HSA Trackr

Dexcom G7 vs Levels HSA Comparison (2026)

Dexcom's flagship continuous glucose monitor, available by prescription for diabetes management or OTC via Stelo.

Continuous glucose monitor program with app-based insights for non-diabetics focused on metabolic health.

HSA Eligibility at a Glance

Dexcom G7

HSA-eligible (Rx required)

Prescription Dexcom G7 for diagnosed diabetes is fully HSA-eligible without an LMN. OTC Dexcom (Stelo) for non-diabetic use needs an LMN.

Levels

HSA-eligible (LMN required)

Levels subscription is HSA-eligible with an LMN, which the platform facilitates at signup.

Pricing

Dexcom G7

Prescription Dexcom G7 with insurance: varies. Out-of-pocket cash: about $400/mo. OTC Stelo: $89/mo.

Levels

$199/mo (annual: $2,388) includes Dexcom sensors plus app and coaching

Which Should You Pick?

When to choose Dexcom G7 direct

  • You have diabetes and your insurance covers the prescription device
  • You want raw sensor data without a coaching layer
  • You're already comfortable interpreting glucose data on your own

When to choose Levels

  • You don't have a diabetes diagnosis but want metabolic insights
  • You want food-tagging, coaching, and structured programs
  • You prefer the Levels app over the Dexcom Clarity app

Visit Each Vendor

Visit Dexcom G7Visit Levels

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Truemed vs. Sika

Common Questions

Are Dexcom G7 and Levels HSA-eligible?▼
Prescription Dexcom for diabetes is HSA-eligible without an LMN. Non-prescription Dexcom (Stelo) and Levels both need an LMN.
Can I get Dexcom without diabetes?▼
Yes, through Stelo (the OTC version) or through a Levels subscription. Both bundle the Dexcom G7 sensor with consumer-friendly apps.
Which is cheaper, raw Dexcom or Levels?▼
If you have insurance covering Dexcom for diabetes, that's cheapest. Without insurance, Stelo at $89/mo is cheaper than Levels at $199/mo, but Levels includes coaching.
Do I need a prescription for the diabetic version?▼
Yes. Prescription Dexcom G7 requires a doctor's Rx and a diabetes diagnosis. OTC Stelo does not.
What does Levels add over raw Dexcom?▼
Food tagging, glucose-response insights, structured programs, and nutritionist coaching. If you don't want that, raw Stelo is the cheaper path.
How do I track these in HSA Trackr?▼
Log monthly sensor purchases as a recurring expense. Attach the prescription or LMN, plus monthly invoices, so the record is complete.

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Browse the full list of qualified medical expenses

Track every CGM expense in HSA Trackr

Whether you use Dexcom G7 or Levels, snap a photo of your receipt and let AI categorize it. Keep your LMN documentation organized.

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