Your Insurance And Prescription Questions Answered
Navigating your insurance requirements can be confusing, but Aeroflow Sleep makes it easy! Below you'll find answers to some of the most common questions about CPAP through insurance and CPAP prescriptions.
If you don't see your question, you can reach your dedicated Aeroflow Sleep Specialist at 1(866) 560-6674, or email us any time at firstname.lastname@example.org!
When you get your CPAP or CPAP supplies through insurance, you’re probably going to run into these terms. Here’s what you need to know!
- Deductible - The amount you have to pay before your insurance plan will split the cost.
- Copay - When insurance splits the bill, copay is the part you owe– as a fixed price. If the bill changes, your cost stays the same!
- Coinsurance - When insurance splits the bill, coinsurance is the part you owe– as a percentage. If the bill changes, your cost changes too.
- Out of Pocket Max - The most you have to pay before your insurance plan picks up the whole bill for covered healthcare.
Questions about Insurance
Does Insurance Cover CPAP?
Yes! Most insurance plans (including Medicare and Medicaid) will cover your CPAP machine. They’ll also likely cover your replacement supplies through the year!
The details vary from plan to plan, but we can help you find out what your plan covers! Simply fill out our qualification form and your personal Sleep Specialist will contact your insurance provider directly! They’ll tell you what’s covered and when, and help you make the most of your insurance benefits.
Which CPAP Supplies Will Insurance Cover?
In addition to your CPAP machine, most insurance providers will also cover regular replacement of your:
- CPAP Mask
- Mask Cushion or Nasal Pillows
- Filters (Disposable and Reusable)
- Humidifier and/or Humidifier Chamber
If you’d like to find out how often your insurance provider will cover these supplies, fill out our qualify form and your dedicated Sleep Specialist can contact your insurance provider to find out for you! Your Specialist can alert you whenever you qualify for new supplies!
How do I check what my insurance will cover?
We can help you! Your dedicated Sleep Specialist will contact your insurance provider for you, then tell you what products your plan will cover and how often!
They can also discuss how your policy and deductible may affect the price, so there are no hidden surprises. Just fill out our qualify form to get started!
Why do I need a prior authorization?
Some insurance providers require prior authorization to ensure that your CPAP equipment is prescribed appropriately.
We take care of that for you! If your insurer requires prior authorization, we’ll handle all of the paperwork! You just kick back and wait for your CPAP supplies to be shipped straight to your door.
What is CPAP compliance and why does my insurance require it?
Some insurance providers want you to show that you’re using your CPAP machine before they’ll cover it.
We can help you succeed! Your personal Sleep Specialist can help you understand your compliance goals, and offer advice on how to meet them, so you can get the good night’s sleep you deserve!
Questions about Prescriptions
Do I need a prescription to order a CPAP or CPAP supplies through insurance?
Yes, insurance providers will require a prescription before they’ll cover your CPAP machine or supplies.
If you need help finding or uploading your prescription, we’ve got your back with our free Prescription Concierge service! Your dedicated Sleep Specialist will work directly with your doctor and your insurance company to obtain, update, or even renew your prescription for you!
Do I need a prescription to buy a CPAP or CPAP supplies out of pocket?
That depends! Most supplies– like replacement parts, tubing, or even CPAP cleaners– can be purchased without a prescription. Even most of your favorite masks are available prescription-free thanks to our convenient assembly kits!
A prescription is always required for CPAP machines, fully-assembled CPAP masks, and humidifiers– even if you buy them out of pocket. That’s because your therapy type and settings are unique to your medical needs.
If you need help obtaining or updating your prescription, our free Prescription Concierge service will take care of it for you! Your personal Sleep Specialist will work with your doctor and your insurer to make sure everything is ready to go! Just fill out our simple qualify form to get started!
Which supplies require a prescription and which don’t?
- Anything purchased through insurance
- CPAP machines
- Pre-assembled CPAP masks
Available without Prescription*:
- CPAP mask assembly kits
- CPAP machine or mask replacement parts
- CPAP batteries
- CPAP cleaners/sanitizers
- CPAP cleaning products
- Most CPAP accessories (tube covers, sanitizers, mask liners, etc.)
*When purchased without insurance
If you need help obtaining or updating your prescription, our free Prescription Concierge service will take care of it for you! Your personal Sleep Specialist will work with your doctor and your insurer to make sure everything is ready to go! To get started, fill out our easy qualify form!
How do I submit my prescription?
Your personal Sleep Specialist will reach out to your doctor and get it for you! Our free Prescription Concierge service means you never have to worry about digging up or renewing your prescription.
However, if you already have your prescription on hand, you can also email it to email@example.com or fax it to us at 1-800-806-2799.
How do I get a prescription?
If you haven’t been officially diagnosed with Obstructive Sleep Apnea, you’ll need to start by talking to your doctor.
After that, your Aeroflow Sleep Specialist can work directly with your doctor to handle the rest! As part of our free Prescription Concierge service your Specialist can obtain, update, and even renew your prescription for you– at no additional cost! Just fill out our qualify form to get started.
What does my prescription need to include?
Your prescription must include:
- Your first and last name
- Date of prescription
- Physician’s name, information, and signature
- Prescribed pressure settings or pressure range
- The type of equipment being prescribed (ex.: CPAP, BiPAP, CPAP mask, humidifier, etc.)
How long is my prescription valid?
That depends on your doctor, your insurance provider, and what your prescription is for.
If your prescription is set to expire, we’ll reach out to your doctor and get it updated as part of our free Prescription Concierge service– so there’s never a delay in getting you your CPAP supplies!
Why can't I use the same prescription I used for my last order?
Some insurance providers (including Medicare and Medicaid) require an updated prescription every year to make sure that your therapy-type and settings are still right for you.
Your dedicated Sleep Specialist will reach out to your doctor and have your prescription updated before it expires, so you never have to worry about it!