United Healthcare CPAP Coverage
Health Sqyre has DME providers that are in-network with United Healthcare. If you are a sleep apnea patient, you can easily purchase your CPAP supplies online with us using your health insurance! The United Healthcare’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 United Healthcare 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, United Healthcare 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! In general, United Healthcare 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: Yes. United Healthcare 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, United Healthcare 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: You can always pay out-of-pocket with Health Sqyre. Just browse our selection of CPAP supplies, click on a product, and you’ll see your cash price. Health Sqyre works with approved Medicare providers in every state, as well as many Medicare Advantage health plans nationwide. You can use a flexible spending account (FSA) or a health savings account (HSA) to purchase most CPAP equipment as long as your FSA or HSA card is affiliated with a major credit card. Most insurance carriers allow direct reimbursement for cash purchases – just submit your receipt with a claim form, usually available through your insurance company’s member portal. Our dedicated customer support team is available to answer any questions you may have and guide you through your shopping experience: Email: support@healthsqyre.com Live Chat: Every day, 8am – 5pm (MT) Call: Monday – Friday, 8am – 5pm (MT) at 800-817-7118
Great News – Health Sqyre Is in-Network With United Healthcare!
United Healthcare CPAP Therapy Policy Highlights
1. Does United Healthcare Cover Health Care Supplies Needed For CPAP Therapy?
2. Is Home Sleep Testing Covered?
3. What CPAP Therapy Supplies Are Covered?
4. What CPAP Therapy Supplies Are NOT Covered?
5. Does United Healthcare Require Compliance / Adherence For CPAP Therapy?
6. Is Documentation Required To Get Supplies Covered?
7. How Often Will United Healthcare Replace My CPAP Supplies?
United Healthcare – 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
United Healthcare – Customer Service Information
Want to Pay Another Way?
Paying with Cash
Paying with Medicare
Paying with FSA/HSA
Out of Network Providers
Have Questions? We’re Here to Help.
