What CPAP Products are Covered by Insurance

 In CPAP Insurance

Most insurance companies will follow the Medicare schedule of reimbursement, which is shown below, when deciding which CPAP supplies to cover.  Any CPAP supply that has a HCPCS code associated with it will most likely be covered by insurance and, therefore, is eligible for insurance reimbursement.

Medicare Reimbursement Schedule

Code Description

CPAP HCPCS

Usual Maximum

Heated Tubing A4604 1 per 3 months
Hybrid Mask A7027 1 per 3 months
Replacement Hybrid Mask Cushion A7028 2 per 1 month
Replacement Hybrid Mask Nasal Pillow A7029 2 per 1 month
Full Face Mask A7030 1 per 3 months
Replacement Full Face Mask Cushion A7031 1 per 1 month
Replacement Nasal Mask Cushion A7032 2 per 1 month
Replacement Nasal Pillow A7033 2 per 1 month
Nasal Pillow Mask A7034 1 per 3 months
Headgear A7035 1 per 6 months
Chinstrap A7036 1 per 6 months
Tubing A7037 1 per 3 months
Disposable Filter A7038 2 per 1 month
Non-disposable Filter A7039 1 per 6 months
Oral Interface Mask A7044 1 per 3 months
Replacement Humidifier Chamber A7046 1 per 6 months
BiPAP Machine E0470 1 per 5 years
BiPAP Auto Machine E0471 1 per 5 years
Non-heated CPAP Humidifier E0561 1 per 5 years
Heated CPAP Humidifier E0562 1 per 5 years
CPAP Machine E0601 1 per 5 years

Health Sqyre will tell you exactly what CPAP supplies YOUR insurance covers and what your insurance does not cover all in real-time with a click of a button.  Sign up today and see what supplies your insurance covers!

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