Dexcom G6 Price with Insurance: What You Need to Know

Introduction

If you are one of the millions of Americans living with diabetes, you know how important it is to monitor your blood sugar levels. The Dexcom G6 Continuous Glucose Monitoring (CGM) system is an innovative and convenient way to monitor your glucose levels without the need for fingersticks. But how much does it cost, and how does insurance coverage factor in? In this article, we’ll explore the cost of the Dexcom G6 with insurance and answer some common questions about this popular CGM system.

What is the Dexcom G6?

The Dexcom G6 is a CGM system that continuously monitors your glucose levels using a small sensor that is placed just below the skin. The sensor transmits readings to a mobile device or receiver, allowing you to track your glucose levels in real-time. The sensor is designed to be worn for up to 10 days and is water-resistant, making it suitable for use during exercise or swimming.

How does the Dexcom G6 differ from other CGM systems?

The Dexcom G6 is one of several CGM systems on the market, but it offers several unique features that set it apart from other options. One of the most significant differences is that the Dexcom G6 is factory calibrated, meaning that you do not need to perform any calibration steps yourself. Additionally, the Dexcom G6 offers customizable alerts that can be set based on your personal glucose targets, and it can be used with a variety of mobile devices.

How much does the Dexcom G6 cost?

The cost of the Dexcom G6 system can vary depending on a variety of factors, including your insurance coverage and the vendor you purchase it from. However, without insurance, the cost for the Dexcom G6 system can be around $400 per month.

Does insurance cover the Dexcom G6?

Many insurance plans do cover the Dexcom G6 system, but coverage can vary significantly depending on your plan. Before purchasing a Dexcom G6, it’s a good idea to contact your insurance provider to verify coverage and determine any out-of-pocket costs. Some plans may require a prior authorization or step therapy before covering the Dexcom G6 system.

How much will I pay out of pocket for the Dexcom G6 with insurance?

Your out-of-pocket costs for the Dexcom G6 will depend on your insurance coverage, deductibles, and copays. Some insurance plans may cover the full cost of the Dexcom G6, while others may require you to pay a percentage of the cost. Many patients also choose to purchase an extended warranty for their Dexcom G6 system, which can add to the total cost.

Are there any programs or discounts available to help lower the cost of the Dexcom G6?

Yes, there are some programs and discounts available to help make the Dexcom G6 more affordable. Dexcom offers a patient assistance program for those who qualify based on financial need. Additionally, some vendors may offer discounts or promotions that can help lower the cost of the Dexcom G6 system.

FAQ

Question
Answer
Can the Dexcom G6 be used by children?
Yes, the Dexcom G6 is approved for use in children as young as two years old.
Does the Dexcom G6 work with my smartphone?
The Dexcom G6 is compatible with both iOS and Android devices.
How often do I need to replace the Dexcom G6 sensor?
The Dexcom G6 sensor is designed to be worn for up to 10 days.
Is the Dexcom G6 covered by Medicare?
Yes, the Dexcom G6 is covered under Medicare Part B for eligible patients with diabetes.
Can I shower or swim with the Dexcom G6 sensor?
Yes, the Dexcom G6 sensor is water-resistant and can be worn during activities such as swimming or showering.

Conclusion

The Dexcom G6 is a valuable tool for those living with diabetes, providing continuous glucose monitoring without the need for frequent fingersticks. While the cost of the system can be significant, insurance coverage and patient assistance programs may help make it more affordable. By working with your healthcare provider and insurance company, you can determine the best course of action for managing your diabetes with the Dexcom G6 system.