Medicaid is a state health program that covers CGMs like the Libre systems. Coverage varies from state to state, so find yours below and see if you qualify.
Many states offer coverage for FreeStyle Libre systems through Medicaid.
Medicaid coverage: What you need to know
CGM = continuous glucose monitor(ing)
Choose your state.
FreeStyle Libre systems are not eligible for coverage
If your state isn't listed with coverage, please check back. Local coverage from time to time.
FreeStyle Libre systems are eligible for coverage
Medicaid and other payor criteria may apply. Abbott provides this information as a courtesy and does not guarantee payment or coverage.
Individual costs and benefits may vary according to plan—this is not a guarantee of coverage. Please check directly with your health plan to confirm coverage.
Do you live in a state with coverage?
You should check with your state Medicaid plan to confirm your coverage pathway. If your state offers coverage for the Libre systems, call the customer service number on your Medicaid card to get approved.
Here are some questions you can ask to get started:
- Do I have a deductible?
- Will my CGM be free?
- Will my doctor be required to provide any information about my medical history?
- Does my insurance cover the Libre systems for type 2 diabetes?
- Do I need prior authorization (PA)?
What is prior authorization (PA)?
Depending on the state, Medicaid may require extra information from your healthcare provider before they agree to cover Libre CGM systems—this is called prior authorization.
Your healthcare provider takes care of filling out the forms. But you can ask them about the process or what other options you may have.
Request your prescription, and you’re on your way to better glucose management*1.
Why wait any longer? Talk to your healthcare provider about Libre CGM systems. This simple discussion guide can help you get the conversation started.
Answers to your Medicaid questions
Does Medicaid cover Libre systems?
Yes. Many state Medicaid programs cover Libre systems, but each state sets its own rules, so coverage isn’t the same everywhere.
Most states require prior authorization from your doctor before you can receive Libre systems.
To confirm coverage for your state, contact your state Medicaid office or call the number on your Medicaid card.
Can I pay cash for Libre systems if it is not covered by Medicaid? How much would I be paying?
Yes. You can pay out of pocket for Libre systems if they aren’t covered by your Medicaid plan.
Please contact your pharmacy† or supplier† for more information.
Medicaid and other payor criteria may apply. Abbott provides this information as a courtesy and does not guarantee payment or coverage.
† Participating pharmacies and durable medical equipment (DME) suppliers are subject to change without notice. Product availability may vary by retailer.
With Medicaid, do I need a prescription for Libre systems?
Yes. Libre CGM systems require a prescription, even if you’re covered by Medicaid.
Your healthcare provider who manages your diabetes can write the prescription.
With Medicaid, do I need prior authorization before I get a Libre systems sensor?
Yes. Most Medicaid plans require prior authorization before you can receive Libre systems sensors.
Your healthcare provider will need to submit the paperwork to Medicaid to confirm you meet the coverage requirements. Call the number on your Medicaid card to check your state's rules.
Medicaid and other payor criteria may apply. Abbott provides this information as a courtesy and does not guarantee payment or coverage.
Individual costs and benefits may vary according to plan—this is not a guarantee of coverage. Please check directly with your health plan to confirm coverage.
* Study was performed with the outside US version of the FreeStyle Libre 14 day system. Data is applicable to FreeStyle Libre 3 and FreeStyle Libre 2 systems, as feature sets are similar as FreeStyle Libre 14 day system, excluding alarms.
Reference: 1. Evans, M. Diabetes Therapy (2022). https://doi.org/10.1007/s13300-022-01253-9.
ADC-106259 v1.0