How to Purchase Dexcom Products with Reimbursement?

Q. What are the guidelines for reimbursement?

All endocrinologists, internists and pediatricians can prescribe Dexcom continuous glucose monitoring (CGM) devices for people with type 1 diabetes.¹

As of January 1, 2025, reimbursement has been extended to type 2 diabetes patients who require rapid-acting insulin and need continuous glucose monitoring for their diabetes management.²

The Estonian Health Insurance Fund (Tervisekassa) covers 4 Dexcom ONE transmitters and/or 40 Dexcom ONE/Dexcom ONE+ sensors per year (41 sensors for those under 19 years old) over the course of a year at a 90% discount of the reference price, which is expected to cover their annual needs. 1

Q. Who can receive reimbursement?

Dexcom devices can be prescribed to individuals with type 1 diabetes from the age of 2 and as of January 1, 2025, also to type 2 diabetes patients who require rapid-acting insulin and require continuous glucose monitoring for their diabetes mangement.²

According to the "Non-Pharmacological Treatment of Type 2 Diabetes" guidelines1, insulin deficiency can be objectively determined using C-peptide levels. If the C-peptide level is below 200 pmol/L, the patient has significant insulin deficiency and typically requires both short- and long-acting insulin therapy, similar to type 1 diabetes patients.¹

Type 2 diabetes patients on intensive insulin therapy should consult their treating physician to determine their C-peptide levels for prescription eligibility.

Q. When does reimbursement become available in Estonia?

Dexcom ONE CGM system has been reimbursed by Tervisekassa since January 1, 2022.

From January 1, 2025, the Dexcom ONE+ system has also been included in the reimbursement list.²

Q. How do I receive the product?

First, consult your endocrinologist, internist or pediatrician.

You can purchase reimbursed Dexcom ONE+ at pharmacies with a digital prescription.

Note: General practitioners (GPs) can perform an e-consultation with a specialist to clarify the diagnosis and determine treatment eligibility.

⚠ Dexcom ONE production will be discontinued in 2025, so availability will be limited. Current Dexcom ONE users are advised to switch to Dexcom ONE+ early to avoid disruptions in their diabetes management.

Q. Where can I get the product?

Dexcom products are available in pharmacies across Estonia, including Apotheka e-pharmacy:

🔗 Apotheka Dexcom Products

Alternatively, visit your nearest pharmacy to inquire about Dexcom product availability.

Q. What do I need to use the Dexcom CGM system?

To use a Dexcom device, you need a compatible smartphone, which is not included in the kit.

Before purchasing Dexcom ONE+, please check compatibility: Compatibility List

If you do not have a compatible smartphone, you can use a Dexcom ONE+ receiver, which is available for purchase in Dexcom’s online store or pharmacies (Note: Tervisekassa reimbursement does not cover the receiver).

Q. What is the reimbursement coverage?

The table below outlines the reimbursed devices and their fixed prices as of January 1, 2025, with 90% coverage:

Code	Name & Quantity	Reference price (€)
8023229	Dexcom ONE transmitter	0.93 €
8021751	Dexcom ONE sensor 1-pack	32.11 €
8026918	Dexcom ONE sensor 3-pack	96.33 €
8054863	Dexcom ONE+ Kit (Sensor + Transmitter)96.33 €	32.21 €

For Dexcom ONE, Tervisekassa covers 4 transmitters and 40 sensors per year (41 sensors for those under 19 years old), over the course of a year at a 90% discount of the reference price, which is expected to cover their annual needs.¹

For Dexcom ONE+, Tervisekassa covers 40 sensors per year (as the sensor and transmitter are combined).¹

⚠ Prices charged by pharmacies could differ from the above reference price. As a result the 10% co-pay amount for each patient may be different across pharmacies.

Q. Will I still receive reimbursement for test strips if I use Dexcom CGM?

Dexcom ONE and Dexcom ONE+ users remain eligible to the coverage of test strips for their Blood Glucose Meters.

Q. How long do the Dexcom ONE and Dexcom ONE+ system components last?

Dexcom ONE Transmitter:  have a 90-day battery life warranty. Therefore, each transmitter will last 3 months.
Dexcom ONE Sensor: lasts 10 days.
Dexcom ONE+ all-in-one Sensor and Transmitter: lasts 10 days + 12-hour grace period for replacement.

Any sensors not lasting 10 days will be replaced as long as the issue is not the consequence of a user’s action.

For any question or replacement enquiry, Dexcom users can contact our technical support. Contact details and opening hours are available here.

For more information about the reimbursement of Dexcom ONE, please call or email Dexcom Customer Service or speak to your endocrinologist or pediatrician.

1 List of medical devices of the Health Insurance Fund; https://www.riigiteataja.ee/akt/127122024017
2 List of medical devices from 01.01.2025; https://tervisekassa.ee/partnerile/raviasutusele/meditsiiniseadmed/tutvustus/meditsiiniseadmete-loetelu-alates-01012025