You may opt out at any time by texting "STOP" in return to a text, or by calling Dexcom at and auto-dialed communications from or on behalf of Dexcom, Inc. ("Dexcom") concerning the Apply today and share your story with us by providing some information about yourself and your experience with Dexcom. Four easy steps to prescribe the Dexcom G6 Continuous Glucose Monitoring (CGM) system for your patients, including information on Medicare coverage and a $140 coupon card towards their copay. All CGM FAQs; Products Medicare Coverage for Dexcom G6 Equipment In most cases, Medicare benefits will cover Dexcom G6 equipment under a fee-for-service agreement. Your service provider's airtime, message, and data rates may apply. Medicare coverage for therapeutic CGM includes certain beneficiaries who have either type 1 or type 2 diabetes and intensively manage their insulin. We’re not sure if Dexcom’s G6 for Medicare will ship with a bundled Ascensia Contour glucose meter/strips, like it currently does for the G5; it’s possible this will be excluded, since the G6 does not need fingerstick calibration. According to CMS, therapeutic CGM may be covered by Medicare when all of the following criteria are met: The beneficiary has diabetes mellitus; and, A: According to Dexcom’s Medicare FAQ page, those covered by Medicare can expect to pay 20% of the costs of their G5 CGM, which is roughly $50 per month. No, Medicare won’t cover any Dexcom G6 supplies that are only used with a mobile device. BRIEF SAFETY STATEMENT Failure to use the Dexcom G6 Continuous Glucose Monitoring System (G6) and its components according to the instructions for use provided with your device and available at https://www.dexcom.com/safety-information and to properly consider all indications, contraindications, warnings, precautions, and cautions in those instructions for use may result in you missing a severe hypoglycemia (low blood glucose) or hyperglycemia (high blood glucose) occurrence and/or making a treatment decision that may result in injury. What are the benefits of continuous glucose monitoring? *. As a DME it’s 80% coverage after the $2,000 deductible is met. Jordan Morris, Professional Soccer Player, Kris Freeman, Five-Time Olympian & Triathlete. Take control with Dexcom G6 and stay one step ahead of diabetes. According to CMS, therapeutic CGM may be covered by Medicare when all of the following criteria are met: In order to be included in this category, the system must be defined as therapeutic CGM, meaning you can make treatment decisions using the device. The patient has been using a home blood glucose monitor (BGM) and performing frequent (four or more times a day) BGM testing; The patient is insulin-treated with three or more daily injections (MDI) of insulin or a continuous subcutaneous insulin infusion (CSII) pump; The patient's insulin treatment regimen requires frequent adjustments based on therapeutic CGM testing results; Within six months prior to ordering the CGM, the patient had an in-person visit with the treating practitioner to evaluate their diabetes control and determine that the above criteria have been met; and. New Dexcom users should get started on the G5 now, and then transition to the G6 next year once the Medicare shipments begin. Alerts can be customized for two periods of time within 24 hours (e.g., day and night schedules). § G6 readings can be used to make diabetes treatment decisions when taking up to a maximum acetaminophen dose of 1,000mg every 6 hours. The Dexcom G6 Continuous Glucose Monitoring (CGM) System is covered by Medicare for patients who meet the Medicare coverage criteria. Around 25% of seniors live with type 2 diabetes and half of all seniors are considered pre-diabetic. It is available from any Costco Pharmacy. If you are a healthcare provider and want to learn more about Dexcom, Below are the qualifications for CMPP coverage, steps to get your Dexcom supplies through CMPP, and links for more detail. The way UHC phrased it, they would cover 100% if I went through byram. Receive a 20-minute advance warning of a potential severe hypoglycemic event (55 mg/dL). Costco covers Dexcom G6 supplies under their Costco Member Prescription Program (CMPP). The beneficiary has diabetes mellitus; and. marketing and sale of Dexcom’s products and services: you certify that a) you are the account holder The beneficiary's insulin treatment regimen requires frequent adjustments by the beneficiary on the basis of therapeutic CGM testing results. Millions of people suffer with diabetes, but the senior population is at greater risk than most. (This may be covered by secondary insurance.) || Data on file. that we may use information you provide us to communicate with you in accordance with those terms. What are the benefits of continuous glucose monitoring? There is a lot of discussion on social media this week about Dexcom G6 finally being available for Medicare recipients. Dexcom Terms of Use and People covered by Medicare who have either Type 1 or Type 2 diabetes and intensively manage their insulin are able to obtain reimbursement for the Dexcom G6. 