JDRF's Continuous Glucose Monitoring (CGM) Human Clinical Trial has demonstrated that consistent use of CGM devices significantly improves blood glucose control in people with type 1 diabetes. Read more about the CGM Trial results.

Based on these results, JDRF is advocating that health plans offer CGM coverage to all people with type 1 diabetes who are intensively managing their disease and are prescribed CGM by their physician.

If you're seeking CGM coverage for you or a loved one, here's some information that can help:

• Tips for how to apply for case-by-case coverage if your plan doesn't cover CGM yet

JDRF Position Statement on CGM Coverage by Health Insurers:

An independent study of continuous glucose monitoring (CGM) use funded by the Juvenile Diabetes Research Foundation found that patients with type 1 diabetes who consistently used CGM devices experienced significant improvements in blood sugar control, and were more likely to achieve medical guidelines recommended for people with diabetes -- outcomes that significantly lower the risk of devastating and costly diabetes complications.

Based on these results, JDRF believes health insurers should offer CGM coverage to all people with type 1 diabetes who are intensively managing their disease and are prescribed CGM by their physician.

CGM Coverage Policies for Select Health Plans*:

Following is a list of CGM coverage policies for select health plans. If you do not see your health plan listed here and would like to know if your plan covers CGM, click here.

• Aetna - Covers all patients with type 1 diabetes over age 25 and those under 25 with recurrent severe hypoglycemia.
• Blue Cross Blue Shield of MA - Effective June 1, 2009, covers type 1 with recurrent unexplained severe hypoglycemia or patients who are type 1 and are pregnant.
• Blue Cross Blue Shield of IL - Coverage for type 1 diabetes patients ages 25 and over (Search for "Continuous or Intermittent Monitoring of Glucose in Interstitial Fluid" on the policy site).
• CIGNA - Coverage for type 1 at 25 years of age and older; type 1 under 25 years and have recurrent severe hypoglycemia.
• Group Health (WA) - No formal coverage
• Harvard Pilgrim (MA) - Effective April 1, 2009 coverage for continuous glucose monitoring systems. Additional information for Providers is available here.
• Highmark Blue Cross Blue Shield (PA) - Patients with type 1 diabetes with recurrent severe hypoglycemia or hypoglycemia unawareness.
• Horizon Blue Cross Blue Shield (NJ) - No formal coverage.
• Humana - Patients with type 1 diabetes with recurrent severe hypoglycemia or hypoglycemia unawareness.
• Kaiser Permanente Northern and Southern CA - Covers patients with type 1 diabetes.
• Tufts (MA) - Covers patients with type 1 diabetes with hypoglycemia unawareness.
• United - Covers patients with type 1 diabetes who have not achieved optimum control or have experienced hypoglycemica unawareness (Search for "Continuous Glucose Monitoring" on the policy site).
• Wellpoint/Anthem - Coverage for type 1 at 25 years of age and older; coverage for all other ages with recurring severe hypoglycemia.
  
  
  *Note: This list describes policies for what is sometimes called "long-term" use of CGM. Many other plans cover CGM use for 72 hours or less.

Don't see your plan?