Frequently Asked Questions

Insurance

Please complete our Qualify Through Insurance form to find out if we can help you get a CPAP machine, mask, and supplies covered through your insurance. Once we receive your information, a customer service specialist will contact you to review your benefits.

Yes. Most insurance plans including Medicare and Medicaid will cover your CPAP machine, mask, and supplies. They will also likely cover your replacement supplies. Insurance Covered CPAP is an In-Network provider with most insurance plans.

Your replacement supplies may include:

  • CPAP mask
  • Mask cushion or nasal pillows
  • Tubing
  • Filters (disposable and reusable)
  • Headgear
  • Humidifier and/or humidifier chamber

Fill out our Qualify Through Insurance form and we will contact you to inform you of your coverage.

Some insurance providers require prior authorization while others don’t.

Fill out our Qualify Through Insurance form and we will let you know if prior authorization is needed.

CPAP machines and masks require a prescription from your physician. Supplies such as mask parts, filters, tubing, and water chambers do not require a prescription.

If you already have a prescription, we will contact your doctor to obtain it. If you do not already have a prescription, we can help you obtain one. A member of our customer service team will contact your doctor to request a prescription so we can process your order.

Please enter your state and insurance company on our Qualify Through Insurance form which will automatically show the CPAP machines and masks that are covered through your specific insurance.

If you have met your deductible, your insurance company will pay their cost share of your CPAP products. If you have not met your deductible, you will have out of pocket costs that apply to your deductible until it is met.

CPAP Therapy

CPAP therapy is the leading treatment for sleep apnea. CPAP stands for continuous positive airway pressure. CPAP therapy keeps your airway open by providing air through a mask you wear while you sleep. CPAP therapy can eliminate breathing pauses, snoring, and choking noises in your sleep.

A CPAP system is a small air compressor with flexible tubing and a mask. The tubing connects the CPAP machine to your mask.

The CPAP mask may cover only your nose or both your nose and mouth. Another option is to use nasal pillows, which fit in your nostrils. Some other masks fit snugly under your nose.

CPAP may prevent or reverse serious consequences of sleep apnea. Treating sleep apnea can help protect you from serious health risks, including:

  • Heart disease
  • Stroke
  • Diabetes
  • Motor vehicle accident

It can also improve areas of your life, including:

  • Improved daytime alertness
  • Improved concentration
  • Improved emotional stability
  • Eliminate snoring
  • Lower medical expenses

Once you fill out our Qualify Through Insurance form, we will send you a mask fitting link via text and email that will assist you in choosing the best fitting mask for you.

We will verify your insurance within 24 hours of receiving your Qualify Through Insurance form.

If you have completed a sleep study and your physician has written a prescription for your CPAP products, your order will delivered in approximately 3 to 5 business days.

If you have questions about returning your CPAP machine or masks, please click here for information on returns & exchanges.

If your CPAP machine or mask is not working, contact our customer service team. We can help coordinate a warranty claim with the manufacturer.

Dust, mold, allergens, and other irritants can collect on your CPAP supplies, so they should be replaced regularly to maintain effective treatment. Most insurance plans cover a CPAP replacement schedule, and Insurance Covered CPAP can ship you new supplies per your insurance coverage guidelines. We recommend the following schedule:

Every 2 weeks: Replace cushions, pillows, and disposable filters

Every month: Replace full-face mask cushions

Every 3 months: Replace masks and tubing

Every 6 months: Replace headgear, chinstraps, non-disposable filters, and humidifier water chambers

Once you qualify through your insurance for a CPAP machine, mask, and supplies, you are automatically enrolled and eligible to receive CPAP supplies on a reoccurring basis. We will remind you by phone, text, or email to place an order for new supplies as needed.

Sleep Apnea

Sleep apnea is a potentially serious sleep disorder.

The main types of sleep apnea are:

  • Obstructive sleep apnea: the most common form that happens when throat muscles relax
  • Central sleep apnea: it occurs when your brain doesn’t send proper signals to the muscles that control breathing

The most common signs and symptoms of sleep apnea include:

  • Loud snoring
  • Stopping breathing during sleep
  • Gasping for air during sleep
  • Waking up with a dry mouth
  • Morning headache
  • Insomnia
  • Excessive daytime sleepiness
  • Hard to pay attention during waking hours

Factors that increase the risk of sleep apnea include:

  • Fat deposits around your upper airway that can obstruct your breathing
  • Those with large necks can have narrower airways
  • Large tonsils or adenoids can block the airway
  • Sleep apnea occurs significantly more often in older adults
  • The use of alcohol can relax the muscles in your throat, which can make sleep apnea worse
  • Smokers are much more at risk due to the increase in the amount of inflammation and fluid retention in the upper airway
  • If you have difficulty breathing through your nose it can make sleep apnea more likely

Sleep apnea is a serious medical condition. Complications can include:

  • Daytime fatigue
  • High blood pressure or heart problems
  • Type 2 diabetes
  • Metabolic syndrome
  • Complications with medications and surgery
  • Liver problems
  • Sleep-deprived partners

Home Sleep Test (HST)

A home sleep test (HST) is a sleep test that is performed at home and requires a doctor’s prescription. Home sleep tests are designed to test patients who are considered to be moderate to high risk for sleep apnea.

Home sleep tests are primarily used to diagnose patients with obstructive sleep apnea. A sleep physician will recommend an HST only if it is believed that the patient has moderate to severe sleep apnea.

HSTs are not recommended for patients who may have other sleep disorder comorbidities, or who have certain medical conditions such as chronic obstructive pulmonary disease, congestive heart failure, and neuromuscular disease.

HSTs provide an easy, cost-effective way to diagnose obstructive sleep apnea. These tests allow doctors to monitor your sleep behavior from the comfort of your own bed. They are also much more affordable than an in-lab sleep study.

If you need a home sleep test, contact us and we will start the process.