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Medicare Coverage for CGM

Medicare now provides coverage for therapeutic CGM systems (those approved for use in making diabetes treatment decisions). The Dexcom G5® CGM System is the first therapeutic CGM system covered as a Medicare benefit.

Reference our Medicare Checklist for eligibility.

Download the Medicare Receiver Setup pamphlet for instructions.

In 2017, The Centers for Medicare and Medicaid Services (CMS) Medicare made a milestone Ruling, establishing benefit coverage for “therapeutic” CGM—a designation applying only to those CGM systems approved for use in making diabetes treatment...

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Beck RW, Riddlesworth T, Ruedy K, et al. Effect of continuous glucose monitoring on glycemic control in adults with type 1 diabetes using insulin injections: The diamond randomized clinical trial. JAMA. 2017;317(4):371-378. doi:10.1001/jama.2016.19975.

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Polonsky WH, Peters AL, Hessler D. The Impact of Real-Time Continuous Glucose Monitoring in Patients 65 Years and Older. J Diabetes Sci Technol. 2016;10(4):892-897.