I use a continuous glucose monitor for my diabetes that connects to my smartphone. Will Medicare cover this technology for someone with my condition?

Question

Steven Bleicher · Accepted Answer

Yes. “DME” stands for Durable Medical Equipment. A glucose monitor is paid for by most Medicare Supplements (aka, a Medigap plan). Go to medicare.gov and put DME in the horizontal search box. You will find that a Medigap covers over 60,000 treatments while an Advantage has a high deductible which, depending on the company, will potentially provide partial coverage for the monitor.

Answered by Steven Bleicher on April 10, 2025

Broker Licensed in AZ

Answered by Steven Bleicher Medicare Insurance Agent

Steve Houchens · Answer

Yes Medicare covers these but only if they are prescribed by a doctor. There may be some cost sharing for the client but there are also companies available to help with or eliminate the out of pocket cost in many cases.

Answered by Steve Houchens on April 10, 2025

Agent Licensed in KY & TN

Answered by Steve Houchens Medicare Insurance Agent

Walt Smith · Answer

If you were talking about that kind of monitor that you put on your arm and leave it there, Medicare will pay for it and the replacement pods.

Valentina Gatewood · Answer

Yes, Medicare plans do cover continuous glucose monitors. You will need to get a prescription from your doctor to submit to the new plan of choice.

Gary Henderson · Answer

Yes, Medicare Part B covers high-tech glucose monitoring devices like continuous glucose monitors (CGMs) as durable medical equipment (DME). This includes both non-adjunctive and adjunctive CGMs. Medicare will cover CGMs for individuals with diabetes who are treated with insulin or have hypoglycemia, and who meet specific criteria.

Answered by Gary Henderson on April 11, 2025

Agent Licensed in TX, AK, AL & 46 other states

Answered by Gary Henderson Medicare Insurance Agent

Kelly Linster · Answer

Both Advantage and Supplements will cover CGM’s. They differ on how the equipment is covered. Seek out good council to how you want to attack this with your Medicare insurance.

Albert Smith · Answer

Yes, Medicare can cover continuous glucose monitors (CGMs) for people with type 2 diabetes who meet specific criteria. Coverage is available under Medicare Part B as durable medical equipment. To qualify, you must have a diagnosis of diabetes and either be taking insulin or have a history of problematic hypoglycemia (low blood sugar). Your doctor must also prescribe the monitor and confirm that you've received adequate training on its use.

Answered by Albert Smith on April 21, 2025

Broker Licensed in IL, FL, GA & 6 other states

Answered by Albert Smith Medicare Insurance Agent

Sunil Bhawnani · Answer

Yes, currently Medicare does cover glucose monitors, including those who use smartphones to monitor their glucose levels.

Michael Hixson · Answer

Unfortunately, the answer to this question is not always as cut and dry of an answer as you'd like. Yes, Medicare states what they do and do not cover, but there are other correlating factors that go into a service or procedure being covered. Factors like the procedure's medical necessity, the doctor's participation, and how the bill is coded are some variables that affect the answer to this question.

If you have more questions or need further assistance with your Medicare coverage options, feel free to let me know!

I use a continuous glucose monitor for my diabetes that connects to my smartphone. Will Medicare cover this technology for someone with my condition?

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I use a continuous glucose monitor for my diabetes that connects to my smartphone. Will Medicare cover this technology for someone with my condition?

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Agent Locator

Medicare Agents HubA non-government resource website

Medicare Agents Hub
A non-government resource website