Managing diabetes effectively requires more than just medication — it also involves daily monitoring, lifestyle planning, and access to the right tools. Yet for millions of Americans, the cost of continuous glucose monitors (CGMs), test strips, and digital health support remains a serious barrier. In response, several government-backed and nonprofit programs are expanding access to affordable, and in some cases free, glucose monitoring technology.This 2025 guide breaks down the top programs, eligibility requirements, application steps, digital tools, and alternatives available to help you manage your diabetes more effectively — without the overwhelming out-of-pocket expense.
If you’re living with diabetes, you already know how critical it is to stay on top of your glucose levels. But even with a prescription in hand, many people find the cost of modern glucose monitoring tools too high to maintain month after month. That’s why new government-backed and nonprofit programs are expanding access to affordable continuous glucose monitors (CGMs) and support services across the U.S. — and many people still don’t know they qualify.
Why Glucose Monitoring Matters — and Why It’s Still Out of Reach
For individuals living with Type 1 or Type 2 diabetes, blood sugar monitoring is a cornerstone of care. According to the CDC, nearly 40 million Americans live with diabetes, and an additional 98 million have prediabetes. The daily management process — especially the ability to check blood glucose levels accurately and frequently — can reduce complications, prevent hospitalizations, and improve long-term health outcomes.
However, many patients report being unable to afford monitoring tools like continuous glucose monitors (CGMs), testing supplies, and updated glucometers. The average out-of-pocket cost for CGMs alone can exceed $300 per month without insurance.
“Access to real-time glucose data can transform diabetes management, but many patients still go without due to affordability issues,” says Dr. Angela Liu, endocrinologist and clinical researcher at Johns Hopkins.
What Are Government-Backed Glucose Monitoring Programs?
These programs are public health initiatives, Medicare/Medicaid-supported services, or nonprofit partnerships designed to increase access to affordable glucose monitoring technology. Some programs provide free or low-cost CGM devices, traditional meters, test strips, or mobile apps to eligible patients. Others focus on education and support services to improve compliance and self-management outcomes.
The goal is to close the gap between clinical recommendations and real-life access, particularly for seniors, low-income families, or underserved communities.
Key Benefits of Glucose Monitoring Support Programs
- Provide access to FDA-approved CGMs like FreeStyle Libre and Dexcom
- Reduce or eliminate monthly out-of-pocket costs
- Offer training and telehealth support on device usage
- Connect patients to care coaches and mobile platforms
- Improve HbA1c levels, reduce emergency visits, and enhance quality of life
- Designed to support both Type 1 and Type 2 diabetes depending on plan
Top Glucose Monitoring Programs in 2025
1. Medicare CGM Coverage (Expanded 2023–2025 Rules)
Medicare Part B now covers CGM systems for all insulin-dependent patients, including Type 2 diabetes individuals who use insulin daily.
- Devices Covered: Dexcom G7, FreeStyle Libre 2/3
- Requires: Physician prescription and documented diabetes diagnosis
- Where to Apply: Through DME supplier or pharmacy, coordinated by primary care provider
- Website: https://www.medicare.gov
2. State Medicaid CGM Programs
Many state Medicaid plans now cover CGMs for eligible patients, often at no cost. Coverage and brand availability vary by state.
- Eligibility: Low-income residents with diabetes using insulin
- Application: Through your state Medicaid office or managed care organization
- Tip: Some states also offer non-insulin Type 2 coverage with HbA1c over 7.0%
3. United Health Foundation Diabetes Access Program
Partnership between United Health Foundation and local clinics to provide free CGMs to underserved communities.
- Focus: Racial equity and rural access
- Includes: Device + training + check-ins
- How to Apply: Through participating clinics and nonprofit care partners
4. Dexcom Patient Assistance Program
Dexcom offers a financial hardship program for qualified uninsured or underinsured patients.
- Discount: Up to 50% off or more for eligible households
- Requirements: Income documentation and clinical need
- Website: https://www.dexcom.com/en-us/faqs/patient-assistance-program
5. Nonprofits and Health System Partnerships
Programs such as Taking Control of Your Diabetes (TCOYD) and DiabetesSisters often distribute grants or access to devices through local events or clinic trials.
