Continuous glucose monitors
Medicare Coverage Information
Overview
Medicare provides coverage for continuous glucose monitors (CGMs) for eligible patients with diabetes who meet specific medical criteria. These devices help patients track their blood glucose levels continuously, providing important health monitoring for diabetes management.
- CGMs are covered under Medicare Part B as durable medical equipment
- Requires a prescription from a healthcare provider
- Must have diabetes and meet specific medical necessity requirements
- Covers FDA-approved CGM devices for qualifying patients
- Requires documentation of frequent blood sugar testing and insulin management
- Medicare Part B beneficiaries
- Patients with insulin-treated diabetes
- Those who perform frequent blood sugar monitoring
- Patients who can demonstrate medical need for continuous monitoring
- Typically covered at 80% after meeting Part B deductible
- Patients may be responsible for 20% coinsurance
- Must use Medicare-approved suppliers
- Annual replacement of CGM supplies may be covered
- Only covered for patients with insulin-treated diabetes
- Must demonstrate medical necessity
- Requires documentation of blood sugar management
- Limited to specific FDA-approved CGM devices
- May require prior authorization from Medicare
- Consult with your healthcare provider about CGM medical necessity
- Get a detailed prescription for a continuous glucose monitor
- Verify CGM device is Medicare-approved
- Contact Medicare or your Medicare Advantage plan for specific coverage details
- Check with your doctor about documentation requirements
Last updated: 6/15/2025
Quick Information
- Provider
- Medicare
- Last Updated
- 6/15/2025
- Topics
- Medicarecontinuous glucose monitorCGMdiabetesmedical equipment
Related Coverage Topics
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