Coverage for Dexcom CGM

Most private insurers cover Dexcom rtCGM for people living with Type 1 or Type 2 diabetes on fast-acting insulin.*

*Prescription required. Eligibility varies by policy and plan. Prior Authorization of coverage may be required in some cases. Dexcom Data on file, July 2022.

Pay-Direct Pharmacy

If an insurer provides pay-direct pharmacy coverage, and it’s available on an individual’s health plan, they can access their Dexcom rtCGM supplies through their local pharmacy. Individuals should present their drug card and a prescription for Dexcom G6 or Dexcom G7 to their pharmacist, and they will be able to directly bill their insurer for the eligible amount reimbursed by their plan. This type of coverage reduces upfront out-of-pocket costs. For some plans, members may require prior approval of coverage before pay-direct pharmacy reimbursement is active

Pay & Submit

This type of coverage means that eligible individuals will need to pay for their Dexcom rtCGM supplies upfront, and then submit their invoice or receipt to the insurer for reimbursement. Eligible individuals can purchase Dexcom G6 and Dexcom G7 CGM supplies at their local pharmacy

Review the list below to see which insurers provide Pay-Direct Pharmacy coverage for Dexcom rtCGM supplies.* Please note that with any insurer, not all group / individual plans may have adopted pay-direct pharmacy coverage. Individuals should check with their insurer to confirm availability on their plan if they’re not sure.

Insurers denoted with a cross symbol (†) have also added the new Dexcom G7 rtCGM System as an eligible benefit.

• Alberta Blue Cross†
• Beneva [La Capitale]
• Co-operators†
• Desjardins†
• Empire Life
• GreenShield†
• Industrial Alliance
• Johnson Insurance
• Manitoba Blue Cross†
• Manulife
• Medavie Blue Cross†
• Pacific Blue Cross†
• Public Services Health Care Plan (PSHCP)†
• RBC Insurance†
• SSQ
• Wawanesa Insurance†

*Prescription required. Eligibility varies by policy and plan. Prior Authorization of coverage may be required in some cases. Dexcom Data on file, January 2024.

Review the list below to see which insurers provide Pay & Submit coverage for Dexcom rtCGM supplies.*

Insurers denoted with a cross symbol (†) have also added the new Dexcom G7 rtCGM System as an eligible benefit.

• Canada Life†
• ClaimSecure†
• SunLife†

*Prescription required. Eligibility varies by policy and plan. Prior Authorization of coverage may be required in some cases. Dexcom Data on file, December 2023.
 

If an individual under your care in unsure of their coverage, or you do not see their insurer list above in our FAQs, a Dexcom Account Specialist can further assist them in determining their eligibility and coverage.

They can request assistance by filling out our online form or by calling us toll-free at 1-844-832-1810 (Option 2).

As of January 1, 2024 the following private insurers have listed Dexcom G7 as an eligible covered benefit*: 

• Alberta Blue Cross
• Canada Life
• Co-operators
• Desjardins
• GreenShield
• Manitoba Blue Cross
• Medavie Blue Cross
• Pacific Blue Cross
• Public Service Health Care Plan (PSHCP)
• RBC Insurance
• Sun Life
• Wawanesa Insurance

*Prescription required. Eligibility varies by policy and plan. Prior Authorization of coverage may be required in some cases. Dexcom Data on file, January 2024.