- What’s Included: Educational events, device access, and workshops
- Locations: National and local chapters
- Bonus: May include nutrition and medication support
Who’s Eligible?
While every program has different requirements, most support is directed toward:
- Individuals with a verified Type 1 or insulin-dependent Type 2 diabetes diagnosis
- Seniors enrolled in Medicare Part B
- Medicaid recipients in participating states
- Low-income or uninsured adults and families
- Patients with high HbA1c levels or history of ER visits/hypoglycemia
It’s important to note that eligibility often expands with provider documentation, so working closely with your primary care doctor or endocrinologist is key.
How to Apply for CGM Support
- Ask your doctor to write a prescription for a CGM or monitoring device.
- Determine eligibility through your insurer, Medicaid, or Medicare coordinator.
- Apply through device manufacturer if uninsured or underinsured.
- Contact nonprofit clinics or university health systems for additional trial-based support.
- Use health navigation apps or 211.org to locate free or subsidized programs.
Mobile Apps and Tools to Support Access
- GoodRx Health Aid – Find discounts on CGMs and test strips
- Tandem and Dexcom Clarity – Track CGM data, share with providers
- MySugr – Integrates with CGMs and offers education
- HealthSherpa – Helps check Medicaid eligibility and state health programs
- Aunt Bertha (Findhelp.org) – Locates free or low-cost health programs by ZIP code
How It Compares to Other Options
Compared to buying a CGM or glucose test kit out of pocket:
- Government programs offer lower costs but may require paperwork and wait times
- Pharmacy discounts are easier to access but often have higher monthly costs
- Patient assistance programs require documentation but can drastically lower costs
- Mobile subscription plans (like Levels, Nutrisense) offer coaching but cost $200–$400/month and are rarely covered by insurance
Government-backed and nonprofit options are often the best choice for long-term affordability if you’re eligible.
Common Mistakes to Avoid
- Not getting a prescription first — most CGM coverage requires doctor sign-off
- Assuming Medicare covers all brands — verify device is approved
- Missing re-authorization deadlines, which can cancel coverage
- Forgetting to check for state-specific Medicaid rules
- Ignoring training requirements — some programs require attending a device usage session
Things to Consider Before Choosing a Program
- Does your doctor know about coverage options? Many don’t discuss them unless asked
- Are you prepared to share your glucose data via app or portal?
- Do you qualify under multiple programs (Medicaid + manufacturer support)?
- Are you tech-comfortable or do you need a traditional monitor with coaching?
These programs work best when paired with education and coaching — so look for those features too.
Managing Diabetes Shouldn’t Depend on Income
Access to high-quality glucose monitoring shouldn’t be reserved for the insured or affluent. In 2025, Medicare, Medicaid, and nonprofit programs are expanding access to CGMs and support tools that make daily diabetes management safer, simpler, and more affordable.
Whether you’ve recently been diagnosed, have been managing diabetes for years, or are helping a family member get support, these programs could significantly reduce your monthly burden and improve your long-term health — if you take the first step to explore them.
Frequently Asked Questions (FAQs)
Q: Does Medicare cover CGMs for Type 2 diabetes?
Yes, if you use insulin daily and meet the medical documentation requirements.
Q: Can I apply to multiple programs at once?
Yes. In fact, combining Medicare/Medicaid with manufacturer discounts is often encouraged.
Q: How much do CGMs cost with assistance?
Some users pay $0–$60/month, compared to $300+ without aid.
Q: Are there training requirements?
Some programs require you to complete a device usage class or work with a diabetes educator.
Q: Can I use a smartphone to monitor my glucose levels?
Yes, most CGMs sync with apps like Dexcom Clarity or LibreLink for easy tracking and alerts.
Resources and Citations
- CDC Diabetes Data: https://www.cdc.gov/diabetes/data
- Medicare CGM Policy: https://www.medicare.gov
- Dexcom Assistance: https://www.dexcom.com
- United Health Foundation: https://www.unitedhealthgroup.com
- NeedyMeds: https://www.needymeds.org
- GoodRx CGM Discounts: https://www.goodrx.com
- TCOYD: https://tcoyd.org
Medical Disclaimer
This article is intended for educational purposes only and does not constitute medical advice. Always consult with a licensed healthcare provider or certified diabetes educator before starting or modifying your glucose monitoring routine.
