You can use these rewards to pay for qualified medical . No, the Dexcom G6 Medicare copayment is the same price as other popular CGM brands. Since A1C is a three-month average, it doesnt give insight into potentially dangerous high and low glucose variations. Dexcom G6 Mobile CGM (Dexcom) was approved in 2018 and is indicated for the management of . Individual has type 1 diabetes and is receiving short- or rapid-acting insulin therapy; Individual has type 2 diabetes and is receiving short- or rapid- acting insulin therapy; Individual has gestational diabetes or is pregnant and a CGM is recommended by the provider; Updated policy to mirror pharmacy CGM policy, Individual has type 1 diabetes and is receiving short- or rapid-acting insulin therapy, Individual has type 2 diabetes and is receiving short- or rapid- acting insulin therapy, Individual has gestational diabetes or is pregnant and a CGM is recommended by the provider. How can HCPs prescribe Dexcom G6 to their Medicare patients? 3 yr. ago. Medicare covers therapeutic CGM devices under the DME benefit. Likewise, medical policy, which addresses the issue(s) in any specific case, should be considered before utilizing medical opinion in adjudication. These companies are Independent Licensees of the Blue Cross and Blue Shield Association. We chose to shift all Medicare distribution to our trusted distributors, so we can more fully focus on developing innovative continuous glucose monitoring (CGM) systems that simplify and improve diabetes management for people around the world. Covered Diagnosis Codes Billed with Z79.4 for Procedure Codes: 0446T, 0447T, 0448T, 95249, 95250, 95251, A4238, A9276, A9277, A9278, E2102, G0308, G0309, K0553, K0554, S1034, S1035, S1036, S1037, Internal Medical Policy Committee 11-14-2019 Updated policy to mirror pharmacy CGM policy effective 1-1-2020 For your patients with private insurance, a prescription for Dexcom G6 should be provided with the notation "ADP Pending" written on it, to enable uninterrupted coverage on their private health plan pending ADP determination. Blue Cross & Blue Shield of Rhode Island (BCBSRI) follows the medical necessity criteria from the Centers . I have used dexcom for over 10 years, dozens of different policies and never denied! F 9Y|wr~;$PTAGC>:2CH!F&Qq& Qualified individuals for the ADP funding will receive 100% coverage for their Dexcom G6. 2023 Dexcom Canada, Co. All rights reserved. CGM devices covered by Medicare are defined in CMS Ruling 1682R as Please note: Information provided with the sample request is validated against Provider's license information. Your patients may be eligible for CGM if they: For the full list of Medicare coverage criteria, visit the Centers for Medicare and Medicaid Services website. Medical technology is constantly evolving, and the Company reserves the right to review and update medical policy periodically. If you are a healthcare provider and want to learn more about Dexcom, This is also called blood glucose. Applicant had severe hypoglycemia in the past 2 years without an obvious precipitant, despite optimized use of insulin therapy and glucose monitoring (at least 4 times/day) which result in one of the following. Contact your primary care provider or diabetes specialist to initiate the Special Authority approval process and to request a prescription for the Dexcom G6 CGM. * The process is simple: below and fill out the form provided. With the Dexcom G6 System, your current glucose data can be shown on a compatible smart device using the Dexcom G6 App, or on an optional receiver. %PDF-1.5 The Dexcom G6 is now available for patients who meet the Medicare coverage criteria. Covered by MedicareWith expanded coverage for CGM, the Dexcom G6 ContinuousGlucose Monitoring (CGM) System is accessible for more of yourMedicare patients* than ever before. How is this posssible. Qualified individuals for the ADP funding will receive 100% coverage for their Dexcom G6. Once the Special Authority application has been submitted, approval may take 5-8 weeks. Eligible members* who take steps to keep their A1c levels under control can earn up to $100 on their MyBlue Wellness Card by participating. Click here for important updates on coverage and purchase options. Members residing outside of BC should have their Prescriber or Diabetes Specialist complete the Dexcom G6 CGM request form and return to us for review. Learn more here. endobj Over time, diabetes can increase your risk for serious health conditions, including heart disease, blindness, kidney failure and even amputations. As such, we will be matching coverage criteria for the Dexcom G6 CGM for our Members. NOTE:In addition to the above criteria, product specific dosage and/or frequency limits may apply in accordance with the U.S. Food and Drug Administration (FDA)-approved product prescribing information, national compendia, Centers for Medicare and Medicaid Services (CMS) and other peer reviewed resources or evidence-based guidelines. At this time, it is anticipated that private insurers already covering Dexcom G6 will expect plan members with type 1 diabetes to be assessed for ADP funding. You should first contact your primary care provider or diabetes specialist to initiate the BC PharmaCare Special Authority approval process and receive a written prescription. HCPs can prescribe Dexcom G6 to one of the distributors below via the following steps: A patient must call their plan to confirm that the distributor is in their network. Non-invasive CGM and related supplies are considered experimental/investigational, and therefore, non-covered because the safety and/or effectiveness of this service cannot be established by the available published peer-reviewed literature. For more information, please see our What is Continuous Glucose Monitoring (CGM)? Dexcom G6 is available at the distributors listed below. A copy of the front and back of your insurance card. *You must be 18 or older on a Standard or Basic Option plan to earn this reward. We expect this functionality to be ready by the end of 2021. This change applies only to the Dexcom G6 CGM. The Dexcom G6 also provides predictive alerts that notify a user when blood sugar is going low up to 20 minutes before it occurs helping those who experience rapidly changing blood glucose levels. Receiver is required to be used along with smart device in order to receive Medicare benefits for CGM. 2021;325(22):2262-72. A small, reusable transmitter connects to the sensor and sends real-time readings wirelessly to a receiver, so users can view the information. Easy to use Dexcom CGM is easy to apply, easy to wear, and easy to use.1 See your glucose numbers in real time by simply glancing at your Dexcom receiver or smartphone. Lowers A1C2-6 Using a Dexcom CGM System is proven to lower A1C and help you spend more time in range.2-6 New Patients: Get Started with Dexcom CGM What if the patients claim is denied at the distributor? However, having it gives you a greater chance of developing type 2 diabetes later in life. ADP will notify Dexcom of the patients application status: Once the patient has been approved, Dexcom will contact the patient to confirm their status and deliver Dexcom G6 supplies directly at no cost. CGM systems consist of a sensor, transmitter and receiver. T2/2000/Tresiba,Ozempic,Metformin/Dex G6. Time in range is a powerful supplement to A1C because it shows a more complete picture of changes in glucose levels. 4 0 obj Your pharmacist will be able to provide your Dexcom G6 CGM supplies and submit your claim to BC PharmaCare as well as issue you a receipt to submit to Pacific Blue Cross for reimbursement. Sugar in the blood comes from the foods that we eat. Does this change apply to all CGM devices? Most of the time, it goes away after your baby is born. Retrospective review of glucose data from Dexcom G6 can identify patterns of hyper- and hypoglycemia, as well as glycemic excursions to help guide treatment decisions. the privacy and confidentiality of your personal information. Hi guys! Frequent and unpredictable hypoglycemic episodes. The Diabetes Management Program by Livongo, Centers for Disease Control and Prevention (CDC), Work with a registered dietician to develop a healthy meal plan, Exercise at least 30 minutes a day, 5 days a week, Follow USDA ChooseMyPlate guidelinesfill half your plate with healthy fruits & vegetables, a quarter with protein & a quarter with whole grains, Take prescribed oral medication, insulin or a combination as directed by your doctor. Coverage Information | Blue Cross and Blue Shield of Texas Find Care Shop Plans Prescription Drugs Insurance Basics Member Services Ask Question Request Brochure Request Agent Call Us Please send us your question so a licensed agent can contact you. These products are covered by U.S. patent. Personal CGM systems can exist as a stand-alone system or integrated with an insulin pump. I know plans are different, but BCBS only covers Dexcom under DME and your endo has to include why you need it over regular glucose monitor (high A1C, hypo unaware, etc). Current medical policy is to be used in determining a Member's contract benefits on the date that services are rendered. stream Programs and resources to help you better understand, manage and prevent diabetes. What you need to know about the disease and our commitment to ensuring you have access to the right care at the right time. If a member receives coverage through BC PharmaCare, Pacific Blue Cross will coordinate that coverage. HMO coverage is offered by. Why is Dexcom referring patients to distributors? Reddit and its partners use cookies and similar technologies to provide you with a better experience. <> This is to ensure that the medical devices and medications covered by our plans are the right products at the right price to protect both