888-738-3646. Medicare wouldn’t allow for smartphone app use — a key feature for CGM users (especially those on Dexcom’s G5) who need to share data with loved ones or clinicians. If you are ready to get started with Dexcom G6 CGM System, the process is simple. The Tandem t:slim is an easy-to-read, color touchscreen pump - and it is super easy to use. Most of it is personal testimony along with a few links and guesses of what the story is. Dexcom CLARITY Integration. Medicare does not cover Dexcom G6 supplies that are only used with a smartphone or other mobile device. You must use that Dexcom receiver with your supplies. This is the case for Original Medicare recipients, and the equipment will generally be covered under Part B as the device … please fill out the form and a representative will contact you. If you are a Dexcom User or Patient, please contact Dexcom © 2020 Dexcom, Inc. All rights reserved. At Dexcom, our customers are our heroes - read our Warrior stories to learn more. permission to process your personal information to send you additional If your glucose alerts and readings from the G6 do not match symptoms or expectations or you’re taking over the recommended maximum dosage amount of 1000mg of acetaminophen every 6 hours, use a blood glucose meter to make diabetes treatment decisions. This accelerated timeline to a no-calibration G6 follows FDA approval of Abbott’s FreeStyle , which does not require any fingerstick calibrations. Using the Dexcom G6 Pro reader, you can upload patient data to Dexcom CLARITY for a comprehensive analysis. Unlike a blood glucose meter (BGM), which provides just a single glucose reading. So, I applied for my daughter to receive Pennsylvania Medicaid due to the type 1 diagnosis and she was accepted! * For a full description of Medicare coverage criteria, please visit here, *must meet Medicare eligibility coverage criteria, † MARD is a statistical measure of accuracy. What are your thoughts about it? Sayer said that Dexcom is in conversations across the payer community, and will do a new filing with Medicare for the G6. Medicare Coverage and Prescribing Information, How To Prescribe The Dexcom G6 CGM System, Centers for Medicare and Medicaid services website, https://www.dexcom.com/safety-information, Medicare Coverage And Prescribing Information, Has been seen in your clinic within the last 6 months, Performs frequent blood glucose meter (BGM) testing (≥4x/day), Uses an insulin pump or takes ≥3 daily injections of insulin, Requires frequent adjustments to their treatment regimen based on BGM or CGM testing results, Send the patient’s certificate of medical necessity (CMN) and chart notes to the distributor, Let your patient know that they will be contacted by the distributor regarding their Dexcom G6 order. 2 Shah V LL, Wadwa P, et al. Dexcom, Dexcom G6, Dexcom G5 Mobile, Dexcom G4, Dexcom Follow and Dexcom CLARITY, Dexcom Share, Share are registered trademarks of Dexcom, Inc. in the U.S., and may be registered in other countries. Thanks for your input. Medicare will cover the remaining 80%. The easiest indication for Dexcom G6 or Dexcom G7 coverage by insurance is insulin use. I have UHC and they have always covered my dexcom as a standalone, no matter what pump I've been using. But some seniors are definitely ordering G6 systems and that is great news. Learn about Medicare coverage criteria, distribution options, and more. "Dexcom does give me confidence to do whatever I want, go wherever I want and be the person that I am. ‡ If your glucose alerts and readings from the G6 do not match symptoms or expectations, use a blood glucose meter to make diabetes treatment decisions. information and promotional communications related to Dexcom products. We're here to provide ongoing support 24/7 for your Dexcom CGM System. Taking a higher dose may affect the G6 readings. Dexcom, Dexcom G6, Dexcom G5 Mobile, Dexcom G4, Dexcom Follow, Dexcom CLARITY, and Dexcom Share are registered trademarks of Dexcom, Inc. in the U.S., and may be registered in other countries. Dexcom G6 became available to new patients in October 2019. The Dexcom G5 transmitter has a three-month warranty. A patient must call their plan to confirm that the distributor is in their network. number set forth above, automated phone call and/or text communications, including pre-recorded ): Yep, it does appear that both Apple and Android will support the new G6 at the time of launch. 2018;20(6). The information you provide will be sent securely and subject to the For the full list of Medicare coverage criteria, visit the Centers for Medicare and Medicaid services website. The Dexcom G6 features an overall MARD†of 9.0%1,2  and demonstrates consistent performance even when glucose levels may be rapidly falling or rising1. 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Dexcom, our customers are our heroes - read our Warrior stories learn...