With the upcoming potential release of the Dexcom CGMS that will directly interact with the Animas Ping pump I'm starting to do some research on how much coverage is available for these. That way I know exactly what I'm getting myself into once Animas finally steps up to the plate and brings it out.

So here I have a couple of questions for my fellow Canadians:

- Are there currently any insurance providers in Canada that provide coverage for CGMS?
- If so, which insurance companies? How much is covered?
- Are there any other programs available to help offset the cost of sensors?

I'm located in Ontario, so I'm not sure if there is any coverage available. I've checked with a couple of people and Animas and they weren't aware of any that offered coverage in Canada yet.

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How long have you been getting coverage for these? I have three pumpers in the house and am covered through Sunlife at work. They told me they would not cover the CGM and supplies, but this was a while ago
the dexcom 7 is finally coming to Canada? is there an actual date yet?
Dexcom 7 plus is not coming to Canada, they plan to launch the G4 system in 2012. Have a look at the discussion titled Are there any Canadians using the Dexcom Seven Plus? for details on Dexcom's plans and info on how to get them from the US.
My insurance plan covers 100% of my diabetes supplies. This does not include insulin however. My insulin is only covered 80%.
My Animas Ping pump was covered 100%. I'm waiting for the Dexcom to come to Canada before buying a CGM, but I e-mailed my insurance company and they said that a CGM would be covered 100% as long as I could get a letter from my doctor stating that I would benefit from one.
I am with Alberta Blue Cross. I have blue cross coverage through my work (Alberta Government), but I did have a plan prior to being diagnosed and prior to working for the Alberta Government.

Here is Blue Cross's response to my inquiry about CGM's:
"Thank you for your inquiry. A glucose monitoring transmitter and the sensors are covered on your plan 100% as per the usual and reasonable fee guide. We do require a physician’s written order for the transmitter. To submit a claim you will need to pay for the services in full and mail in a fully completed health services claim form, the physician’s written order and the original paid in full receipt. "
I purchased the Dexcom CGM from the US. I was able to get a Doctors Note and the supplies are shipped to a Postal Outlet in the States where I pick up my supplies. My office (mid size office) uses Empire Life, and much to my surprise they covered 100% of the Dexcom and 100% of the sensors.

Oh yes, sorry Im in BC.
You can submit the expense under a Health Spending Account (sometimes called Health Care Spending Account, or Health Care Reimbursement Account) if you have one through your employer.

You can also write them off as a medical expense when you file your tax return.

And in response to momwith3's comment - inquire with your insurance provider. If they say no, you can always lobby your HR/benefits adminstration department for a special exception. I have seen many employees either provide coverage on an individual basis or work with their insurance carrier to add it as a benefit.


All insurance companies have their own "standard" coverage, but they are willing to add/adapt their coverage based on their clients' requests. It's not your insurer that refuses to cover an item. It's your plan provider who's decided not to pay for that coverage or ask to have it included.

I'm going to look into this further and see what I can find out.

It's two years later and still no approval! Every year they tell us 'next year!' and nothing ever happens. I created a petition to create awareness of the issue. Maybe if enough of us let Health Canada know we want Dexcom they'll approve it? I wear an Animas pump, so I currently have NO access to CGM! How is that fair?

https://www.change.org/petitions/health-canada-bring-dexcom-animas-...

As I said ...I am for " competiton " even if I don't 100 percent agree with Natalia's reason spelled out in the " petition " ...as a MM sensor wearer, putting the sensor into my body never was a big concern ...and my Hubby reminds me often : I have a LOW pain threshhold ( sp ??) .

You are right :) Perhaps I do sound like I am attacking the Medtronic sensor a little bit. I also want healthy competition. I am a former Medtronic user, so maybe Dexcom won't be all it's hyped up to be and I'll want to switch back! It just sucks that people with any other pump cannot use the Medtronic sensor...

I edited the paragraph in the petition, as my goal is not to attack any particular company. People with diabetes should choose whichever product suits their lifestyle! Thanks for the feedback Nel :)

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