Medicare

My patient is insured by Medicare. Are they required to get a Dexcom G7 receiver? Will Medicare pay for a new receiver if they already have a Dexcom G6 receiver?

In order to qualify for Medicare coverage for Dexcom G7 supplies, Medicare requires that they have a receiver that is compatible with Dexcom G7 and that they use that receiver with their supplies, even if they also use a compatible smart device, regardless of whether they use an insulin pump. If Medicare does not pay for a new receiver, Dexcom has launched a new upgrade program that includes a Dexcom G7 receiver at no charge for eligible customers.

How does my patient know which Dexcom receiver they have? 

The two receivers have different hardware.* Please refer to the user guides for information about the hardware.  

dexcom g7 cgm receiver

Current Dexcom G6 Touchscreen Receiver

New Dexcom G6/G7 Receiver

 * Please note that images are not to scale.

The Current Dexcom G6 Touchscreen Receiver can not be upgraded to G7.

The New Dexcom G6 Touchscreen Receiver can be upgraded from G6 to G7.

Please reference Current Dexcom G6 Touchscreen Receiver user-guide here.

Please reference New Dexcom G6 Receiver user guide here.

Please reference New Dexcom G7 Receiver user guide here.

Does my patient need to use his receiver?

Medicare requires the use of the receiver for all patients.  For all other payers, patients have the choice of what device to view their numbers. Users can also view their numbers on both their phone* and receiver if they choose. 

Can my patient use his/her new Dexcom G6 receiver with Dexcom G7? 

Yes, the new Dexcom G6 receiver can be upgraded from the G6 to the G7 CGM system once your patient has a G7 prescription and has received the product. To upgrade, please instruct your patient to first use a secure internet connection to upload his/her G6 data to clarity.dexcom.com by logging in with his/her Dexcom account information and clicking Upload. Then, Clarity will ask if he/she wants to upgrade the receiver from G6 to G7. Just click the boxes to confirm that all the requirements are met. Please note that by upgrading the receiver from G6 to G7 your patient will no longer be able to use Dexcom G6 sensors or transmitters with the new Dexcom G6 receiver and your patient will not be able to revert the receiver back to G6. Your patient may opt to update from G6 to G7 any time he/she chooses, just return to Clarity and upload to be asked again.

How do new Medicare customers get a Dexcom CGM System?

Dexcom G6 and Dexcom G7 are available to Medicare patients through a medical distributor (see distributor list below).

Your patients may call a distributor from the list below to start the ordering process.

If your patient uses a connected insulin pump or pen,^|| we recommend they continue using Dexcom G6 until our insulin delivery partners integrate with Dexcom G7.

Distributor	Phone	Fax
Advanced Diabetes Supply	877-838-3026	760-444-8771
Byram Healthcare	800-775-4372	888-457-1277
CCS Medical	800-949-6481	866-823-4482
Diabetes Management & Supplies	888-738-7929	504-734-7165
Edgepark	866-400-5183	866-510-6583
Edwards Healthcare	888-344-3434	502-657-0237
Solara Medical Supplies	800-423-0896 option 2	800-999-7021
US Medical	877-659-9875	888-659-9112

Does Medicare cover Dexcom G6 and Dexcom G7?

Medicare beneficiaries with diabetes mellitus who are using any kind of insulin will be eligible for CGMs. Frequent adjustment of insulin on the basis of CGM results is no longer required. The beneficiary must simply be insulin-treated.

For a full description of coverage criteria, Click HERE

My patient is a current G6 user. How do my patients upgrade to Dexcom G7?

If your patients are current G6 users, please contact your distributor for pricing and upgrading options to Dexcom G7. If your patients currently use Dexcom G6 with a connected insulin pump, we recommend continuing it until Dexcom G7 adds compatibility with your pump or pen. We're working with our insulin delivery partners to integrate with Dexcom G7 as soon as possible. Medicare covers one CGM receiver every five years.

What if insurance doesn’t cover the Dexcom G7 Receiver for my patient?

