Medicare won’t pay for test strips and CGMS. So Medicare has long claimed “CGMS” to be “investigational.” When the DexCom G6 came out with their “no calibration needed” Medicare “all of a sudden” decided that DexCom G6 is not investigational but is therapeutic. Guess who is not considered to be “therapeutic” by Medicare, Medtronic MiniMed CGMS. Guess who also still requires fingersticks to calibrate the sensor. (Medtronic). Ironically, guess who has been told by the courts that, based on how they define their “therapeutic” CGMS, that Medtronic is a “therapeutic” CGMS. (Medicare) Guess who is ignoring the courts and still will not consider Medtronic “therapeutic”. (Medicare) Guess who is working on coming out with a sensor that doesn’t need calibration. (Medtronic) Guess who is considering making Medtronic a “therapeutic” sensor. (Medicare) Guess why it hasn’t happened yet. (Don’t have the no calibration needed approval yet).
When it comes to diabetic glucose monitoring supplies Medicare is HORRIBLE. They have such a choke hold on it. Just because you don’t REQUIRED to calibrate every day doesn’t mean that you will never again need test strips. People still use a few here and there for various reasons.
I knew a gentleman who got a DexCom and didn’t like it. He tried to go back to test strips. They wouldn’t fill it because he had a DexCom. He explained that he didn’t like it and wanted to switch back. Medicare finally told him that he had to send it back and get a return receipt of delivery. The DME group wouldn’t take it back because Medicare wouldn’t allow it after a certain amount of time had passed. Round and round and round.