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Did you know? The FreeStyle Libre systems are widely covered by Medicare for people managing diabetes with insulin*1.
With coinsurance as low as 0%–20%, managing your health could cost you just $0–$53.58†2–4 per month. Talk to a specialist now to confirm your insurance coverage and arrange convenient home delivery.
Affordable care starts here.
Call 877-LIBRE-15 today
Call 877-LIBRE-15 today
(877-542-7315)
Have questions? We have answers!
Will my insurance, including Medicare, cover the cost of my FreeStyle Libre sensor and reader?
For those that qualify‡1, the FreeStyle Libre sensors and readers are eligible for Medicare reimbursement. For commercial coverage, please contact your insurance company regarding cost and coverage of the FreeStyle Libre systems.
Medicare eligibility criteria1:
To be eligible for coverage of a CGM and related supplies, the beneficiary must meet all of the following initial coverage criteria (1)-(5):
- The beneficiary has diabetes mellitus (Refer to the ICD-10 code list in the LCD-related Policy Article for applicable diagnoses); and,
- The beneficiary’s treating practitioner has concluded that the beneficiary (or beneficiary’s caregiver) has sufficient training using the CGM prescribed as evidenced by providing a prescription; and,
- The CGM is prescribed in accordance with its FDA indications for use; and,
- The beneficiary for whom a CGM is being prescribed, to improve glycemic control, meets at least one of the criteria below:
- The beneficiary is insulin-treated; or,
- The beneficiary has a history of problematic hypoglycemia with documentation of at least one of the following (see the POLICY SPECIFIC DOCUMENTATION REQUIREMENTS section of the LCD-related Policy Article (A52464)):
- Recurrent (more than one) level 2 hypoglycemic events (glucose <54mg/dL (3.0mmol/L)) that persist despite multiple (more than one) attempts to adjust medication(s) and/or modify the diabetes treatment plan; or,
- A history of one level 3 hypoglycemic event (glucose <54mg/dL (3.0mmol/L)) characterized by altered mental and/or physical state requiring third-party assistance for treatment of hypoglycemia
- Within six (6) months prior to ordering the CGM, the treating practitioner has an in-person or Medicare-approved telehealth visit with the beneficiary to evaluate their diabetes control and determined that criteria (1)-(4) above are met.
Medicare and other payor criteria may apply.
‡ Patients must meet Medicare eligibility coverage criteria.
Reference: 1. Local Coverage Determination (LCD) L33822, Glucose Monitors, https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?LCDId=33822.
Do the FreeStyle Libre systems require a prescription?
Yes, the FreeStyle Libre systems require a valid FreeStyle Libre systems prescription.
Medicare and other payor criteria may apply. Abbott provides this information as a courtesy and does not guarantee payment or coverage.
* Patients must meet eligibility coverage criteria.
† After Medicare deductible is met.
‡ Patients must meet Medicare eligibility coverage criteria.
References: 1. Local Coverage Determination (LCD) L33822, Glucose Monitors, https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?LCDId=33822. 2. January 2025 DME Fee Schedule. https://www.cms.gov/medicare/payment/fee-schedules/dmepos/dmepos-fee-schedule. 3. Part B (Medical Insurance) costs. https://www.medicare.gov/basics/costs/medicare-costs. 4. Medicare Supplemental Insurance (Medigap). https://www.medicare.gov/basics/costs/medicare-costs.
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