FreeStyle Libre 3 Plus CGM

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FreeStyle Libre 3 Plus CGM

The FreeStyle Libre 3 Plus is a continuous glucose monitor (CGM). A small sensor worn on the back of the upper arm reads your glucose all day and night, and the reader shows your levels and trends, with no routine fingersticks. Star DME checks your coverage and supplies the sensors and reader.

Used for: Diabetes on insulin, Low blood sugar episodes, Glucose tracking

  • Medicare
  • Medicaid
  • Commercial plans
  • No-Fault
  • Workers' Comp
  • Other major insurances

Medicare coverage requirements

Medicare requirements

Medicare LCD L33822, Glucose Monitors, with Policy Article A52464

Covered when ordered for

  • You have diabetes, and
  • You use insulin, or you have a history of problematic low blood sugar (hypoglycemia), and
  • The CGM is prescribed according to its FDA indications, and you or a caregiver are trained to use it, and
  • Your doctor saw you in person or by Medicare-approved telehealth within 6 months before the order

Doctor's note should include

  • Diagnosis of diabetes (type 1 or type 2)
  • That you are treated with insulin, or the details of your low blood sugar episodes (for example readings below 54 mg/dL, or an episode that needed help from another person)
  • The visit within the last 6 months that evaluated your diabetes control
  • That a CGM is medically necessary and that you can use it as instructed

Prior authorization

Medicare requires a visit with your doctor about every 6 months to keep CGM coverage. Star DME checks your benefits and whether your plan needs prior authorization.

What we need from your doctor

A prescription and a recent visit note or progress note. Your doctor can fax both to (844) 438-5893, or you can bring them to the store.

What the note should say

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Find out if you're covered

Answer five quick questions, or call us. We check your benefits for you.