Dexcom G7 & FreeStyle Libre CGM Insurance Coverage in Texas
- wonacedme
- Jun 23
- 2 min read
Understanding Texas Insurance Coverage for CGMs
If you're managing diabetes in Texas, knowing your coverage options for continuous glucose monitors (CGMs) like Dexcom G7 and FreeStyle Libre 3 is essential.
BCBS Texas (Medical Benefit)
Under Blue Cross Blue Shield of Texas, CGMs may be covered under the medical benefit, particularly when prescribed for insulin-treated diabetes, hypoglycemia events, or documented need for frequent monitoring.
Coverage typically requires prior authorization, prescription, and documentation showing daily glucose checks, insulin dependency, or insulin pump use.
Pharmacy Benefit Coverage
Some BCBS plans, including Anthem BCBS, have moved CGMs to the pharmacy benefit, making Dexcom and Libre available through pharmacies with a prescription and prior authorization.
This shift can streamline access but may impact copayment structures and refill limits.
BCBS Plan Variations
Coverage varies depending on your specific BCBS Texas plan; it’s crucial to verify whether your plan categorizes Dexcom or Libre as DME or pharmacy-supplied
Coverage Requirements & Criteria
BCBS plans generally require:
A confirmed diabetes diagnosis (Type 1 or treated Type 2)
Regular insulin use or frequent glucose fluctuations
Documentation supporting medical necessity (e.g., hypoglycemia risk, HbA1c goals, pump usage)
Prescription written by a physician and prior authorization submission before filling the device under pharmacy benefits
What You Get Covered
Dexcom G7: Includes the sensor and receiver.
FreeStyle Libre 3: Includes the sensor and standalone reader/device.
Covered supplies typically include 3 sensor packs per 30 days and 1 reader per year when processed through pharmacy benefits
Why Choose WONACE Medical Supply
At WONACE Medical Supply, we help you:
Confirm whether your CGM falls under BCBS's medical or pharmacy benefit
Click Here to submit necessary prescriptions, prior authorizations, and medical necessity documentation
Ensure timely approvals and deliveries
Provide ongoing CGM monthly shipments to your doorstep
Offer expert support for all 50 states, including Texas
Key Takeaways
Verify Benefit Type: BCBS Texas may treat CGMs as DME or pharmacy items
Understand Coverage Criteria: Insulin use, documented glucose checks, and physician documentation are required
Anticipate Prior Authorizations & Limits: Expect paperwork, review of usage, and refill restrictions
Choose a Trusted Provider: WONACE Medical simplifies the process and ensures your CGMs are delivered to you reliably
Get Started Today
Call 281‑810‑3123 or visit wonace.com/diabetes to check your Dexcom G7 or FreeStyle Libre 3 eligibility and start your insurance-covered delivery today.
Learn Dexcom G7 & FreeStyle Libre 3 CGM insurance coverage in Texas—BCBSTX, pharmacy vs medical benefit, approval guidelines & seamless delivery via WONACE Medical Supply.
Conclusion
Choosing to get your CGM from a Durable Medical Equipment provider like WONACE Medical Supply. From personalized service and expert support to simplified insurance billing and comprehensive follow-up care, we are dedicated to helping you manage your diabetes effectively. Contact us today to learn more about our CGM devices and how we can assist you in achieving better glucose control.
Contact WONACE Medical Supply for medical supplies near you.
Contact
WONACE Medical Supply is a Medicare-approved company trusted by medical doctors, insurance, and hospitals.
Visit: WONACE.COM
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