I need some help with Dexcom Clarity in my clinic. Who can help?

For all frequently asked questions about Dexcom Clarity, visit our FAQ page online at provider.dexcom.com/faqs-categories/dexcom-clarity.  

If you require additional support, you can reach out to your Territory Business Manager, who will introduce you to a Dexcom Clinical Account Manager. Healthcare providers can go to provider.dexcom.com/veterans to request Dexcom Territory Business Manager to support their clinic.

How can I request a Dexcom G6 demo kit for my clinic?

A healthcare provider can request a Dexcom G6 demo kit from their Territory Business Manager. If they do not yet have a sales contact, healthcare providers can go to provider.dexcom.com/veterans to request Dexcom sales support in their clinic. 

Where can patients go to get more information?

Patients can go to dexcom.com/veterans to learn more about Dexcom G6 availability at the Veterans Affairs. 

Where can Healthcare providers get more basic Dexcom G6 information for veterans?

Healthcare providers can go to provider.dexcom.com/veterans to learn more about Dexcom G6 for veterans. 

If a patient cannot pick up their Dexcom G6 at the Veterans Affairs pharmacy, can it be delivered to them?

Yes. If a patient has VA pharmacy coverage, a healthcare provider can specify that this order should be filled via mail order when e-prescribing.  

Can a healthcare provider for the Veterans Affairs prescribe via telehealth?

Yes, a healthcare provider can prescribe Dexcom G6 for a Veterans Affairs patient if the patient meets the qualifying criteria.*

 

*For a complete description of Veterans Affairs coverage criteria and additional information, please see the Department of Veterans Affairs Criteria for Use Memorandum, January 31, 2019. A patient must be seen at a VA healthcare facility or a VA Community Care Network clinic to be eligible to receive coverage.

Disclaimer: CGM coverage and reimbursement information is being provided on an “as is” basis at the time of publication, with no express or implied warranty of any kind, and should be used solely for informational purposes. All coding, coverage policies, and reimbursement information are subject to change without notice. Coverage for CGM depends on a variety of factors, and coverage conditions will apply. Not all patients will be covered for Dexcom G6 or any other CGM device. Dexcom, Inc. does not represent or guarantee coverage under any applicable payor, program, or plan. The information provided herein does not constitute professional or legal advice on coverage or reimbursement and should be used at your sole liability and discretion. Dexcom, Inc. does not represent or warrant that any of the information being provided is true or correct and you agree to hold Dexcom, Inc. harmless in the event of any loss, damage, liability, expense, or claim arising from your use or reliance on this coverage or reimbursement information for billing purposes. Before submitting any claims for reimbursement to any payor, it is the provider’s sole responsibility to verify compliance with the payor’s current coverage conditions.

Last updated November 20,2020.

Is the Dexcom G6 Pro Continuous Glucose Monitoring (CGM) System available at the Veterans Affairs pharmacy?

No, Dexcom G6 Pro can only be purchased by healthcare providers. For more information on how to order the Dexcom G6 Pro for your clinic, please visit provider.dexcom.com/products/dexcom-g6-pro.

Where can Veterans Affairs patients fill their Dexcom G6 prescriptions?

Patients may be able to  fill their Dexcom G6 supplies at the Veterans Affairs pharmacies. 

What is the coverage criteria that can be used to see if a VA patient may be eligible for coverage?

To be eligible for Dexcom G6 coverage under Veterans Affairs, a healthcare provider must document that the patient meets the following qualifying criteria:* 

  • Has diabetes  
  • Performs frequent blood glucose monitoring (BGM) testing (≥4x/day)  
  • Takes ≥3 daily injections of insulin or uses an insulin pump or  
  • Has the skillset and knowledge to use CGM successfully  
  • Has agreed to be followed-up in the clinic a minimum of every six months  
  • And is one or more of the following:  
    • At risk for hypoglycemia  
    • Unable to meet glycemic control despite adherence to the treatment regimen  
    • Performing job-related activities where a hypoglycemic event could put them at risk of harm  
    • Unable to perform self-monitoring of blood glucose due to disability or disease  

 

*For a complete description of Veterans Affairs coverage criteria and additional information, please see the Department of Veterans Affairs Criteria for Use Memorandum, January 31, 2019. A patient must be seen at a VA healthcare facility or a VA Community Care Network clinic to be eligible to receive coverage.

Disclaimer: CGM coverage and reimbursement information is being provided on an “as is” basis at the time of publication, with no express or implied warranty of any kind, and should be used solely for informational purposes. All coding, coverage policies, and reimbursement information are subject to change without notice. Coverage for CGM depends on a variety of factors, and coverage conditions will apply. Not all patients will be covered for Dexcom G6 or any other CGM device. Dexcom, Inc. does not represent or guarantee coverage under any applicable payor, program, or plan. The information provided herein does not constitute professional or legal advice on coverage or reimbursement and should be used at your sole liability and discretion. Dexcom, Inc. does not represent or warrant that any of the information being provided is true or correct and you agree to hold Dexcom, Inc. harmless in the event of any loss, damage, liability, expense, or claim arising from your use or reliance on this coverage or reimbursement information for billing purposes. Before submitting any claims for reimbursement to any payor, it is the provider’s sole responsibility to verify compliance with the payor’s current coverage conditions.

Last updated November 20,2020.

Is Dexcom G6 covered by Veterans Affairs benefits?

Yes, patients with type 1 or type 2 diabetes who meet the qualifying criteria* may be eligible for coverage of the Dexcom G6 Continuous Glucose Monitoring (CGM) System. 

 

*For a complete description of Veterans Affairs coverage criteria and additional information, please see the Department of Veterans Affairs Criteria for Use Memorandum, January 31, 2019. A patient must be seen at a VA healthcare facility or a VA Community Care Network clinic to be eligible to receive coverage.

Disclaimer: CGM coverage and reimbursement information is being provided on an “as is” basis at the time of publication, with no express or implied warranty of any kind, and should be used solely for informational purposes. All coding, coverage policies, and reimbursement information are subject to change without notice. Coverage for CGM depends on a variety of factors, and coverage conditions will apply. Not all patients will be covered for Dexcom G6 or any other CGM device. Dexcom, Inc. does not represent or guarantee coverage under any applicable payor, program, or plan. The information provided herein does not constitute professional or legal advice on coverage or reimbursement and should be used at your sole liability and discretion. Dexcom, Inc. does not represent or warrant that any of the information being provided is true or correct and you agree to hold Dexcom, Inc. harmless in the event of any loss, damage, liability, expense, or claim arising from your use or reliance on this coverage or reimbursement information for billing purposes. Before submitting any claims for reimbursement to any payor, it is the provider’s sole responsibility to verify compliance with the payor’s current coverage conditions.

Last updated November 20,2020.

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