Most private health plans require patients (members) to enroll and submit claims to PharmaCare first.

• If they are approved for PharmaCare coverage, the pharmacist will submit claims to PharmaCare first. Coverage is coordinated at the point of sale, with billing to PharmaCare, the patient, and their private insurance depending on where the patient is with their accumulated deductible and coinsurance maximum. Standard copays will apply as per the persons policy.
• If the patient is not approved for PharmaCare, the pharmacist will submit to their private insurer if the patient has a private plan and collect the copayment. Coverage varies by plan and policy.
• Some private plans will not be initially setup to automatically pay claims for Dexcom at pharmacy. Patients with these plans, who are approved for coverage, will need to pay the pharmacy directly for their deductible or copayment amounts, and then submit their receipts to their insurer for reimbursement.
• Patients with private insurance should check with their insurer to confirm if their plan is setup to reimburse Dexcom at pharmacy directly, and what (if any) documentation is required for them to obtain coverage approval for pharmacy claims.

If additional support is needed, please have the patient contact Dexcom at 1-844-832-1810.