Can You Get the Dexcom G7 Through Medicare?

A Powerful Tool for Managing Diabetes

Managing diabetes effectively requires access to the right tools—and for many people, that includes a continuous glucose monitoring (CGM) system like the Dexcom G7. The good news? Medicare does cover the Dexcom G7 for qualifying individuals. In this article, we’ll walk through what’s included, who qualifies, and how to get started.

What Is the Dexcom G7?

The Dexcom G7 is an advanced CGM system that tracks glucose levels in real time. It delivers readings every few minutes and sends alerts when levels are rising or falling too quickly. The G7 can be used with compatible smartphones or a separate receiver, and is designed to help users avoid dangerous highs and lows while improving their overall diabetes management.

Medicare Coverage Criteria for the Dexcom G7

To qualify for Dexcom G7 coverage under Medicare, patients must meet the criteria set by the Centers for Medicare & Medicaid Services (CMS). As of 2023, those include:

• A diagnosis of Type 1 or Type 2 diabetes
• Use of insulin (multiple daily injections or insulin pump therapy)
• The need to frequently monitor blood glucose (typically four or more times per day)
• A visit with your healthcare provider within six months prior to ordering, where CGM use is discussed

Once approved, Medicare may cover both the Dexcom G7 and its ongoing supplies through a DME (durable medical equipment) provider.

What Does Medicare Cover?

Medicare typically covers the following Dexcom G7 components:

• Dexcom G7 sensors: Worn on the body to measure glucose continuously
• Built-in transmitter: Integrated directly into the sensor
• Receiver or smart device access: For viewing glucose readings and alerts
• Dexcom app access: For trend graphs, alarms, and remote sharing

Most supplies are shipped monthly through a Medicare-approved supplier.

How to Get Started with Coverage

1. Visit your doctor: They’ll confirm you meet Medicare’s requirements and document your need for CGM therapy.
2. Select a DME supplier: Choose a Medicare-approved supplier to process your request and handle the billing.
3. Submit documentation: Your doctor and supplier will coordinate to submit the necessary paperwork.
4. Receive your Dexcom G7: Once approved, the system will be shipped to your home, and support will be provided to help you get started.

Using the Dexcom G7 Safely

The Dexcom G7 offers fast, accurate glucose readings—but always check with a blood glucose meter if your symptoms don’t match the CGM reading. This is especially important in cases of suspected low or high blood sugar.

Benefits for Medicare Patients

With Medicare coverage, patients using the Dexcom G7 can:

• Gain better insight into daily glucose trends
• Reduce the risk of severe hypoglycemia
• Catch high glucose levels earlier
• Make quicker, more informed treatment decisions
• Use smart devices to stay connected with their care team or loved ones

Need Help Getting Started?

If you think you may qualify for Dexcom G7 coverage through Medicare, the next step is to speak with your healthcare provider. They can help confirm your eligibility and guide you through the process of getting a CGM system through a Medicare-approved supplier. Many suppliers, like St. Joseph Medical, work directly with your provider and Medicare to make the paperwork and delivery process easier—so you can focus on managing your diabetes with confidence.