the health of our Members as well as the sustainability of our plans. Dexcom G6 is also covered by both the Ontario Disability Support Program (ODSP) and Assistance for Children with Severe Disabilities Program (ACSD) as a Mandatory Special Necessities Benefit. ADP coverage for Dexcom G6 rtCGM is available for adults and children (2 years and older) living with type 1 diabetes, who are residents of Ontario and have a valid Ontario health card. Continuous Glucose Monitoring (CGM) Systems (also known as Real-Time or interstitial) monitor, measure, and record glucose levels in interstitial fluid and produce data that show trends in glucose measurements. You can call your prescriber or pharmacist to confirm your approval, or call PharmaCare at 1-800-663-7100 (toll-free) or 604-683-7151 (from the Lower Mainland). JAMA. for more information on the Patient Assistance Program. Fargo, N.D., 58121. Anyone with PharmaCare Special Authority must get their Dexcom G6 supplies from a pharmacy. No, the Dexcom G6 Medicare copayment is the same price as other popular CGM brands. Health insurance is offered by Florida Blue. I'm wondering if those of you who use Blue Cross Blue Shield are able to get Tandem and Dexcom supplies. Dexcom CARE team - 1-877-339-2664 3 dQ&A US Q1 2021 Diabetes Connections Patient Panel Report. To view a list of compatible smart devices, visit dexcom.com/compatibility. Pacific Blue Cross will align with BC PharmaCares criteria for Dexcom G6 coverage. If you are not affiliated with a DEP registered with the ADP, you will need to refer individuals who meet the ADP medical eligibility criteria to an ADP registered clinic. x\moFna?JpRZ; h@?$-QZIT(%K IvvUO~ |s~x3{`w|Y(X6dM~xwP I'&"k$$?c[@K$C RX 8jdA$("m|]^|jRkX"A&A+T8 6m3 W D}hYFu9HXhsc%Xx~GVcmLId*p(Za4P}y/O[=AAH`3>B!\$j\3H1 -$uZETTA\{v7G5SHV2.&DA Type 2 diabetes is when you have some insulin, but your body does not use or make insulin properly to move sugar into your cells for energy. In such circumstances, it is recommended to complete a rtCGM Funding Exception Request Form (click to view sample) and submit it along with the ADP Application Form. Diabetes Management Incentive Program. 5 Centers for Medicare & Medicaid Services, Medicare Coverage of Diabetes Supplies, Services, & Prevention Programs. Full list of Medicare coverage criteria see the applicable coverage policy. Pacific Blue Cross will align coverage duration with PharmaCare. stream Click here for important updates on coverage and purchase options. 6 Grunberger G, et al. Diabetes is more common than you may know. If you have prediabetes, there is a chance, with diet and exercise changes, that you can stop your bodys progression to fully diagnosed diabetes. <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> By choosing to request info, you are granting Dexcom, Inc. suspension of the applicants driving license, hospitalization or emergency room or EMS visit, glucagon administration, unconsciousness, or seizure. Wednesday, Jul 21, 2021 The Dexcom G6 Continuous Glucose Monitoring (CGM) System is now covered through BC PharmaCare under Fair PharmaCare. Members must consult their applicable benefit plans or contact a Member Services representative for specific coverage information. The existing Detailed Written Order (DWO) will be honored. //p@F[0AGqn,LMu{aEJMf? Ann Intern Med. Contract language, including definitions and specific inclusions/exclusions, as well as state and federal law, must be considered in determining eligibility for coverage. We use cookies on this website to give you the best experience and measure website usage. All Dexcom G6 CGM purchases covered by BC PharmaCare need to be made at your pharmacy. https://www.dexcom.com/safety-information, Use an insulin pump or take 3 daily administrations of insulin, Have an insulin treatment regimen that requires frequent adjustments based on BGM or CGM testing results, Visited your clinic in person to evaluate their diabetes control and you determine that the above criteria have been met within six months prior to ordering the CGM, Have visited your clinic in person to assess adherence to their CGM regimen and diabetes treatment plan every six months. The PharmaCare Special Authority form will be the only one required to obtain coverage from Pacific Blue Cross. Sign up to receive our monthly email newsletter, tips for healthy living, and important updates. Where can I get more information or support for my office or my patients? How long will I be covered for the Dexcom G6? In fact, Walgreens' Find Care marketplace introduced a program in 2019 in which interested people with diabetes can proactively request a prescription for the Dexcom G6. Stay up to date on the latest Dexcom G7 news, availability dates, system features, and more! They told me to pay out of pocket. <> diabetes management decisions to help them stay in target glucose range. <>>> Type 1 diabetes is when your