Medicare Blog

who in medicare decided you cant use tandem t-slim x2 pump with a dexcom cgm

by Ahmad Price Published 2 years ago Updated 1 year ago

What is a t slim X2 pump used for?

The t:slim X2 insulin pump is intended for the subcutaneous delivery of insulin, at set and variable rates, for the management of diabetes mellitus in persons requiring insulin. The t:slim X2 insulin pump can be used solely for continuous insulin delivery and as part of the System.

Does the tandem pump work with Dexcom G5 mobile CGM system?

Although my Tandem pump works with the G5 Mobile CGM System, it is technically not part of the system according to Medicare. Some Tandem pumpers have also been told by Tandem that the X2 is currently not approved by Medicare to be used as a Dexcom G5 receiver.

Can t slim Insulin Pump be used for CGM?

CGM sold separately. The t:slim X2 insulin pump is intended for the subcutaneous delivery of insulin, at set and variable rates, for the management of diabetes mellitus in persons requiring insulin. The t:slim X2 insulin pump can be used solely for continuous insulin delivery and as part of the System.

What's new in the tandem X2 software update?

This first X2 software update adds Dexcom G5 receiver functions to the pump in anticipation of future updates adding threshold suspend and other insulin dosing algorithms. Tandem has a catchy slogan for the X2: “The pump that gets updated, not outdated.”

Is T slim X2 insulin pump covered by Medicare?

On July 1, 2020, United Healthcare (UHC) announced they will begin covering the Tandem t:slim X2 insulin pump for members on Medicare Advantage, Medicaid, individual and group market plans, a departure from UHC's four-year policy to only provide health insurance coverage for Medtronic insulin pumps.

Is Tandem covered by Medicare?

UnitedHealthcare is now covering insulin pumps from Tandem Diabetes in network for members on Medicare Advantage, Medicaid, individual and group market plans, the country's largest private payer confirmed in a Wednesday bulletin.

Does Tslim work with dexcom?

Pairing the t:slim X2 insulin pump with Control-IQ technology and the Dexcom G6 CGM System work together to improve time in range1 and requires zero fingersticks for calibration or mealtime dosing. Share your glucose data with up to 10 followers. See glucose data in real time on your compatible smart devices.

Is dexcom compatible with tandem?

Note: If you are using the Tandem t:slim X2 pump, you can also connect your transmitter to a smart device but will not be able to connect your transmitter to a Dexcom receiver at the same time.

What insulin pump is covered by Medicare?

The type of insulin pump you use will determine how much Medicare pays. Medicare Part B is the portion of Medicare that covers a tubed insulin pump. Part B typically covers doctor's office visits and durable medical equipment, such as wheelchairs or crutches.

What brand of glucose meter is covered by Medicare 2021?

A2: Starting January 1, 2021, covered meters include: OneTouch Verio Reflect ®, OneTouch Verio Flex®, OneTouch Verio® and OneTouch Ultra 2®.

Which insulin pump works with Dexcom G6?

The only available pump with Dexcom G6® CGM integration, the t:slim X2 insulin pump can be ordered with one of two different technologies to help manage type 1 diabetes.

How much does a Tslim X2 cost?

Without insurance, the Tandem t:slim X2 pump alone has a retail price tag of $4,000, but with private insurance some plans will cover almost 80 percent of this cost.

What CGM is compatible with tandem insulin pump?

It can integrate with the Dexcom G6 continuous glucose monitoring (CGM)* and our Control-IQ or Basal‑IQ automated insulin delivery technologies.

Does Medtronic pump work with Dexcom?

Interoperability Pathway: As part of all this future tech, Medtronic is ramping up for pivotal trials needed to get an “iCGM” classification — the designation created last year by FDA in approving the Dexcom G6 that refers to CGMs approved to work with related interoperable versions of insulin pumps, and control ...

Is there an insulin pump and CGM in one?

COMBINING CGM AND INSULIN PUMP technology An insulin pump delivers precise doses of rapid-acting insulin through a cannula 24 hours a day, to match your body's needs. Combining an insulin pump with CGM allows your pump to adjust your insulin based on your CGM readings.

Is Dexcom and tandem the same?

Tandem Diabetes Care has earned FDA approval for its touchscreen insulin pump for use with Dexcom's continuous glucose monitor. The combined system is the first approved sensor-augmented insulin pump that allows patients to make treatment decisions without pricking their finger.

What is the difference between Dexcom and Tandem?

Dexcom and Tandem have agreed which system issues are best handled by each company, including which company is responsible for reporting those events to the appropriate regulatory authority. To help ensure that the required reporting takes place in a timely fashion, customers may need to contact Dexcom for some issues and Tandem for others.

How long is Dexcom transmitter warranty?

Your transmitter is in warranty for three months but may last up to 112 days. If your transmitter has been in use longer than 90 days, Dexcom does not guarantee results, and you will need to get a new transmitter. Verify that your transmitter was securely snapped into your sensor pod.

Can a pump and transmitter see each other?

If you wish to remain connected to both devices, please keep your phone near your transmitter to maintain the connection. Your transmitter and pump can’t “see” each other. Your pump and transmitter should be within line-of-sight without any obstruction (including any body parts).

How many units of insulin is needed for Tandem X2?

There are a lot of great Tandem X2 benefits, but everyone should be made aware of a design flaw with the insulin cartridge. It requires an additional 20 units of insulin. All of which cannot be used as active insulin. When you look at how often you need to change a site, this adds up to a lot of lost insulin.

