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 insurer’s contact centre, member website or mobile app.
Does Sun Life provide Dexcom CGM coverage?
Most plan members with a diabetes diagnosis who are using insulin regularly, and have group health insurance coverage with Sun Life, are eligible for Dexcom G7 coverage. Up to $4000 of coverage per year is available under Extended Health Care benefits.
Do I need a prescription to qualify for coverage?
Yes, you will need a valid prescription.
What do I need to get coverage approval?
Check your benefits booklet, your Sun Life mobile app or call the Sun Life contact center to confirm that your plan provides coverage for Dexcom CGM.
Once confirmed, obtain a prescription from your doctor for Dexcom G7 that shows that you have been diagnosed with diabetes and that you use insulin.
You may then purchase Dexcom G7 supplies from your pharmacy and submit your receipt with your prescription to Sun Life for reimbursement. The prescription is only required for your first claim submission, Your subsequent purchases and claim submissions for reimbursement will only require the 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 Sun Life. Eligible and approved Sun 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 of and submit your receipt . To help reduce your 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.