Dexcom has a discounted receiver program through GoodRx for getting a G7 receiver at an affordable price. Visit the Dexcom Savings Center for more information. Terms and conditions apply.

How do new Medicare customers get a Dexcom CGM?

Dexcom G6 and Dexcom G7 are available to Medicare patients through a medical distributor (see distributor list below).

Your patients may call a distributor from the list below to start the ordering process.

If your patient uses a connected insulin pump or pen, we recommend they continue using Dexcom G6 until our insulin delivery partners integrate with Dexcom G7.

Distributor	Phone Number
Advanced Diabetes Supplies	877-838-3026
Byram Healthcare	800-775-4372
CCS Medical	800-949-6481
Diabetes Management & Supplies	888-738-7929
Edgepark	866-400-5183
Edwards Healthcare	888-344-3434
Solara Medical Supplies	800-423-0896 option 2
US Medical	877-659-9875

Will Dexcom provide diabetes testing supplies?

No. Blood glucose monitoring (BGM) supplies are not included in the CGM product shipments because Dexcom G6 and Dexcom G7 do not require fingerstick calibrations.* Any BGM testing supplies need to be purchased.

*If your patient’s glucose alerts and readings from the Dexcom G6 or Dexcom G7 do not match symptoms or expectations, please use a blood glucose meter to make diabetes treatment decisions.

How does my patient view glucose data?

You can view your patient’s glucose data through the Dexcom G6 or Dexcom G7 Apps, your Dexcom G6 or Dexcom G7 receiver, and the Clarity Mobile or Desktop applications.

Medicare does not cover Dexcom G6 or Dexcom G7 CGM supplies that are used only with a smartphone or other mobile device. Failure to use your receiver will result in loss of Medicare coverage for your Dexcom G6 or Dexcom G7 CGM supplies.

What is the CMS policy?

Coverage of CGM system supplies and accessories are available for those therapeutic CGM systems where the beneficiary uses a receiver classified as DME to display glucose data. There is no Medicare benefit for supplies used with equipment that is not classified as DME. However, Medicare coverage is available for the CGM system supplies and accessories if a non-DME device (smartphone, smart watch, tablet, etc.) is used in conjunction with the durable CGM receiver. Coverage of CGM system supplies and accessories are available for those therapeutic CGM systems where the beneficiary uses a receiver classified as DME to display glucose data. If a beneficiary intends to never use a receiver classified as DME as the display device, the supplies and accessories are not covered by Medicare.

Here are some examples of how a Medicare patient may use a smart device with their receiver:

A patient uses both a receiver and a smartphone throughout the day
A patient uses a receiver some days and their smartphone other days

Patients should reach out to 1-800-MEDICARE with any questions about the Medicare coverage requirements for Dexcom CGM.

Where can my patients receive additional help and information?

Visit  www.dexcom.com/medicare  to view online training videos. These videos can walk your patients through the steps to get started, including receiver and app set-up, and downloading Dexcom CLARITY

Still need help? Call Dexcom Product Education & Training to speak with a Diabetes Coach at 877-339-2664.

For technical troubleshooting, our specialists are available 24/7 at 844-607-8398.

Contact Us

If you are a healthcare provider and want to learn more about Dexcom, please fill out the form and a representative will contact you. If you are a Dexcom User or Patient, please contact Dexcom here.

Request a Visit from a Dexcom Representative

Request a G7 Sample

Request Stelo Education Materials

Please note: To ensure a successful transaction, please provide information that matches the Provider’s medical license information. A valid business address is required for a request to be fulfilled.

Do not include prefix (Mr., Mrs., Dr.)

As listed on Provider’s medical license (no MD, Jr., Sr.)

Please use the Provider's NPI

Please provide the facility address

Is your patient on a connected pump device?

Yes

By submitting the above form, I certify that I am a licensed practitioner, authorized to receive and dispense samples of the Dexcom G6 Continuous Glucose Monitoring System and/or Dexcom‘s next generation product, Dexcom G7 (the "Samples"). I represent that I am requesting the Samples for evaluation purposes and that I will not (i) sell, resell, barter, return for credit or seek reimbursement for the use of the Samples, or (ii) for professional services for dispensing or evaluating the Samples, I also agree to inform my patients that they should not submit claims for reimbursement to any third party for any Samples.

