Step-by-Step: How to Get CGM Through Medicare Without the Hassle

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This article provides general information about Medicare coverage for CGM devices. Always consult with your healthcare provider and verify coverage with Medicare directly. Last updated: January 2025.

Learning how to get CGM through Medicare doesn’t have to be complicated. As a Medicare beneficiary with diabetes, you have the right to continuous glucose monitoring coverage when you meet the requirements. This step-by-step guide will walk you through the process clearly and simply.

Understanding CGM Medicare Coverage in 2025

A Continuous Glucose Monitor (CGM) is a small device that tracks your blood sugar levels day and night. It can help you avoid dangerous high or low blood sugar episodes and better manage your diabetes.

Important 2025 Update: Medicare has simplified CGM coverage requirements. You no longer need to test your blood sugar 3 times daily to qualify. This makes CGM more accessible for many seniors with diabetes.

Do You Qualify for CGM Through Medicare?

To get CGM through Medicare, you need to meet these basic requirements:

  • Have Type 1 or Type 2 diabetes
  • Be enrolled in Medicare Part B
  • Have a prescription from your doctor
  • Have visited your doctor in the last 6 months
  • Be using insulin OR have documented problematic low blood sugar
Pro Tip: Keep a record of any low blood sugar episodes (below 54 mg/dL). This documentation can help support your CGM coverage request.

Step-by-Step: How to Get CGM Through Medicare

Step 1: Schedule a Doctor’s Visit

Make an appointment with your doctor to discuss CGM. This visit is required for Medicare coverage and can be in-person or via telehealth.

Step 2: Get Documentation Ready

Your doctor will need to document:

  • Your diabetes diagnosis
  • Current diabetes treatment plan
  • History of blood sugar levels
  • Any episodes of severe low blood sugar

Step 3: Choose Your CGM Device

Medicare covers several CGM systems. Your options include:

  • Dexcom G7
  • Freestyle Libre 2 and 3
  • Guardian Connect
Your doctor will help choose the best device for your needs, considering factors like smartphone compatibility and ease of use.

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Need Help with Medicare CGM Coverage?

Our specialists can help you navigate Medicare requirements and get the supplies you need.

Call Now: 888-649-5705

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