“
It’s been an absolutely amazing change for my life.
Dianne, Eversense CGM User
Dr. David Ahn
Eversense CGM provider
What does this mean for you?
Eversense users with insurance coverage for the Eversense CGM System can move forward with contacting their distributor for your next sensor order.
For Eversense users without insurance coverage for the Eversense CGM System, we have extended the Patient Access Program (Bridge*) to help cover out-of-pocket costs. You may qualify to receive your sensor for $99* (plus the cost of the insertion fee).
Qualifications for the Patient Access Program*:
- You have commercial insurance
- You are not on Medicare, Medicaid or another federally-funded program
- You do not live in Massachusetts
Please call your distributor to see if you qualify for the extended Patient Access Program.
Information on the Insertion and Removal and Procedure and Costs
- The sensor insertion and removal procedures are required to be performed only by providers who are already certified on the procedure.
- If your health care provider is certified, they can still perform the Eversense insertion and removal procedures. However, you may incur some (or all) of the procedure costs.
- Depending on your insurance, coverage may be available for the procedures. Contact your insurance company to verify coverage for the procedure (insertion billing code is 0446T, reinsertion and removal billing code is 0448T)
- If your sensor was inserted by a CES (Certified Eversense Specialist – dermatologist, surgeon, etc.) instead of your endocrinologist, and the procedure is not covered by your insurance, you may be responsible for the cost of the procedure. Reach out to your CES to ask about the following.
- Are they currently still performing procedures for Eversense insertions and removals?
- Do they offer a cash price or discount for the procedure when you are paying out-of-pocket?
- Are they willing to bill your insurance first, and if no coverage, bill you directly?
We are as devoted as ever to the advancement of CGM and to the people we serve. We thank you for your continued and unwavering support of Eversense and Senseonics.
* For a limited time, patients who meet the Program's Eligibility Requirements may receive monetary assistance up to a Program maximum towards acquiring the Eversense CGM System (after making an initial $99 payment). The Bridge Program does not apply to sensor placement procedure fees from your health care provider, however, and patients must discuss coverage and payment for sensor placement separately with their physician (or other health care provider).