Is Fiasp insulin approved for a tandem pump?

One more thing. My endocrinologist strongly recommends Fiasp insulin. Fiasp insulin is not approved for use in a Tandem pump, so using Fiasp insulin in a Tandem pump is off-label.

What is a T slim insulin pump?

The t:slim X2 insulin pump is the first FDA‑cleared insulin pump capable of remote feature updates. † Using a personal computer, patients can keep their pump up to date with the latest technology during its warranty period.

How old do you have to be to use an insulin pump?

The pump is indicated for use in individuals six years of age and greater .

Can a basal IQ pump be used for diabetes?

Systems like the t:slim X2 insulin pump with Basal-IQ technology are not substitutes for active diabetes management, as there are common scenarios in which automated systems cannot prevent hypoglycemia. The Basal-IQ feature relies on continuous CGM readings and will not be able to predict glucose levels and suspend insulin delivery if your CGM is not working properly or is unable to communicate with your pump. Be sure to always use your pump, cartridges, CGM, and infusion sets as instructed and check them regularly to make sure they are working properly. Always pay attention to your symptoms, actively monitor your glucose levels, and treat according to your healthcare provider’s recommendations.

Does the T Slim X2 insulin pump work?

Even with advanced systems such as the t:slim X2 insulin pump with Control-IQ technology, you are still responsible for actively managing your diabetes. Control-IQ technology does not prevent all high and low blood glucose events. The system is designed to help reduce glucose variability, but it requires your accurate input of information, such as meals and periods of sleep or exercise. Control-IQ technology will not function as intended unless you use all system components, including your CGM, infusion sets and pump cartridges, as instructed. Importantly, the system cannot adjust your insulin dosing if the pump is not receiving CGM readings. Since there are situations and emergencies that the system may not be capable of identifying or addressing, always pay attention to your symptoms and treat according to your healthcare provider’s recommendations.

Can you view glucose history on T slim insulin pump?

With just a few taps on your t:slim X2 insulin pump, you can view your insulin delivery and glucose history. You can also upload your t:slim X2 insulin pump data wirelessly through the t:connect® mobile app to eliminate the need to plug in your pump at the doctor’s office. ‡

Can a T slim X2 pump be used as a stand alone insulin pump?

The t:slim X2 pump can be used as a stand-alone insulin pump, or you can integrate it with the Dexcom G6 continuous glucose monitoring (CGM) system.* When used with CGM, you can choose one of two predictive technologies, which help deliver insulin, making it simpler to manage diabetes.

Does Tandem have software updates?

Future updates for some or all of Tandem's products may not be developed and may not be offered everywhere. Software updates are only available to customers who are in warranty at the time they update their pump, and may require a prescription and additional training. Charges may apply.

What is a T slim pump?

RX ONLY. The t:slim X2 pump and Control-IQ technology are intended for single patient use. The t:slim X2 pump and Control-IQ technology are indicated for use with NovoLog or Humalog U-100 insulin.

Does the T slim X2 insulin pump prevent high blood glucose?

Control-IQ technology does not prevent all high and low blood glucose events.

How to get Dexcom G6?

1. Go to the App Store or Google Play store from your smart device. Search for “Dexcom G6”. Download and open the app. 2. Create account or log in using your Dexcom account. For example, a Dexcom CLARITY account. 3. Follow the instructions in the app.

When will Medicare prescriptions be transferred?

For those Medicare beneficiaries who do not select a new Medicare-enrolled supplier by August 15, 2020, we will have your prescription files automatically transferred to one of the suppliers listed to minimize service disruptions.

Does Walgreens ship Dexcom G6?

If there is not a Walgreens in your area, Walgreens will ship your Dexcom G6 and supplies directly to you at no additional cost. If you cannot or choose not to fill your Dexcom G6 at Walgreens, you can choose to go through one of the participating distributors listed below.

Does Dexcom G6 require a receiver?

In order to qualify for Medicare coverage of your Dexcom G6 supplies, Medicare requires that you have a receiver that is compatible with Dexcom G6 and that you use that receiver with your supplies, even if you also use a compatible smart device.

Does Medicare cover CGM supplies?

There is no Medicare benefit for supplies used with equipment that is not classified as DME. However, Medicare coverage is available for the CGM system supplies and accessories if a non-DME device (smartphone, tablet, etc.) is used in conjunction with the durable CGM receiver. Coverage of CGM system supplies and accessories are available for those therapeutic CGM systems where the beneficiary uses a receiver classified as DME to display glucose data. If a beneficiary intends to never use a receiver classified as DME as the display device, the supplies and accessories are not covered by Medicare.

Is Dexcom a Medicare enrolled supplier?

As part of Dexcom’s mission to focus more on innovation and product improvement, Dexcom will be discontinuing its role as a Medicare-enrolled supplier of medical equipment. This means that effective September 1, 2020, Dexcom will no longer be able to submit claims to Medicare on your behalf.

Does Medicare cover Dexcom G6?

Yes. The Dexcom G6 Continuous Glucose Monitoring (CGM) System is covered by Medicare for patients who meet the Medicare coverage criteria. Medicare coverage for therapeutic CGM includes certain beneficiaries who have either type 1 or type 2 diabetes and intensively manage their insulin. Dexcom now ships Dexcom G6 to Medicare patients ...

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