Freestyle Libre Systems More Accessible Through Medicare Coverage Expansion


On Monday, April 17, 2023, the Centers for Medicare and Medicaid Services (CMS) announced expanded coverage of continuous glucose monitors (CGMs) for more Medicare enrollees with diabetes. This means that Freestyle Libre Systems will now be more accessible through Medicare coverage.

Of the 65 million Americans who use Medicare as their primary health insurance, 11 million live with diabetes.

Many of these people with diabetes take insulin, and will now be able to access CGMs for the first time. 

For many years, people with diabetes on Medicare could only access a CGM if they injected insulin three or more times per day.

Expanded coverage will allow people with diabetes who use as little as one basal insulin injection per day to access a CGM.

In some cases, people with diabetes who do not use insulin—but have a history of severe low blood-sugar levels—will also be eligible for a CGM.

This landmark decision is the most significant expansion of CGM coverage for people with diabetes in United States history.

Expanded Medicare Access to Freestyle Libre

This expanded access includes devices such as the Freestyle Libre 3, Freestyle Libre 2 and Freestyle Libre 14-day system, among others. 

The Abbott Freestyle Libre system is the most prescribed and affordable CGM system in the United States. Abbott sees this expansion as a massive win for the diabetes community. 

“Freestyle Libre technology was designed from the start to be affordable and accessible,” said Jared Watkin, a senior vice president for Abbott’s diabetes care business. Watkin adds that this expanded access will allow people to “spend less time worrying and more time living healthier, better lives.” 

Continuous Glucose Monitors Save Lives

Access to CGM technology in the United States is still fraught.

Many people either cannot afford them, their health plan doesn’t cover them, or they have to jump through impossible hoops to access them, even if they have good health insurance. 

But the science is clear—CGMs lower A1C levels and improve quality of life. 

CGMs are some of the best patient-centered technology available to improve patient outcomes and make life with diabetes easier. This change will be substantial for the millions of Americans with diabetes on Medicare. 

The American Diabetes Association (ADA) also celebrates this change. 

“We applaud Medicare’s decision allowing for all insulin-dependent people as well as others who have a history of problematic hypoglycemia to have access to a continuous glucose monitor, a potentially life-saving tool for diabetes management,” says Chuck Henderson, the chief executive officer of the ADA. 

This content mentions Abbott, an active partner of Beyond Type 1.
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WRITTEN BY Christine Fallabel , POSTED 04/18/23, UPDATED 03/27/24

Christine Fallabel has been living with type 1 diabetes since 2000. She's a health and science writer and has been featured in Diabetes Daily Grind, Insulin Nation, Diabetics Doing Things, and is a regular contributor to Diabetes Strong, T1D Exchange, and Healthline. She earned her Master of Public Health from Temple University and received her Bachelor of Arts from The University of Delaware. In her spare time, she enjoys hiking with her husband in the mountains of Colorado, tinkering with her DIY Loop insulin pump, drinking strong coffee and reading in front of a cozy fire.