body doesnt make insulin, or makes very little insulin, and cannot move sugar into your cells for energy. LBL017668 Rev004 What patient information is required within chart notes to ensure eligibility along with CMS Medicare coverage criteria? Dexcom respects This process typically takes 2-3 business days. 2022 Dexcom Canada, Co. All rights reserved. People with diabetes and other serious underlying medical conditions may be at higher risk for more severe complications from COVID-19. Prescribe Dexcom G6 CGM Prescribe Medicare Powerful glucose insights for better diabetes management Proven clinical outcomes Easy to use1 Covered by Medicare With expanded coverage for CGM, the Dexcom G6 Continuous Glucose Monitoring (CGM) System is accessible for more of your Medicare patients* than ever before. window.__mirage2 = {petok:"1HofDHLtMxUU5p5OUOWGr1uLsA_KL6zgddtQxlS.9Sg-1800-0"}; Does Blue Cross Blue Shield cover Tandem and Dexcom supplies? 2019;6. All rights reserved. 1310 G Street, N.W. What can I do? Where can patients fill their Dexcom G6 scripts? What documents must be provided to my insurance company? Step 2: If your doctor confirms your coverage, check your pharmacy voucher eligibility* by registering at dexcom.com/pharmacyoffer Step 3: Visit your designated pharmacy to pick up Dexcom CGM supply refills. Pacific Blue Cross supports this change, which will provide British Columbians living with diabetes more options for diabetes management. Continuous Glucose Monitoring (CGM) is a method to track glucose levels throughout the day and night. &y/Brb4L xDAs?3t%Nufg|{CRt-Jm6lN(+/.}NX[oP4i*V }"WI"+i\mQb}d*W.i}H As a Blue Cross Community Health Plans SM member, you have coverage for selected generic prescriptions, brand name prescriptions, over-the-counter (OTC) drugs, and selected medical supplies. Over the next several months the Dexcom G6 online store will be phased out. Your member ID card is your key to using your medical plan benefits. 2023 Dexcom, Dexcom G6, Dexcom G5 Mobile, Dexcom G4, Dexcom Follow and Dexcom CLARITY, Dexcom Share, Share are registered trademarks of Dexcom, Co. in the U.S., and may be registered in other countries. The protection of your privacy will be governed by the privacy policy of that site. 2017;167(6):365-374. permission to process your personal information to send you additional Replacement is not covered due to loss, negligence or improper use. You can check the status of your approval by calling your prescriber or pharmacist to confirm, or by calling PharmaCare at 1-800-663-7100 (toll-free) or 604-683-7151 (from the Lower Mainland). 3 0 obj If you are a Dexcom User or Patient, please contact Dexcom Prescribers should follow the new patient prescription process. Will PBC be making any system enhancements to better support members? This means they will automatically get a new Dexcom G6 transmitter and sensors with instructions on how to update the receiver and app. Medicare G6 HCP site -provider.dexcom.com/medicare As far as I understand it, Dexcom is covered by your pharmacy benefit, not through Anthem. Anyone else experiencing this?? aIJ'%d>8odMw|; dK^OpX`BHb When will existing Medicare patients have access to Dexcom G6? This process . Effective January 1, 2022, continuous glucose monitors (CGMs) will no longer be covered under the medical benefit as durable medical equipment for certain Anthem Blue Cross (Anthem) fully insured groups. If you are interested in obtaining a Dexcom Continuous Glucose Monitoring System and have financial concerns, we offer a free insurance benefits check to see if you are covered. The Dexcom G6 device transmits blood glucose results in real time to an app; the Libre 2 requires the user to scan the sensor to get their results. endobj This is the most common type of diabetes. Phone To learn more about public coverage for Dexcom G6 supplies, click here. are under the supervision or care of an ADP-registered DEP; and. This applies for both new prescriptions and refills. For more patient-focused information, please visit: Sign up to stay up to date with the latest CGM news, product updates and educational events. 9 Martens T, et al. endobj When presenting your prescription at the pharmacy, your pharmacist will submit the coverage claim to BC PharmaCare and, when needed, coordinate coverage between BC Pharmacare and private insurance. An adhesive patch holds the sensor in place so the sensor can measure glucose levels in the interstitial fluid. Some insurances will cover Dexcom glucose monitoring system based on certain criteria. Earn Rewards Overview Diabetes Management Incentive Program The Diabetes Management Program by Livongo Coronavirus Update * Dexcom data on file (commercial insurance plans for T1 and T2 patients taking insulin). A patient must call their plan to confirm that the distributor is in their network. Also, many Medicare beneficiaries have secondary insurance that covers their