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(301) 479-3500

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Qualification Long Form

Complete this form to see if you’re eligible for Continuous Glucose Monitoring (CGM) supplies through your Medicare benefits.


It only takes a few minutes, and our team will guide you through every step —

from verification to coordination with your doctor.

We accept Medicare and make it easy to use your Medicare benefits.*

Complete the Wizard to See if You Qualify

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Once you’ve completed the long form, our team will work with your insurance and physician to determine if you meet the eligibility requirements for the FreeStyle Libre 3 system.

Get in touch with us


We understand that navigating insurance processes can be tedious and filled with questions, and we’re here to help every step of the way. Our dedicated team is available Monday through Friday, 9 AM to 5 PM EST, to answer your questions and guide you through the process with ease.

Whether you're ready to get started with your FreeStyle Libre 3 system or just need more information, we’re here to provide the support you deserve. At Family Medical Supplies, we treat every customer like part of the family—reliable, friendly, and always ready to assist.

  • (301) 479-3500

  • 19847 Century Blvd Ste 207

    Germantown, MD 20874

  • Monday - Friday, 9 am - 5 pm EST

*Patients must meet Medicare eligibility coverage criteria. Family Medical Supplies accepts Medicare and can bill Medicare directly for eligible items. Medicare and other payor criteria may apply. This information is provided as a courtesy and is subject to change and interpretation.

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Follow Us

Follow Us

Family Medical Supplies provides reliable diabetes care solutions focused on quality, convenience, and personalized support.
We specialize in Continuous Glucose Monitoring (CGM) systems, including the FreeStyle Libre 3 system, for eligible Medicare beneficiaries.

Our dedicated team guides you through each step and helps you understand your Medicare coverage and options.
*We accept Medicare and make it easy to use your Medicare benefits.

Contact Us

  • (301) 479-3500

  • 19847 Century Blvd Ste 207

    Germantown, MD 20874

  • Monday - Friday, 9 am - 5 pm EST

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