Freestyle Libre System

We are excited to introduce the FreeStyle Libre System to our patient base and new customers seeking alternatives to traditional blood glucose monitors.  In particular this product represents an opportunity for our Medicare beneficiaries whom are testing four times per day or more, and are injecting insulin three times per day or more or are on an insulin pump.

Who is Eligible for Continuous Glucose Monitoring (CGM)?

Medicare now covers Continuous Glucose Monitoring (CGM) which makes this product accessible to Medicare Beneficiaries alongside other patients whom have Medicare Advantage or Medicare Replacements.  Patient with plans outside of Medicare might also be eligible their ability to access Continuous Glucose Monitoring (CGM) would be based on their plan’s coverage determinations.

If you are of Medicare age and have any questions please contact us so we can help you review your options.  Whether we can be of service or not we will do our best to help you understand what your options are in regards to Continuous Glucose Monitoring (CGM).

For patients whom have Medicare and for those whom have insurance plans that follow Medicare guidelines the criteria to ensure coverage is as follows:

When does Medicare Cover Continuous Glucose Monitoring (CGM)?

Therapeutic Continuous Glucose Monitoring (CGM) and related supplies are covered by Medicare when all the following coverage criteria are met:

• The beneficiary has diabetes mellitus; and
• The beneficiary has been using a blood glucose monitor (BGM) and performing frequent (4 or more times a day) testing; and
• The beneficiary is insulin-treated with multiple (3 or more) daily injections of insulin or a Medicare covered continuous subcutaneous insulin infusion (CSII) pump; and
• The beneficiary’s insulin treatment regimen requires frequent adjustment by the beneficiary on the basis of Blood Glucose Monitoring (BGM) or Continuous Glucose Monitoring (CGM) testing results; and
• Within six (6) months prior to ordering the Continuous Glucose Monitoring CGM, the treating practitioner has an in-person visit with the beneficiary to evaluate their diabetes control and determined that criteria (1-4) above are met; and
• Every six (6) months following the initial prescription of the Continuous Glucose Monitoring CGM, the treating practitioner has an in-person visit with the beneficiary to assess adherence to their Continuous Glucose Monitoring CGM regimen and diabetes treatment plan.

How can I make sure Medicare Covers my Continuous Glucose Monitoring (CGM)?

If you meet the four times per day testing criteria along with the three times per day injection or are on a pump criteria, qualifying for Continuous Glucose Monitoring (CGM) is easy!  We can help you ensure you are abiding by Medicare’s coverage criteria.

How long does it take to receive my Continuous Glucose Monitoring (CGM) Device?

Many of our patients qualify and are ready to ship their Continuous Glucose Monitoring (CGM) system within seven days of beginning the process! Those who do a thorough job of understanding the requirements can have their Continuous Glucose Monitoring (CGM) system shipped within two-three business days.  To better prepare you please ensure to read through the above and below.

Discuss Continuous Glucose Monitoring (CGM) with your Doctor—

If you and your doctor agree Continuous Glucose Monitoring (CGM) is a good option for you, let us know and we will send you Medicare Compliant Certificate of Medical Necessity/ Prescription Order / Rx and all of the requirements in an easy to digest format. Ensuring to have the doctor fully complete and sign off on the Prescription order is a key step to ensuring a prompt turn around on your order.  Prescription orders are generally valid for one year unless there have been any changes to the details provided on the Certificate of Medical Necessity/ Prescription Order / Rx.