Medicare has certain eligibility requirements that must be met in order to provide coverage for personal CGM. If the patient does not meet them, Professional CGM may be an option for intermittent use. This resource will help you navigate Medicare’s eligibility requirements for initial and continuing coverage, ordering and insurance authorization, and documentation. Note that this applies to traditional Medicare, and individual Medicare managed plans or Advantage plans may vary. To download this resource as a PDF, click here.
For a comparison guide on helping your patient choose a CGM and tips on navigating common problems, click here.