Insurance Coverage

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    What to do if Your Insurance Company Won’t Pay For Replacement CPAP Supplies Because You’re Not Compliant.

    This the is second post in a series about the most common reasons why health insurance companies are not covering CPAP supplies. As an equipment provider for many health plans, medical groups and IPAs in Southern California, we’re seeing that coverage for replacement CPAP supplies is changing and the process is becoming more difficult. We’re … Read More »

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    Why Won’t My Insurance Company Pay for the CPAP Supplies I Need?

    Our patients get extremely frustrated when they contact us to order replacement supplies- at the usual 90 to 120 day intervals- but their health insurance company won’t pay. It’s especially hard because we’ve been saying- since the initial set-up- how important it is to regularly replace CPAP equipment, like the mask, cushions, filters and tubing. Your … Read More »

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    Insurance Coverage for Bi-Level PAP

    PAP (positive airway pressure) therapy treats obstructive sleep apnea by delivering pressurized air into the airways to keep it open during the night while sleeping. PAP can reduce or completely eliminate sleep apnea (learn more about how PAP therapy works here). There is significant evidence that treating sleep apnea with PAP therapy improves quality of … Read More »

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    At What Severity Will Insurance Cover CPAP for Sleep Apnea?

    The patient clearly has sleep apnea, but it’s not severe enough for the insurance company to cover therapy. Why? Unfortunately, there are varying opinions about how sleep apnea is diagnosed and when CPAP is the appropriate therapy. Primarily, the difference is between how Medicare (CMS) and the American Academy of Sleep Medicine (AASM) define a diagnosis … Read More »

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    Medicare Coverage for CPAP & Supplies

    Are you enrolled in Medicare or have patients who are? We reviewed Medicare coverage for sleep studies here. In this post, learn about Medicare Part B coverage for CPAP and other PAP therapy (Part B covers certain doctor’s services, out patient care, medical supplies and preventative services). Does Medicare cover CPAP and other PAP therapy for sleep … Read More »