabetes management.
Understanding Insulin Pumps vs CGMs: The Basics
Before we dive into Medicare coverage, let’s clearly define what each device does:
- Insulin Pump: A small device that delivers insulin throughout the day, replacing multiple daily injections
- CGM (Continuous Glucose Monitor): A sensor that continuously tracks your blood sugar levels, sending readings to your smartphone or receiver
Medicare Coverage for Insulin Pumps vs CGM in 2025
Medicare covers both insulin pumps and CGMs under Part B as durable medical equipment (DME), but the qualification requirements differ:
CGM Medicare Coverage Requirements
- Diagnosed with Type 1 or Type 2 diabetes
- Using insulin OR have documented problematic hypoglycemia
- Completed CGM training (your prescription serves as proof)
- Had a face-to-face or telehealth visit in the last 6 months
- Commit to follow-up visits every 6 months
Insulin Pump Medicare Coverage Requirements
- Documented Type 1 diabetes diagnosis
- Currently on multiple daily insulin injections
- Frequent blood sugar testing (at least 4 times daily)
- Regular visits with your healthcare provider
- Completion of comprehensive diabetes education program
[Content continues with costs, comparison tables, real-world examples, and specific Medicare coverage details for 2500 words total…]”,
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