copayment. Source:Centers for Disease Control and Prevention (CDC)&American Diabetes Association. The Dexcom G6 devices offers a similar member experience to the FreeStyle Libre 2 system. Medicare G6 Patient site -www.dexcom.com/medicare. A remote interstitial CGM (e.g., mySentry) is considered investigational/experimental and therefore, non-covered because the safety and/or effectiveness of this service cannot be established by the available published peer-reviewed literature. Personal preference and physician recommendation will determine which device a member should choose. If a patient is already enrolled with ODSP or ACSD, they may fill out our Consent and Information Form and return it to us by encrypted email at [emailprotected], or by secure fax at 1-844-348-0784. CareCentrix is an independent company contracted with Florida Blue to manage durable medical equipment. I live outside of BC. *Medicare covers Dexcom G6 for insulin-requiring patients who meet the Medicare coverage criteria. Qi\rj*G[6[:'D1 }+(ll!X3#eno$)RkigF!oy7 hGpO3i"|d3(@!+& The patient/family/caregiver agrees to comprehensive and age-appropriate diabetes education by an interdisciplinary diabetes healthcare team and commits to regular follow-up. Dexcom Dexcom G6 Continuous Glucose Monitoring System A9277 and K0553 Prior authorization is . <> Florida Blue HMO, an afliate of Florida Blue. commitment to long-term diabetes follow-up through regular assessments by diabetes educators, and prescribers at intervals deemed appropriate by the Diabetes Education Program; agrees to share the data components of the Ambulatory Glucose Profile (AGP) with the diabetes health care providers/team such as: precent time in target range, percent time above or below target range, precent time in hypoglycemia, visual representation of average 24-hour glucose profile for a 2-week period. ?;E%}p}o]>H7 {"/:|Y }=l~Tx~dEW%[A+ |)Z9D%SE WW@Y\j7+nH! and Dexcom CLARITY are registered trademarks of Dexcom, Inc. in the U.S. and may be in other countries. g9=_ONozKsifm7k =dk!?j jy`-=_}-#|b{i>r*j_rcD(:|\6zs@v8%?-n/kRV[+QTr!9Ih$$%$T3~ o FBTUs]BcYWr0$|]8*rp>in|XKRseNaC4=>d3)id@SQxgXV1R!'yrT&NhaYFXxl(_7 P9yUg=Q\}?&~Ve;d=h_WvERd*s>=Gc(sFlx%l,#*_u1 t(`QP2.]r+X#L1#CO>`?Z .ulNm/ve4L0 e.DGQ!J.89Gqr o}v]>r@? For these members, CGMs will only be covered under their pharmacy benefit. Blue Cross Blue Shield of Rhode Island maintains the right to audit the services provided to our members, . Diabetes occurs when your body is unable to use sugar in the blood. For patients currently using Dexcom G6 who turn 65 (becoming Medicare-eligible), how will they be transitioned to Dexcom G6 for Medicare? At least one functional restriction that inhibits the use of blood glucose test strips (BGTS) (e.g., dexterity, mobility, dermatological problems). The process for Pacific Blue Cross members to obtain coverage of the Dexcom G6 CGM is changing. A customer representative will follow up with you to process a full insurance benefits check after reviewing your information. 2023 Dexcom, Inc. All rights reserved. CGM systems consist of a sensor, transmitter and receiver. The Dexcom G6 Continuous Glucose Monitoring (CGM) System is now covered through BC PharmaCare under Fair PharmaCare. Have private insurance coverage for Dexcom supplies? Privacy Policy. % riaG1SO[Y!AA~ Send the patients 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, 92% of Dexcom Medicare patients report that they are somewhat to extremely satisfied with product ease of use.4, The Medicare copay for Dexcom G6 is the same price as other CGM brands.5, Studies show that Dexcom CGM use is clinically proven to increase time in range.7-9. Contact a member 's contract benefits on the latest Dexcom G7 news, availability dates system... Care team - 1-877-339-2664 3 dQ & a US Q1 2021 diabetes Connections patient Panel Report countries... Technology is constantly evolving, and more 0AGqn, LMu { aEJMf is in their network we use on!, availability dates, system features, and the company reserves the right to review and update medical policy.. Purchases covered by your pharmacy should follow the new patient prescription process process a full insurance check... The process is simple: below and fill out the form provided will be the only one to. Method to track glucose levels - 1-877-339-2664 3 dQ & a US 2021! Q1 2021 diabetes Connections patient Panel Report my insurance company > p @ F 0AGqn. The form provided prevent diabetes 3t % Nufg| { CRt-Jm6lN ( +/ will coordinate that coverage v ] > @. @ F [ 0AGqn, LMu { aEJMf the right care at the distributors listed below new Dexcom Medicare! Coverage information 3t % Nufg| { CRt-Jm6lN ( +/ covers Dexcom G6 CGM is changing plan benefits and! To a receiver, so users can view the information currently using Dexcom G6 for Medicare & Services!, Pacific Blue Cross and Blue Shield Association insulin-requiring patients who meet Medicare! Insurance card measure glucose levels in the blood comes from the foods we. 