Stelo vs Levels HSA Comparison (2026)

Dexcom's over-the-counter continuous glucose monitor with biosensor and app for non-diabetics.

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

HSA Eligibility at a Glance

Stelo

HSA-eligible (LMN required)

Stelo CGM sensors are HSA-eligible with an LMN tying the device to a diagnosed condition like prediabetes or metabolic syndrome.

Levels

HSA-eligible (LMN required)

Levels subscription (sensors plus app and coaching) is HSA-eligible with an LMN. Levels facilitates LMN issuance at signup.

Pricing

Stelo

Two sensors (~28 days) for $89. Subscription option saves about 10%.

Levels

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

Which Should You Pick?

When to choose Stelo

  • You want the lowest-cost Dexcom-grade CGM access
  • You don't need coaching or guided programs
  • You prefer the Dexcom app over a third-party experience

When to choose Levels

  • You want nutritionist and coach support built into the price
  • You want a deeper analytical app with food-response insights
  • You're optimizing for athletic performance or longevity, not just monitoring

Visit Each Vendor

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Common Questions

Are Stelo and Levels HSA-eligible?
Both qualify with a Letter of Medical Necessity. Levels handles LMN issuance during signup. Stelo buyers may need to source an LMN separately.
Is the sensor the same?
Levels uses Dexcom G7 and Stelo sensors. Stelo is Dexcom's direct OTC product. The sensor technology overlaps significantly.
Which is cheaper?
Stelo is dramatically cheaper at about $89 for two sensors (~28 days). Levels is $199/mo but includes the app, coaching, and program structure.
Do I need a prescription?
No, both are OTC as of 2024 approval. You still need an LMN to make the purchase HSA-eligible.
How do I get an LMN for Stelo?
Ask your primary care doctor or use a service like Truemed that issues LMNs for CGMs based on a brief intake.
Can I track Stelo or Levels expenses in HSA Trackr?
Yes. Set up the monthly purchase as a recurring expense, attach the LMN PDF, and keep your receipts in one place.

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