Medicare Criteria for Therapeutic CGMs
According to the U.S. Centers for Medicare & Medicaid Services (CMS), if you have Type 1 or Type 2 diabetes, intensively manage your insulin, and meet all of the following eligibility criteria, you can get a Therapeutic CGM covered by Medicare.

Medicare Criteria for Therapeutic CGMs
- The beneficiary has diabetes mellitus
- The beneficiary has been testing four or more times a day
- The beneficiary uses three or more daily injections (MDI) or a pump
- The treatment regimen requires the beneficiary to frequently adjust based on the therapeutic CGM testing results
- The beneficiary has seen his/her doctor in the last six months
To remain eligible, the beneficiary must see his/her doctor every six months to evaluate the CGM therapy.
Do you qualify? Apply for your CGM Today! Not sure if you qualify, no problem — let our team of diabetes care experts assist you through the process.