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Ask your healthcare provider 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 healthcare provider will work with a supplier to fill your prescription.
Need help starting the conversation with your healthcare provider? Use our discussion guide.
For those that qualify*1, the FreeStyle Libre 3 system and reader are eligible for Medicare reimbursement. For commercial coverage, please contact your insurance company regarding cost and coverage of the FreeStyle Libre 3 system.
Medicare Continuous Glucose Monitor (CGM) Coverage Criteria*1:
A. The beneficiary has diabetes 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 FreeStyle Libre 3 system prescription.
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.
ADC-77642 v3.0
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ADC-29718 Ver 1.0 11/20
