CGM & Diabetic SuppliesA4239

CGM Monthly Supplies

Name: CGM Monthly Supplies
Brand: United Healthcare Speciality RX
SKU: A4239

Your monthly allotment of CGM sensors and supplies — for systems whose readings you can act on directly, without a confirming fingerstick.

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Prescribed medical equipment — use only as directed by your healthcare provider. Not for emergency use; in an emergency call 911.

Features & options

sensormonthly supply

♻ Auto-resupply available about every 30 days.

What to expect

Filled as a monthly supply — sensors plus the accessories your system uses.
Covers standalone systems such as Dexcom or FreeStyle Libre; we confirm your exact system before filling.
We help you set up refills so you don't run out between months.

For providers

HCPCS A4239: supply allowance for non-adjunctive, non-implanted CGM; includes all supplies and accessories, 1 unit of service = 1 month.
For systems classified non-adjunctive (readings used directly for treatment decisions).
DWO + supporting documentation; coverage and unit rules vary by payer.

Documents typically needed

Standard Written Order (SWO) — Signed by the prescriber with the item, quantity, and date.

We request these from your physician's office on your behalf — you don't need to gather them yourself.

Coverage is determined by your specific insurance plan and medical necessity as documented by your physician. This information is for reference and does not guarantee coverage.

Related cgm & diabetic supplies

CGM & Diabetic SuppliesA4238

CGM Monthly Supplies (Used with a Meter)

Your monthly allotment of CGM sensors and supplies — for systems that work alongside a standard fingerstick meter to confirm readings.

What to expect

Filled as a monthly supply bundle covering the sensors and accessories your system uses.
These systems pair with a regular glucose meter — keep using your meter as your care team directs.
We confirm your exact system and help you set up refills.

For providers (HCPCS A4238)

HCPCS A4238: supply allowance for adjunctive, non-implanted CGM; includes supplies and accessories, 1 unit of service = 1 month.
For systems classified adjunctive; check whether BGM supplies remain separately billable under the plan.
DWO + supporting documentation; coverage varies by payer.
Coverage varies by payer — DWO and supporting documentation required.

Request a quote Start a request

CGM & Diabetic SuppliesE2103

CGM Receiver

The standalone receiver that displays readings from your glucose sensor — for CGM systems that don't require fingerstick confirmation.

What to expect

A dedicated handheld display for your sensor readings — useful if you don't use a smartphone for your CGM.
We confirm compatibility with your sensor system before dispensing.
Setup help is available when you pick it up.

For providers (HCPCS E2103)

HCPCS E2103: non-adjunctive, non-implanted continuous glucose monitor or receiver.
PDAC code verification may be required for Medicare billing; confirm system configuration (dedicated receiver vs phone-only).
DWO + supporting documentation; coverage varies by payer.
Coverage varies by payer — DWO and supporting documentation required.

Request a quote Start a request

CGM & Diabetic SuppliesE2102

CGM Receiver (Used with a Meter)

The standalone receiver that displays readings from your glucose sensor — for CGM systems used together with a fingerstick meter.

What to expect

A handheld display for your sensor readings, used alongside your regular glucose meter.
We confirm it matches your sensor system before dispensing.
You'll keep using your fingerstick meter as your care team directs.

For providers (HCPCS E2102)

HCPCS E2102: adjunctive, non-implanted continuous glucose monitor or receiver.
PDAC listing may be required by some payers (e.g., Medicare); verify device classification and configuration.
DWO + supporting documentation; coverage varies by payer.
Coverage varies by payer — DWO and supporting documentation required.

Request a quote Start a request

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CGM Monthly Supplies

Your monthly allotment of CGM sensors and supplies — for systems whose readings you can act on directly, without a confirming fingerstick.

Prescribed medical equipment — use only as directed by your healthcare provider. Not for emergency use; in an emergency call 911.

Related cgm & diabetic supplies

CGM & Diabetic SuppliesA4238

CGM Monthly Supplies (Used with a Meter)

Your monthly allotment of CGM sensors and supplies — for systems that work alongside a standard fingerstick meter to confirm readings.

What to expect

Filled as a monthly supply bundle covering the sensors and accessories your system uses.
These systems pair with a regular glucose meter — keep using your meter as your care team directs.
We confirm your exact system and help you set up refills.

For providers (HCPCS A4238)

HCPCS A4238: supply allowance for adjunctive, non-implanted CGM; includes supplies and accessories, 1 unit of service = 1 month.
For systems classified adjunctive; check whether BGM supplies remain separately billable under the plan.
DWO + supporting documentation; coverage varies by payer.
Coverage varies by payer — DWO and supporting documentation required.

Request a quote Start a request

CGM & Diabetic SuppliesE2103

CGM Receiver

The standalone receiver that displays readings from your glucose sensor — for CGM systems that don't require fingerstick confirmation.

What to expect

A dedicated handheld display for your sensor readings — useful if you don't use a smartphone for your CGM.
We confirm compatibility with your sensor system before dispensing.
Setup help is available when you pick it up.

For providers (HCPCS E2103)

HCPCS E2103: non-adjunctive, non-implanted continuous glucose monitor or receiver.
PDAC code verification may be required for Medicare billing; confirm system configuration (dedicated receiver vs phone-only).
DWO + supporting documentation; coverage varies by payer.
Coverage varies by payer — DWO and supporting documentation required.

Request a quote Start a request

CGM & Diabetic SuppliesE2102

CGM Receiver (Used with a Meter)

The standalone receiver that displays readings from your glucose sensor — for CGM systems used together with a fingerstick meter.

What to expect

A handheld display for your sensor readings, used alongside your regular glucose meter.
We confirm it matches your sensor system before dispensing.
You'll keep using your fingerstick meter as your care team directs.

For providers (HCPCS E2102)

HCPCS E2102: adjunctive, non-implanted continuous glucose monitor or receiver.
PDAC listing may be required by some payers (e.g., Medicare); verify device classification and configuration.
DWO + supporting documentation; coverage varies by payer.
Coverage varies by payer — DWO and supporting documentation required.

Request a quote Start a request

CGM Monthly Supplies

Features & options

What to expect

For providers

Related cgm & diabetic supplies

CGM Monthly Supplies (Used with a Meter)

CGM Receiver

CGM Receiver (Used with a Meter)

Ready when you are.

CGM Monthly Supplies

Features & options

What to expect

For providers

Related cgm & diabetic supplies

CGM Monthly Supplies (Used with a Meter)

CGM Receiver

CGM Receiver (Used with a Meter)