Aetna’s medical policies can be confusing, when it comes to treating sleep disorders. That’s why we’ve compiled all the information you need about your CPAP insurance coverage under your current health insurance plan.

Yes. Most all Aetna PPO and HMO plans cover CPAP therapy supplies. This means that if you’re close to meeting your deductible, you may be eligible to buy your supplies with us at almost zero-cost!

Yes, Aetna covers and accepts a variety of home sleep tests. Health Sqyre will work closely with your health care provider to get you diagnosed in no time – shop our home sleep study using your CPAP insurance today!

Aetna covers most CPAP supplies deemed a medical necessity for OSA (obstructive sleep apnea), including:

• PAP (positive airway pressure) Machines and Humidifiers
• Masks and Headgear
• Tubes and Filters

In general, Aetna considers convenience items and duplicate equipment not medically necessary and thus does not cover them. Hence, the durable medical equipment not covered by your benefit plan include:

• Cleaning supplies such as Mask wipes and cleaning machines, like the SoClean 2 or Lumin CPAP Cleaner.
• Batteries
• Duplicate equipment (Travel CPAP’s)

Yes. Aetna requires adherence and will only cover a medically necessary PAP device beyond the first three months of therapy when PAP use is greater than or equal to 4 hours per night on 70% of nights during a consecutive 30 day period during the first three months of therapy.

Yes,  Aetna requires documentation to cover CPAP therapy supplies. This documentation includes relevant doctor’s notes, sleep test results, a prescription, among other items.

A comprehensive replacement schedule can be found further below:

• Typically, filter replacements are every 30 days
• Typically, tubing replacements are every 3 months
• Typically, mask replacements are every 3 months
• Typically, machines are every 5 years

Customer Service Number of Aetna of Wisconsin

Aetna of Wisconsin CPAP Coverage Policies