Continuous Glucose Monitoring Devices Covered By Medicare

Cms announced the criteria decision march 23 following their january ruling about granting coverage for cgm.

Continuous glucose monitoring devices covered by medicare.

In the past it has not been covered. If your health care provider recommends a different way to monitor your blood sugar other than the finger stick glucose monitor you might want to check with medicare to see. There are several different types of blood glucose monitors that use reflectance meters to determine blood glucose levels. Home blood glucose monitors.

Medicare covers therapeutic continuous glucose monitors cgms and related supplies instead of blood sugar monitors for making diabetes treatment decisions like changes in diet and insulin dosage. If you use insulin and require frequent adjustments to your insulin regimen dosage a cgm may be covered if your doctor determines that you meet all of the requirements for medicare coverage. Medicare coverage for therapeutic cgm includes certain beneficiaries who have either type 1 or type 2 diabetes and intensively manage their insulin. Medicare coverage of these devices varies with respect to both the type of device and the medical condition of the patient for whom the device is prescribed.

In a surprise move late last week the centers for medicare and medicaid services cms issued a policy decision allowing for certain continuous glucose monitors cgm to be covered under medicare.