The Samples are FDA cleared for use with a compatible smart device or separate piece of durable medical equipment called a receiver. Neither devices nor receivers are included in the Samples. Accordingly, and in light of the applicable G6 or G7 Dexcom Instructions for Use, you should dispense Samples only to a patient who (or whose authorized caregiver), in the exercise of your clinical judgment, (i) has reliable access to a compatible smart device and/or automated insulin delivery system, and (ii) is capable of safely using the Samples with their smart device, without the need for a separate dedicated receiver.

Please note that Medicare will reimburse for sensors only if the beneficiary also uses a receiver covered by Medicare. Accordingly, it is appropriate to give Samples to Medicare patients only if they have (in the case of the G6 Samples) or would be eligible to obtain (in the case of the G7 Samples), a Medicare-covered receiver.

You agree that you will not provide the Samples to any patients that are beneficiaries under the Maine or Colorado state Medicaid programs. I understand that Dexcom will be tracking, and if necessary, reporting and may be subject to disclosure requirements with respect to the provision of these Samples. I agree not to reuse any Samples. I acknowledge that Dexcom provides no warranties for the Samples other than the warranties outlined in the applicable Dexcom Instructions for Use. I will comply with all applicable federal, state and local laws in receiving and dispensing these Samples, and I agree to store and use these Samples in a manner consistent with the applicable Dexcom Instructions for Use. Dexcom is a registered trademark of Dexcom, Inc. in the United States and/or other countries. ©2023 Dexcom, Inc. All rights reserved.

LBL-1004145 Rev001

By submitting the above form, I certify that I am a licensed practitioner, authorized to receive and dispense these Dexcom G6 Continuous Glucose Monitoring Systems and/or Dexcom‘s next generation product, Dexcom G7 (the "Dexcom Education Devices") which are provided in the quantities listed above.

The Dexcom Education Devices are FDA cleared for use with a compatible smart device or separate piece of durable medical equipment called a receiver. Neither smart devices nor receivers are included with the Dexcom Education Devices. I understand that these Dexcom Education Devices are being requested for me and other healthcare professionals ("HCPs") for evaluation purposes to learn more about the Dexcom Education Devices and experience the benefits of the Dexcom Education Devices through a product demonstration, and that each HCP will need a compatible smart device for the product demonstration.

I acknowledge that Dexcom provides no warranties for the Dexcom Education Devices other than the warranties outlined in the applicable Dexcom Instructions for Use. I will comply with all applicable federal, state and local laws in receiving and dispensing these Dexcom Education Devices in a manner consistent with the applicable Dexcom Instructions for Use, and agree not to reuse any Dexcom Education Devices. I agree to receive, store, distribute, and/or use these Dexcom Education Devices in a manner consistent with the applicable Dexcom Instructions for Use and device labeling. I understand that Dexcom will be tracking, and if necessary, reporting and may be subject to disclosure requirements with respect to the provision of these Dexcom Education Devices. I understand and agree to properly dispose of the Dexcom Education Devices immediately following the completion of the product demonstration. The Dexcom Education Devices are being provided at no cost, without any expectation of remuneration, HCPs have no obligations under the federal supply schedule contract for participating in the product demonstration, and Dexcom waives any rights under this contract or applicable law to pursue a claim for the costs associated with the Dexcom Education Devices.

Dexcom is a registered trademark of Dexcom, Inc. in the United States and/or other countries. ©2023 Dexcom, Inc. All rights reserved.

By choosing to request info, you are granting Dexcom, Inc. permission to process your personal information to send you additional information and promotional communications related to Dexcom products. You may opt-out of these communications at any time. Dexcom respects the privacy and confidentiality of your personal information. The information you provide will be sent securely and subject to the Dexcom Terms of Use and Privacy Policy.