CGM Coverage with Canada Life
Not all group health insurance plans with Canada Life may have adopted standard CGM coverage. Please confirm your coverage through the insurer’s contact centre, member website or mobile app.
Does Canada Life provide Dexcom CGM coverage?
Most plan members with a diabetes diagnosis who are using insulin regularly, and have group health insurance coverage with Canada Life, are eligible for Dexcom G6 and G7 coverage under their Extended Health Care benefits
Do I need a prescription to qualify for coverage?
Yes, you will require a valid prescription. You will not need a new prescription if you are moving from Dexcom G6 to Dexcom G7.
What do I need to do to get coverage approval?
Check your benefits booklet, your My Canada Life at Work mobile app or call the Canada Life contact center to confirm that your plan provides coverage for Dexcom CGM.
- Obtain a cost estimate from your pharmacist for Part 5 of the form.
- Have your doctor to complete Part 6 of the form.
- Submit your completed CGM Prior Approval form directly to Canada Life to initiate your coverage approval.
Once approved, you may purchase Dexcom G7 supplies from your pharmacy and submit your receipt to Canada Life for reimbursement. Your next purchase and coverage claim will only require a receipt.
How long am I approved for?
Check with your insurer through their contact center, member website or mobile app for coverage details.
Where can I get my Dexcom CGM supplies?
You can purchase your Dexcom G6 or G7 CGM supplies from your pharmacy of choice.
I was told I don’t have coverage when purchasing at my pharmacy, what do I do?
When ordering Dexcom G7 at your local pharmacy, you may be told that the product is not covered by your plan. Don’t panic! This is because your plan’s coverage is not currently set-up to bill pharmacy claims directly to Canada Life. Eligible and approved Canada Life plan members must purchase their Dexcom G7 supplies out-of-pocket in pharmacy and submit receipts for reimbursement.
Do I have to pay the full cost of the G7 supplies upfront (Pay & Submit)?
Yes, you will need to pay the full cost and submit your receipt, for reimbursement. To help reduce your upfront out-of-pocket costs, we are offering up to 20% off the cost of Dexcom G7 sensors with the Dexcom G7 Patient Benefit Program. Click on the appropriate link below to download a copay certificate to bring with you to your pharmacy.
Do you have questions?
Our team is here to help! One of our Insurance Specialists can assist you in determining your coverage for Dexcom CGM. Get started by filling out our online form or call us at 1-844-832-1810.
*Based on reasonable upcharge, mark-up and customary pharmacy dispensing fee.
† Best available information as of June 14, 2024. Subject to change.
† Best available information as of June 14, 2024. Subject to change.