FLASH: Freestyle Libre Covered Under DME Benefit

There’s a new blood glucose-monitoring device, called Freestyle Libre, which uses sensor needle pads for continuous glucose readings instead of frequent finger sticks.

While this device is available through certain DME providers and in retail pharmacies, we are only covering the Freestyle Libre under the DME benefit. We cover all continuous blood glucose monitors and their test strips under the DME benefit.

You can get the Freestyle Libre at:

• EdgePark Medical Supplies – HA Provider ID #056804
• Byram Healthcare – HA Provider ID #308677 (WA only)

You will have to submit preauthorizations through Clear Coverage for the Freestyle Libre, just as you would for other continuous blood glucose monitors. The HCPC codes for Freestyle Libre are K0553 and K0554, and they should be submitted together to cover the device and supplies.

If you have any questions, contact your provider relations specialist.

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