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

Commonly eligible for diagnosed diabetes (Rx required)

Dexcom G7 is a prescription device for diabetes management. Keep the prescription, itemized receipt, and insurance explanation of benefits when applicable. Stelo is a separate over-the-counter product.

Levels

Eligibility depends on the charge and medical purpose (LMN requirements vary)

Levels sells a software membership and optional Stelo sensors. Its support materials describe a Truemed evaluation path, but do not assume one document covers every charge.

Pricing

Dexcom G7

Coverage and cash price vary; Dexcom says most covered patients pay $20 or less

Levels

$15/mo or $80/yr membership; Stelo add-on $89/shipment or $99 one-time

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 logging and glucose-response insights
  • You want the option to add a nutritionist session separately
  • You prefer the Levels app over the Dexcom Clarity app

Visit Each Vendor

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Common Questions

Are Dexcom G7 and Levels HSA-eligible?
Prescription Dexcom G7 used for diabetes management is generally a qualified diagnostic device. Levels and its optional Stelo sensor path require a fact-specific medical-purpose analysis; an evaluation or HSA-card checkout does not guarantee reimbursement.
Can I get Dexcom without diabetes?
Stelo is Dexcom's over-the-counter sensor for adults not using insulin. Levels currently offers Stelo as an optional sensor add-on to its software membership. Dexcom G7 remains the prescription diabetes product.
Which is cheaper, raw Dexcom or Levels?
Insurance coverage can make prescription Dexcom G7 the lowest out-of-pocket path for eligible patients. Levels currently charges $15 monthly or $80 annually for software, with Stelo sensors separately listed at $89 per subscription shipment or $99 one-time.
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?
Levels adds a separate software membership for food logging and glucose-response insights. Its current consumer sensor add-on is Stelo, not the prescription Dexcom G7, so compare product type and total cost carefully.
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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Keep the decision and proof together

Save the itemized receipt, proof of payment, and any prescription or LMN in one proof-ready record. HSA Trackr organizes the evidence but does not determine reimbursement.

Start a proof-ready record free