Dexcom's latest comment regarding Medicare patients staying on the G5

I have never heard that from anyone who is on Medicare Dexcom. Chart notes from doctor is a requirement, but test at least 4x per day? I have never seen that in the Dexcom rules for Medicare either. I think someone is pulling your leg. The 4x per day requirement is the initial requirement in order to qualify for a CGM. Dexcom states:
The beneficiary has been using a home blood glucose monitor (BGM) and performing frequent (four or more times a day) BGM testing; and,
Here are the rules:

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I occasionally get phone calls from Dexcom customer service telling me to call my endo to have her certify my 4x.

I checked the Dexcom web site and the G5 for Android stops on Samsung at S9s. The G6 includes the Samsung S10s.

When I was faced with replacing my aged S5 this year, I went for the current model, the S10. Dexcom has declared that the G5 will never move to a newer cell phone. So, I’m stuck with using my old S5 without a SIM card to back up the Dexcom receiver rather than using my current S10.

The Dexcom ordering droids will never commit to when I will be updated to the G6 so I’m still stuck with too many tools, some of which are out of date.

John

On the play store it states it works with these samsungs

For G6

Samsung Galaxy
S6, S6 Edge, S7, S7 Edge, S8, S8+, S9, S9+, S10, S10+, S10e
Note 5, Note 8, Note 9
J3 (Models SM-J327, SM-J330 and SM-J337)
J5 (Model SM-J530)
A5 (Model SM-A520)
A6 (Model SM-A600)
A6+ (Model SM-A605)
A7 (Model SM-A750)

for G5

Samsung Galaxy
S5, S6, S6 Edge, S7, S7 Edge, S8, S8+, S9, S9+
Note 5, Note 8, Note 9
J3 (Models SM-J327, SM-J330 and SM-J337)
J5 (Model SM-J530)
A5 (Model SM-A520)
A6 (Model SM-A600)
A6+ (Model SM-A605)
A7 (Model SM-A750)

Tony,

I think you’ve got the lists swapped between the G5 and G6, at least for the USA list.

John

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Yer right - I will take a nap now - I am going to fix it :grinning:

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They also have some that come in each one individually sealed.

Those would be too fiddly for me. :slight_smile: I have a hard time dealing with wrapped (especially small items) items.

G5. I’m pretty active, run about 4 miles a day, swim 3 days a week, live on my old (mostly manual labor) sailboat for several months a year; so I am susceptible to rather rapid BG drops. That’s why I’m cautious.
Oftentimes, it will be on strike for an hour or two, sometimes over 3 hours.
The only way to save any reading is by doing a calibration, unlike the Medtronics, which would allow you to just save readings.

Yea but just pointing out that there are test strips like that.
Heck my old accu chek compact plus had its strips sealed in barrels which I loved as it meant less fiddling with test strips.
Sadly they discontinued it.

@Kyn72 I remember the accu check strips in little barrels!!! I looked they still have on their website a meter that holds preloaded little drums!

The only one I am aware of that even comes close is the Accu-Check Mobile which unfortunately is not in the US.

@Kyn72
no idea, but here is the one I saw

Yeah that’s one that’s been discontinued.

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Seems like a number of different topics here. SO: My One Touch PIng pump will be at end of the five year Medicare warranty in December and plan to get on a Tandem pump. Also on a Dexcom G5 cgm. Would like to switch to the G6 to work with the Tandem pump but I got it in August, 2017, so Medicare warranty won’t be up until Aug., 2020. Question: Would it still be possible for Medicare to approve the G6 in December, 2019??

The only “warranty” that is relevant in the upgrade from G5 to G6 is when your last transmitter shipped. It must have been 90 days ago. Although the Dex receiver is considered to have a 3-year life allowing the system to be classified as DME, we are not under a 3-year warranty. Medicare pays Dexcom on a monthly subscription basis and it is different than a warranty for a pump. For those who have the touchscreen G5 receiver, you can use a software update to move it to G6. If you have the old-style G5 receiver, you can get a G6 receiver as I did.

A lot of seniors are currently moving up to G6 although some people are still being told that they will have to wait a couple of months. I just ordered a G6 from Solara which provides my pump supplies because I didn’t want to deal with Dexcom anymore.

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Thanks for the info, Laddie.

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Your endocrinologist must document that you self test four times a day for Medicare to cover it and it must be in the notes Dexcom receives from him/her. I just went the rounds with Dexcom because I also thought it was nuts; but that is the new rule!

Hey Vivi - Are you on a Dexcom now or are you trying to get a Dexcom on medicare? I am fully aware of the requirement that you need to be testing at least 4 times a day in order to get medicare approval to go on Medicare Dexcom CGM but am not aware of any rule that says that you need to test 4 times a day once on the Dexcom system. That is why I ask if you are currently a medicare Dexcom CGM user or are you looking to get their CGM. I have been on Medicare Dexcom CGM for a few years and my endo has never asked me how often I test and as far as I know there has not been anything in my doctor’s notes that indicate how often I test.

I believe Medicare requires 4 finger sticks/day for insulin pump eligibility, not for CGM eligibility.

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