DEXCOM G6 insurance pre approval (1436)

Key points below

How can I get a Dexcom G6?

First, we need to find out if it is a prescription benefit or a medical benefit. The diabetes clinic will check with your insurance company to find out. This will take a few days.

If the Dexcom G6 is covered as a pharmacy benefit

  1. You will be called about the cost.
  2. A prescription can be sent to the Skywalk Pharmacy or your preferred pharmacy.
  3. Some insurances also need a prior authorization. This means that the insurance company needs to look at your child’s medical history and decide if they will pay for part of the CGM. This part of the process can take 1 to 2 weeks.

If it is not covered as a pharmacy benefit, or if the pharmacy benefit costs too much:

  1. Clinic gives insurance information to Dexcom.
  2. Dexcom contacts a DME that works with your insurance.
  3. Dexcom sends a form to the clinic to fill out.
  4. Clinic sends the completed form to the DME distributor.
  5. DME distributor sends the form on to your insurance company.
  6. Your insurance company decides if they will pay for the Dexcom.

Important information about the DEXCOM G6

When your child gets the device


Call your child’s doctor, nurse, or clinic if you have any questions or concerns or if your child has special health care needs that were not covered by this information.