CGM Coverage with Sun Life
Not all group health insurance plans with Sun Life may have adopted standard CGM coverage. Please confirm your coverage through the Sun Life contact center, member website, or mobile app.
Does Sun Life provide Dexcom CGM coverage?
Most individuals living with diabetes who use insulin and have Sun Life group health insurance are eligible for up to $4,000 of coverage per benefit year for Dexcom G6 or Dexcom G7. Dexcom CGM claims can be submitted and paid directly at your pharmacy of choice.
Do I need a prescription to qualify for coverage?
Yes, you will need a valid prescription from a healthcare professional.
What do I need to get coverage approval?
For eligible Sun Life plan members with type 1 or type 2 diabetes using insulin and a prescription for Dexcom G6 or Dexcom G7, coverage for Dexcom CGM supplies will be automatically approved at pharmacy. If the pharmacy system does not confirm your history of insulin use, you will need to submit a note from a health professional to Sun Life confirming your diabetes diagnosis and insulin use.
Where can I get my Dexcom CGM supplies?
You can purchase your Dexcom G6 or G7 CGM supplies from your pharmacy of choice.
Will I have any out-of-pocket costs?
For eligible Sun Life plan members with diabetes using insulin and a prescription for Dexcom G6 or Dexcom G7, your pharmacist can bill the cost of your Dexcom supplies directly to Sun Life. This can significantly reduce your out-of-pocket cost.
Your plan’s drug benefit copay could apply so you may have out-of-pocket costs when purchasing your Dexcom CGM supplies at your pharmacy. If you do have a copay amount, the Dexcom G7 Patient Benefit Program can reduce your out-of-pocket costs by up to 20% for Dexcom G7 sensors.* Download a copy of the program certificate below and redeem it at your pharmacy with a valid Dexcom G7 prescription.
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 December 16, 2024. Subject to change.
† Best available information as of December 16, 2024. Subject to change.