Continuous Glucose Monitors (CGMs) in Katy, Fulshear, Richmond, Brookshire, Sealy & Greater Houston

Continuous Glucose Monitors (CGMs) like Freestyle Libre and Dexcom have revolutionized diabetes management, allowing users to track their blood glucose levels in real-time without the need for frequent finger pricks. These devices offer convenience, accuracy, and more control over diabetes care. However, obtaining a CGM through insurance requires a doctor's order and a specific process to ensure coverage.

If you or someone you care for is considering a Freestyle Libre or Dexcom CGM, this guide will walk you through the steps of getting and filling a doctor’s order, from initial consultation to receiving the device.

 

Step 1: Consult Your Healthcare Provider

Before you can obtain a Freestyle Libre or Dexcom CGM, you’ll need a prescription from your doctor. Your healthcare provider will assess whether a CGM is the right option for you based on factors such as:

• Type of Diabetes: CGMs are typically recommended for people with Type 1 or Type 2 diabetes who require insulin therapy.

• Blood Sugar Management: If you have difficulty controlling your blood glucose levels with traditional methods, a CGM can provide real-time data for better decision-making.

• Hypoglycemia Awareness: If you experience low blood sugar without feeling symptoms (hypoglycemia unawareness), a CGM can alert you when glucose levels are dangerously low.

During your consultation, discuss the potential benefits of a CGM, and let your provider know if you're interested in using a device like the Freestyle Libre or Dexcom.

 

Step 2: Obtain a Doctor’s Order (Prescription)

Once your healthcare provider determines that a CGM is necessary for your diabetes management, they will provide you with a doctor’s order or prescription. The prescription should include:

• Type of CGM: Specify which device (Freestyle Libre or Dexcom) is being prescribed.

• Frequency of Use: A recommendation on how often the device should be used (usually continuous for long-term tracking).

• Medical Reasoning: A brief explanation of why the CGM is necessary (e.g., insulin therapy, poor blood sugar control, or hypoglycemia unawareness).

For insurance purposes, some providers may also need to submit a Letter of Medical Necessity (LMN), which explains in detail why the CGM is essential for managing your condition.

 

Step 3: Submit the Doctor’s Order to the DME Supplier

Once you have the doctor’s order or prescription, you’ll need to work with a Durable Medical Equipment (DME) supplier like Katy Medical Supply. DME suppliers specialize in providing medical devices like CGMs, and they can help with the following:

• Insurance Verification: The DME supplier will verify your insurance coverage and check whether your plan covers CGMs like Freestyle Libre or Dexcom. Some insurers may require additional documentation or approval, so it’s essential to work with a supplier familiar with the process.

• Submit the Order: The DME supplier will submit your doctor’s prescription, along with the LMN (if required), to your insurance provider for approval.

• Process Billing: Once approved, the supplier will handle the billing process, ensuring that your CGM is covered under your insurance plan, and can help with any co-pays or out-of-pocket costs.

 

Step 4: Wait for Insurance Approval

Once your insurance provider has received the necessary documentation, they will review it to determine if you qualify for a CGM under your plan. Depending on your insurance provider, this process may take anywhere from a few days to a few weeks.

During this time, the DME supplier may follow up with the insurance company to ensure the process is moving along smoothly. If any additional documentation or clarification is required, your doctor may be contacted to provide further details.

 

Step 5: Receive Your Freestyle Libre or Dexcom CGM

After your insurance approves the CGM prescription, your DME supplier will fulfill the order and ship the device directly to your home or arrange for an in-person pickup. The supplier will ensure that you have all the necessary parts, including the sensors, transmitter (for Dexcom), and receiver or mobile app setup.

Many suppliers also offer a training session to walk you through how to use the CGM, interpret the data, and maintain the device properly.

 

Step 6: Ongoing Support and Refills

Once you begin using your Freestyle Libre or Dexcom CGM, you’ll need to ensure that you have a continuous supply of sensors and transmitters, as they need to be replaced regularly.

• Ongoing Prescriptions: You will need a prescription or order for sensor refills, which your healthcare provider will renew periodically.

• Insurance Refills: Your insurance will typically cover the sensors and transmitters as long as they are replaced according to the manufacturer’s guidelines. Your DME supplier will handle refills, ensuring that you continue receiving the devices without interruptions.

Many suppliers, including WONACE Medical Supply, provide subscription services to ensure you always have the supplies you need when you need them.

 

Why Choose Katy Medical Supply for Your CGM Needs?

At WONACE Medical Supply, we specialize in providing Freestyle Libre and Dexcom CGMs to patients across Houston and surrounding areas. Our team of experts can help with the following:

• Insurance Assistance: We help you navigate insurance claims and ensure your CGM is covered by your health plan.

• Prescription and Documentation Support: We assist with obtaining the necessary doctor’s orders and Letters of Medical Necessity.

• Fast and Reliable Delivery: Once approved, we ensure that your CGM is delivered quickly and securely.

• Ongoing Customer Support: Our team provides continuous support for refills, maintenance, and troubleshooting.

 

Contact Us Today

If you or a loved one is interested in obtaining a Freestyle Libre or Dexcom CGM, call Katy Medical Supply at 281-810-3123 or fax referrals to 877-787-4705. We’re here to assist with everything from doctor’s orders to insurance verification, ensuring you have the tools you need to manage diabetes effectively.

Visit our website today to learn more about CGMs and how we can help you get started on your journey to better diabetes management.