I use a continuous glucose monitor for my diabetes that connects to my smartphone. Will Medicare cover this technology for someone with my condition?
Answered by 45 licensed agents
Answered by Steven Bleicher on April 10, 2025
Broker Licensed in AZ
Answered by Gary Church on July 22, 2025
Broker Licensed in Ca, AZ, NV & TX
Hey there, so I got another question today, and it is pretty pertinent because it is actually something that I use and I want to share the answer with you because I think a lot of people are going through this. So the question is, I use a continuous glucose monitor, a CGM, for my diabetes that connects to my smartphone. Will Medicare cover this technology for someone with my condition?
Well, like most things, Medicare maybe is the answer. So Medicare will cover a CGM for two reasons. One, you're on insulin and the doctor prescribes it, but you have to be on insulin. So if you're pre-diabetic or your numbers are real low, just a little over six, and you're not on insulin yet, then Medicare is not going to pay for it. You can still get them because now they have them over the counter. And that's how I used to get them when I'm not on Medicare. But I use one, and they're pretty affordable. But they do have a cost. If you're not on insulin, then you can't get it for having high blood glucose.
The only other reason Medicare will pay for it is if you have chronic hypoglycemia, like seniors, which is chronically low blood sugar. And then it's prescribed, and your doctor can do that for you. But over-the-counter ones that you see now, because you're just trying to get ahead of it and stay off insulin, which is the best idea in the world, Medicare doesn't cover those yet. You have to actually be on insulin and have it prescribed or be hypoglycemic and have it prescribed by your doctor.
So for other questions, I keep checking back. I answer them as soon as I get them. Thanks!
Answered by Mark Bilgere on February 2, 2026
Broker Licensed in TX, AR, IN & LA, MN, NE & OK
Answered by Terri Reagin on August 13, 2025
Broker Licensed in OK, AR, CO & 6 other states
Answered by Mark Maliwauki on December 19, 2025
Broker Licensed in ID, AZ, CA & 13 other states
equipment).
Answered by Bill Wheeler on May 23, 2025
Broker Licensed in KY & IN
Each plan type covers them differently.
Answered by Nikki Rowland on August 5, 2025
Broker Licensed in SC & NC
Answered by Richard Moreno on June 1, 2025
Broker Licensed in TX, CA, FL, LA, NM & OH
If you take insulin or have a history of problems with Hypoglycemia low blood sugar. Also if your healthcare provider has decided that you or your caregiver have enough training to use a continuous glucose monitor as prescribed.
Answered by Donnie Vermillion on April 6, 2026
Broker Licensed in TX
Answered by Brian Cronin on March 28, 2026
Broker Licensed in NH & ME
Answered by Dustin Haffner on January 12, 2026
Broker Licensed in OK, AR, KS & MO
Answered by Greg Milliser on September 2, 2025
Broker Licensed in MO, AR, IN, KS, OH & OK
Answered by Brendan Scarffe on January 21, 2026
Broker Licensed in MO, AL, AR & 10 other states
Answered by Marc Carr on March 27, 2026
Broker Licensed in OH, IL & MS
Example- You just started medicare and have been using ABC glucose monitors up to this point, but the insurance company you're with only covers XYZ glucose monitors in full. You may still be able to purchase and get some form of help for using ABC company but if you switch to XYZ company your insurance company will cover in full. This happens more frequently than you may think so it's always important to review what your CURRENT company covers.
Answered by Joshua Wood on February 16, 2026
Broker Licensed in KS, AZ, CO & 5 other states
Answered by Steve Houchens on April 10, 2025
Agent Licensed in KY & TN
Answered by Timothy Brown on May 25, 2025
Broker Licensed in PA, CT, DE & 15 other states
Answered by Walt Smith on April 14, 2025
Agent Licensed in NJ, NY, PA & VA
Answered by Juliette Chihade on December 17, 2025
Agent Licensed in IL
Answered by Frank Woerner on June 23, 2025
Broker Licensed in IN & IL
Answered by Kelly Linster on April 16, 2025
Agent Licensed in ND, AZ, CO, IA & SD
Answered by Valentina Gatewood on April 21, 2025
Broker Licensed in CA, AZ, ID & NJ
Answered by Areasha Lockhart on May 20, 2025
Broker Licensed in CO, IA & ME
Here's what you need to know about Medicare coverage for CGMs:
Eligibility:
To be covered, you typically need to have a prescription for a CGM from your doctor and meet specific criteria, such as being treated with insulin or having a history of problematic hypoglycemia.