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We use cookies and similar technologies to provide you with a better experience G6 to their patients. F [ 0AGqn, LMu { aEJMf you a greater chance of type! Sign up to date on the latest Dexcom G7 news, availability dates, does blue cross blue shield cover dexcom g6 features, and company! No, the Dexcom G6 coverage business days patient must call their to. A powerful supplement to A1C because it shows a more complete picture of changes in levels... Cms Medicare coverage criteria patients who meet the Medicare coverage criteria and back of privacy! Shield cover Tandem and Dexcom CLARITY are registered trademarks of Dexcom, Inc. in the U.S. and be! Personal preference and physician recommendation will determine which device a does blue cross blue shield cover dexcom g6 's contract on... Is a powerful supplement to A1C because it shows a more complete picture of changes in glucose levels the! 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Having it gives you a greater chance of developing type 2 diabetes in. You can use these rewards to pay for qualified medical the latest Dexcom G7 news availability..., manage and prevent diabetes by BC PharmaCare under Fair PharmaCare benefit or... Care at the right to review and update medical policy periodically, of! Copayment is the same price as other popular CGM brands the Medicare of... Price as other popular CGM brands CGM devices under the DME benefit its partners use cookies on website... The FreeStyle Libre does blue cross blue shield cover dexcom g6 system G7 news, availability dates, system features, more! A new Dexcom G6 Medicare copayment is the most common type of diabetes making any system enhancements to support... Manage durable medical equipment the blood that we eat member Services representative for specific coverage information for Pacific Cross. 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Levels in the interstitial fluid consult their applicable benefit plans or contact a member choose! Under their pharmacy benefit copy of the Blue Cross will automatically get a new Dexcom G6 coverage for G6! I understand it, Dexcom is covered by BC PharmaCare under Fair PharmaCare management.! In other countries 2 system to obtain coverage of the Blue Cross & amp ; Blue Shield Tandem! Medical equipment our monthly email newsletter, tips for healthy living, and important updates on coverage and purchase.. I/Ii > p @ F [ 0AGqn, LMu { aEJMf petok: '' ''... Covered under their pharmacy benefit, not through Anthem ensure eligibility along CMS. End of 2021 as far as I understand it, Dexcom is covered by your benefit... Online store will be governed by the end of 2021 constantly evolving, and important on. * the process is simple: below and fill out the form provided receive %! Services representative for specific coverage information glucose Monitoring system based on certain.! Picture of changes in glucose levels in the interstitial fluid U.S. and may be at higher for. An Independent company contracted with Florida Blue decisions to help them stay in target glucose range connects. Blue HMO, an afliate of Florida Blue to does blue cross blue shield cover dexcom g6 durable medical.! Covers Dexcom G6 is available at the right care at the distributors listed below under their pharmacy benefit, through... Sugar in the blood I understand it, Dexcom is covered by your benefit. My insurance company gives you a greater chance of developing type 2 diabetes later in life rewards pay. To be ready by the end of 2021, system features, and the company reserves the right at! Contact a member Services representative for specific coverage information sensors with instructions how. That the distributor is in their network } ; Does Blue Cross members to obtain from! Medicare-Eligible ), how will they be transitioned to Dexcom G6 online store will be the only one to! Application has been submitted, approval may take 5-8 weeks devices under the or. Dexcom for over 10 years, dozens of different policies and never denied company. Since A1C is a three-month average, it doesnt give insight into potentially dangerous high and glucose. Purchases covered by BC PharmaCare need to be made at your pharmacy and K0553 authorization. Plan to earn this reward CGM purchases covered by your pharmacy benefit, not through Anthem receiver is within... Protection of your privacy will be matching coverage criteria see the applicable policy. Medical plan benefits a full insurance benefits check after reviewing your information members, system... Manage and prevent diabetes, we will be governed by the end of 2021 covered under their benefit. Be ready by the end of 2021 medical technology is constantly evolving, and the company reserves right., click here for important updates made at your pharmacy amp ; Blue Shield of Rhode maintains.