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Getting a prescription is as easy as talking to your doctor
Ask your doctor if you are covered for the FreeStyle Libre 3 system through Medicare*. Your prescription must include the reader† and the sensors to be eligible for coverage*. Your doctor will work with a supplier to fill your prescription.
Need help starting the conversation with your doctor? Use our discussion guide.
For those that qualify*1, the FreeStyle Libre 3 system and reader are now eligible for Medicare reimbursement. For commercial coverage, please contact your insurance company regarding cost and coverage of the FreeStyle Libre 3 system.
Medicare CGM Coverage Criteria*:
A. The beneficiary has diabetes mellitus; and,
B. The beneficiary is insulin-treated with multiple daily injections (MDI; ≥3) of insulin or a continuous subcutaneous insulin infusion (CSII) pump; and,
C. The beneficiary’s insulin treatment regimen requires frequent adjustment by the beneficiary on the basis of BGM or CGM testing results; and,
D. Within six (6) months prior to ordering the CGM, the treating practitioner has an in-person visit with the beneficiary to evaluate their diabetes control and determined that criteria (1-3) above are met; and
E. Every six (6) months following the initial prescription of the CGM, the treating practitioner has an in-person visit with the beneficiary to assess adherence to their CGM regimen and diabetes treatment plan.
* 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
Yes, the FreeStyle Libre 3 system requires a valid prescription.
Medicare coverage is available for FreeStyle Libre systems if their respective readers are used to review glucose data on some days every month. Medicare and other third party payor criteria apply.
Abbott provides this information as a courtesy, it is subject to change and interpretation. The customer is ultimately responsible for determining the appropriate codes, coverage, and payment policies for individual patients. Abbott does not guarantee third party coverage or payment for our products or reimburse customers for claims that are denied by third party payors.
* Patients must meet Medicare eligibility coverage criteria.
† The FreeStyle Libre 3 app and the FreeStyle Libre 3 reader have similar but not identical features. Fingersticks are required for treatment decisions when you see the Check Blood Glucose symbol and when your glucose alarms and readings from the system do not match symptoms or expectations.
Reference: 1. Local Coverage Determination (LCD) L33822, Glucose Monitors, https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?LCDId=33822.
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Disclaimer
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If you are a resident of another country, please visit our global directory to locate the appropriate site for your country.
ADC-29718 Ver 1.0 11/20