Medicare Part B:
Coverage is typically under Medicare Part B, which covers durable medical equipment (DME) like CGMs.
Cost-sharing:
Medicare will usually pay for 80% of the cost of the CGM, and the patient will be responsible for the remaining 20%, as well as any applicable copays.
Smartphone integration:
While Medicare may cover CGMs that connect to smartphones for data display, the device itself must be FDA-approved and prescribed by your doctor. The smartphone is not covered as a separate DME.
Specifics vary:
Coverage can vary slightly between original Medicare and Medicare Advantage plans.
Approved brands:
Medicare typically covers CGMs approved by the FDA and purchased from Medicare-approved suppliers. Examples include the Dexcom G6, Dexcom G7, FreeStyle Libre 2, and FreeStyle Libre 3.
Importance of documentation:
It's crucial to keep detailed records of your blood glucose readings and any hypoglycemic episodes, as this can help support your doctor's prescription for a CGM.
Answered by Fred Manas on May 14, 2025
Agent Licensed in NY, CT, DC & 7 other states
Answered by Vachik Chakhbazian on August 16, 2025
Agent Licensed in CA, AL, AR & 22 other states
Answered by Gary Henderson on April 11, 2025
Agent Licensed in TX, AK, AL & 46 other states
Answered by Mary Brown on May 19, 2026
Broker Licensed in NJ, DE, FL & NC, OH, PA & TX
Answered by Dean Chiapetto on April 28, 2026
Broker Licensed in VA, MD, NC, TN & WV
Answered by Mike Henry on June 27, 2025
Agent Licensed in TX
Including popular brands like Dexcom and Freestyle libre.
If you are in Medicare Advantage, you will qualify for a Chronic Plan, which has many more benefits.
Your doctor must prescribe your CGM.
It would be best to talk to one of us, we can make sure your doctors are in the network and that your medications are covered. It depends on which Medicare Advantage are in your area.
You are welcome to contact me.
Rudy Rojas
Answered by Rodolfo Rojas on June 19, 2025
Broker Licensed in NV, AL, AR & 36 other states
Answered by Linda Davies on May 29, 2025
Agent Licensed in IL
Answered by David Christian on May 14, 2025
Broker Licensed in CA & TX
Answered by Natalee Nimmo on March 16, 2026
Broker Licensed in SC, FL, GA & KY, MO, NC & TX
Answered by Patrick Stinson on May 16, 2025
Agent Licensed in TX, AR, AZ & 9 other states
Answered by Jerry Cohen on May 21, 2025
Broker Licensed in NY
Answered by Albert Smith on April 21, 2025
Broker Licensed in IL, FL, GA & 6 other states
Just keep in mind that Medicare won’t pay for your smartphone — even if the CGM connects to an app. The device itself needs to meet Medicare’s requirements, and your doctor has to prescribe it and make sure you know how to use it. If you have a Medicare Advantage plan instead, coverage is usually similar, but it’s a good idea to double-check with your plan to be sure.
Answered by Jajuan Knox on February 20, 2026
Broker Licensed in FL, AK, AL & 49 other states
Answered by Daniel Matar on August 27, 2025
Broker Licensed in GA, FL, NC & OH
If you need more specific guidance or have other questions regarding Medicare coverage, please feel free to reach out!
Answered by Michael Hixson on April 25, 2025
Broker Licensed in OK, AR & TX
Answered by Dionisio Guillermo on June 5, 2025
Agent Licensed in HI
Answered by Kelli Callihan Ostrander on July 10, 2025
Agent Licensed in VA, FL, NC & WV
Answered by Mike Sosso on May 20, 2025
Broker Licensed in TX, AZ, NC & SD
Answered by Hollie Hittner on June 2, 2025
Agent Licensed in NE, AZ, IA, MO, SD & TX
Answered by Sunil Bhawnani on April 9, 2025
Agent Licensed in IL
Answered by Gidjetta Jefferson on August 20, 2025
Agent Licensed in TX
Tags: Coverage
Agents: Share Your Expertise
Have insights or experiences related to this topic? Help others by sharing your knowledge and answering this question.
Seniors: Ask a Question of Your Own
Questions are generally answered within 1 to 3 business days. Receive valuable perspectives from multiple licensed agents and brokers.
Ask a Question











































