Experience the EVERSENSE^® 365 CGM system for as low as $199 for a full year.  This includes the cost of both CGM sensor and transmitter.  

Redemption - Eligible Patients will receive savings at point of purchase from a participating distributor.  

Eligibility – To be eligible, the patient must have a commercial insurance plan with or without coverage for the EVERSENSE^® 365 CGM. The patient must also meet medical coverage criteria for CGM as indicated by their insurance provider. There is a maximum benefit payout of $2,500 for patients who may have a responsibility to pay more than the offered amount.  The program offers a maximum benefit payout and some patients may have a responsibility to pay more than the offered amount. Patients should have a benefit investigation completed to determine the expected out of pocket. This program offer will not apply to the Eversense E3^® CGM System.  

Exclusions – Government insurance as primary or secondary coverage (i.e., Medicare, Medicare Advantage, Medicaid, and Tri-Care) or commercial insurance plans that require purchase directly from HCPs (Healthcare Professionals) under a single billing code that combines the product and procedure. (i.e.bundled / global payment)   

The offer above only applies to the cost of the product (sensor and transmitter). It does not cover the cost of the insertion and removal procedure. Limitations and Restrictions may apply. Ascensia Diabetes Care reserves the right to change or terminate this program at any time without notice.  

Terms and Conditions – Eversense PASS™ for Eversense 365

• The Eversense PASS™ (Payment Assistance and Simple Savings) (the “Program”) is offered by Ascensia Diabetes Care US, Inc. (“Ascensia”) to eligible patients who have a valid prescription for the Eversense^® 365 Continuous Glucose Monitoring System and may need financial assistance with out-of-pocket costs. This Program is limited to patients who meet the eligibility requirements set forth herein.
• Patient must be requesting financial assistance for (i) the Eversense^® 365 Sensor, and accompanying Eversense^® 365 Smart Transmitter (the Eversense^® 365 Sensor and the Eversense^® 365 Transmitter, collectively referred to as the “Eversense^® 365 Products”).
• Patient must have a valid prescription for the Eversense^® 365 products (sensor and transmitter) for an FDA-approved indication.
• Patient must be 18 years or older.
• The Program is not valid for patients enrolled in : (i) Medicaid (including Medicaid patients enrolled in a qualified health plan purchased through a health insurance exchange marketplace established by a state government or the federal government); (ii) Medicare; (iii) a Medicare Part D or Medicare Advantage plan (regardless of whether a specific prescription is covered); (iv) TRICARE; or (v) any other state or federal healthcare program or medical or pharmaceutical benefit or assistance program ((i) through (v) collectively, “Government  Programs”). The Program is also not available where prohibited by law or by the patient’s health plan company. 
• Patient must be a resident of the United States including Puerto Rico and the District of Columbia, subject to changes in state law(s).
• Patient must have an out-of-pocket cost for the Eversense^® 365 Products. The benefit available under the Program is valid for the patient’s out-of-pocket cost for the Eversense^® 365 Products only. It is not valid for any other out-of-pocket costs (for example, office visit charges or procedural administration charges) even if such costs are associated with the administration of the Eversense® 365 Products.
• Patient Responsibilities: Patient must pay up to $199 for their Eversense^® 365 Sensor and Transmitter. The benefit available under the Program is limited to the amount the patient’s commercial health plan company indicates on the Explanation of Benefits (EOB) that the patient is obligated to pay for the Eversense^® 365 Products less $199 up to the maximum allowed by the Program per purchase. The patient must pay the first $199 of the patient out-of-pocket amount for each purchase of Eversense^® 365 Products that qualifies for the Program. The Program benefit will cover the patient out-of-pocket amount for the purchase less $199 up to the maximum allowed benefit by the Program for the purchase. The maximum allowed benefit payout by the Program per purchase transaction is $2,500.
• Patient agrees to seek reimbursement for the Eversense^® 365 Products from patient’s commercial health plan(s). Patient agrees not to seek reimbursement for all or any part of the Eversense^® 365 Products from any other third party, and/or Government Program. Patient agrees to and is responsible for reporting receipt of Program benefits to any insurer, health plan, or other third party who pays for or reimburses any part of the cost paid for by the Program, as may be required. This offer may not be redeemed for cash or anything else of value.
• The Program is not insurance nor does it represent or constitute insurance of any kind. The monetary assistance under the Program is non-transferable, limited for each eligible patient, and may not be combined with any other offer.
• The Program benefit cannot be combined with any other assistance program, free trial, discount, prescription savings card, or other offer.
• The Program only applies if the Eversense^® 365 Products are billed to the patient’s health plan(s) under a separate billing code from any procedures associated with the insertion and/or removal of the Eversense^® 365 Products. The Program does not apply in situations where the patient has a benefit plan under which Eversense^® 365 Products are to be billed together with insertion and/or removal procedures under a combined or global billing code based on health plan billing procedures.  Patient consents to their personal and health data being received, accessed, and/or shared by and between Ascensia and our contracted Program partners, solely for purposes of operating the Program for the patient (which includes assistance in (i) obtaining Eversense^® 365 Products, and (ii) health plan coverage determinations through pre-authorization and appeal submissions).
• Ascensia (either directly or through a contracted Program partner) reserves the right to rescind, revoke, or amend this Program without notice at any time. The Program is void where prohibited; rules and restrictions apply.