Skip to content

Diabetic Supplies

Diabetic Supplies, Covered by Insurance

CGM insurance coverage without the runaround: Dexcom, FreeStyle Libre, insulin pumps, and Medicare diabetic shoes. We verify your benefits, chase the paperwork with your doctor, and resupply automatically across the five boroughs, Long Island, Westchester, Putnam County, Poughkeepsie, and all of New York.

Continuous glucose monitor sensor and insulin pump covered by insurance, delivered to patients in New York

Key takeaways

  • Many patients pay $0 for CGM sensors and diabetic shoes after their deductible is met. Where a copay applies, we tell you the number in writing before we ship — no surprise invoices.
  • 3 diabetic supplies bundles available, billed to Medicare, New York Medicaid, and major commercial plans.
  • Same-day benefit verification, with your expected out-of-pocket sent to you in writing before anything ships.
  • Delivery across the five boroughs, Long Island, Westchester, Putnam County, Dutchess County including Poughkeepsie, and all of New York. Eligible supplies can be shipped statewide. Items requiring measurement, customization, fitting, or adjustment are handled through an in-person delivery or fitting process.

What we offer

Diabetic supplies covered by insurance and Medicare

  • Continuous Glucose Monitors & Resupplies

    Dexcom and FreeStyle Libre systems with sensors arriving automatically before you run out. For anyone on insulin or managing Type 1 or Type 2 diabetes who is tired of fingersticks.

  • Insulin Pumps & Resupplies

    Pump systems plus the infusion sets, reservoirs, and cartridges that keep them running — bundled on one recurring order so nothing gets missed.

  • Diabetic Shoes

    Therapeutic footwear and custom inserts for patients with neuropathy or a history of foot ulcers, typically covered once per calendar year under Medicare Part B.

Coverage explained

How to get a CGM covered by insurance

Most commercial plans, Medicare Part B, and Medicaid cover continuous glucose monitors, insulin pumps, and therapeutic diabetic shoes when your clinician documents medical necessity. Here is what that actually takes.

  1. 1

    We verify your benefits first

    Send us your carrier and member ID and we run a real benefits check — deductible, coinsurance, and whether your plan prefers Dexcom or Libre — before anything ships.

  2. 2

    We collect the documentation from your doctor

    For CGMs and pumps that usually means a diabetes diagnosis, an insulin or testing-frequency note, and a recent office visit. We request the chart notes and prescription directly from your prescriber.

  3. 3

    We submit prior authorization when required

    If your plan needs prior auth, our billing team files it and follows it through appeal if the first answer is no. You do not chase anyone.

  4. 4

    Resupply runs on schedule

    Once you're approved, sensors and pump supplies ship on a recurring cadence, and we re-verify coverage each plan year so nothing lapses in January.

What patients typically pay

Many patients pay $0 for CGM sensors and diabetic shoes after their deductible is met. Where a copay applies, we tell you the number in writing before we ship — no surprise invoices.

Want the specifics for your plan? Read how our insurance process works or check your coverage.

Check my coverage

Step 1 of 2

Four quick fields. No obligation.

We use your information to verify benefits and, if you choose to proceed, to coordinate documentation, fulfillment, billing, and support. See our Privacy Policy and Notice of Privacy Practices.

Why Medically Modern

Why patients choose Medically Modern for diabetic supplies

Our coordinators know which plans prefer which CGM, which need prior auth, and how to move a patient off a supplier that keeps missing shipments.

  • In-network with all major insurances

    Medicare, Medicaid, and the major commercial carriers. We verify your current benefits and provide an estimate of your expected out-of-pocket cost before shipment. Benefit information is not a guarantee of payment; final coverage and patient responsibility are determined when your plan processes the claim.

  • White-glove, high-touch service

    A named care coordinator who contacts your doctor's office and handles prior authorization. We support or submit an appeal where permitted and authorized. You never sit on hold chasing paperwork.

  • Refills you confirm, not automatic shipments

    We track when you may be eligible for a refill and contact you before each cycle. Nothing ships until you or your representative confirms that it is needed. Each check-in also confirms sizing, fit, and quantities.

Diabetic Supplies covered by the plans we bill every day

  • Medicare A&B
  • NY Medicaid
  • Aetna
  • Humana
  • Fidelis
  • NYSHIP Empire
  • Anthem BCBS
  • MagnaCare
  • UnitedHealthcare

Participation varies by plan and product, we verify your specific plan before anything ships.

Plus most regional Medicaid, Medicare Advantage, and commercial plans. Not sure? We'll check for you.

Diabetic Supplies FAQ

CGM insurance coverage questions

Official coverage sources

Read the payer rules directly, then let us verify what your own plan allows.

Yes, in most cases. Medicare Part B and nearly every commercial plan cover continuous glucose monitors when medical necessity is documented — typically insulin use or a history of problematic hypoglycemia. We verify your specific plan and tell you your exact cost before shipping.

Many patients pay $0 for sensors once the deductible is met; others owe a 20% coinsurance or a pharmacy-tier copay. Without insurance a continuous glucose monitor typically runs a few hundred dollars a month, which is why we run the benefit check first and put the number in writing.

Yes. Medicare covers CGMs, insulin pumps and pump supplies, test strips and meters, and therapeutic diabetic shoes, with the specifics split between Part B and Part D. We tell you which bucket your items fall under and bill it correctly the first time.

Medicare Part B covers one pair of therapeutic diabetic shoes plus three pairs of inserts per calendar year for patients with diabetes and a qualifying foot condition, when a certifying physician documents the need. If you have been searching for diabetic shoes covered by Medicare near you, we fit and bill them.

New York Medicaid and Medicaid managed care plans cover CGMs with a diagnosis and prescription, often at $0. We confirm which brand your plan prefers, submit the prior authorization, and appeal if the first answer is no.

Yes. We serve patients across the five boroughs, Long Island, Westchester, Putnam County, Poughkeepsie, and all of New York, and we bill the plans people here actually carry — Medicare, NY Medicaid managed care, Fidelis Care, NYSHIP, Humana, UnitedHealthcare, Anthem, and Aetna.

Sometimes a manufacturer coupon or savings card beats a high-deductible pharmacy copay, especially early in the plan year. We compare your covered cost against current savings-card pricing and tell you honestly which is cheaper.

If you have a current prescription we can usually work from it. If not, we contact your prescriber and request everything needed, including chart notes.

See what your plan covers for diabetic supplies

Two minutes now saves weeks of phone calls later. We verify your benefits and follow up within one business day.

Check My Coverage

Takes about 2 minutes.

Other ways we help