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Are CGMs covered by insurance for Type 2 diabetes?

Insurance coverage for continuous glucose monitors (CGMs) varies by plan. Most insurance plans, including Medicare and Medicaid, typically cover prescription CGMs only for people who take insulin. If your plan doesn't cover a prescription CGM, you might still be able to Show Full Answer

Are CGMs covered by insurance for Type 2 diabetes?

Insurance coverage for continuous glucose monitors (CGMs) varies by plan. Most insurance plans, including Medicare and Medicaid, typically cover prescription CGMs only for people who take insulin. If your plan doesn't cover a prescription CGM, you might still be able to purchase an over-the-counter version that became available in 2024.

It's worth checking with your specific insurance provider about coverage requirements. Some plans may require lab work, like a C-peptide or fasting glucose test, before approving coverage.

CGMs can be a great alternative to finger sticks since they:
* Provide continuous readings (almost 290 per day)
* Eliminate the need for multiple finger pricks
* Send alerts when blood sugar is too high or low
* Upload readings directly to your smartphone

Talk with your doctor about whether a CGM would be right for you and which options your insurance might cover. They can help you navigate the coverage process and find the most affordable solution.

 AI-generated responses are not a substitute for medical advice. These services are not intended to diagnose, treat, or cure any condition or disease. Always ask your doctor about specific health concerns.

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