Medicare Part B has expanded coverage for warfarin patients monitoirng clotting time at home. Medicare Part B will now pay for meter training and equipment and supplies for all long-term warfarin users who monitor their prothrombin time at home with portable handheld meters. This expansion opens...
On or after January 12, 2017, Medicare began coverage of therapeutic CGM devices under the DME benefit. CGM devices covered by Medicare were defined in CMS Ruling 1682R as therapeutic CGMs. A therapeutic or non-adjunctive CGM can be used to make treatment decisions without the need for a sta...
That sounds very straight forward but I worry that it is not. The elephant in the room for those of us on G5 isThe Receiver. In January 2017 after the initial approval of the Dexcom G5 by Medicare, I wrote a post titled “Medicare and CGM Coverage: Love Your Receiver!” and explaine...
The coverage decision by the Centers for Medicare and Medicaid Services was based on the FDA's licensing of the Libre for "nonadjunctive" use, meaning that patients can use the glucose values reported by the device to calculate insulin doses without the need for a confirmatory fingerstick gluco...
Deadline Nears for Decision on Medicare CGM CoverageMary K. Caffrey
“On behalf of our Medicare population, Dexcom would like to recognize and thank CMS for this policy coverage update,” said Kevin Sayer, President and CEO of Dexcom. “This update allows patients to access the full functionality of the Dexcom G5 CGM system as approved by the Food and Drug...
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“For those people with diabetes who are eligible to receive the G5 through Medicare, Ascensia is thrilled to become the partner of choice for calibration of the Dexcom G5 CGM system,” said Robert Schumm, vice president and managing director of Ascensia Diabetes Care. “We believe this combin...
The training sessions include an overview of the Rx coverage and information resources; the enrollment process and resource kit; how to use the online Prescription Drug Plan Finder tool; and two open Ask the Experts Q&A sessions. Web tool estimates Medicare Rx costsCMS has posted a Web tool ...
If a CGM falls under part B coverage but you get it at the pharmacy, can you use goodRX in conjunction with the insurance? Reply Jagger Esch says: May 2, 2022 at 7:36 am Melinda, You are never able to use insurance coverage and GoodRx. In this case, you would need to see whic...