HomeFinanceDoes Medicare Pay for CPAP Machines and Supplies?

Does Medicare Pay for CPAP Machines and Supplies?

Medicare pays most prices of CPAP, a standard remedy for individuals with obstructive sleep apnea, or OSA. To get protection, you’ll want a doctor to prescribe a CPAP machine based mostly on assessments — together with a sleep research — displaying that you’ve OSA.

OSA, which afflicts 25 million adults within the United States, is a severe situation that, along with disturbing your sleep, will increase the danger of heart problems, diabetes and melancholy. A CPAP machine gives steady optimistic airway stress through a masks to maintain your higher airway clear for simpler respiratory, higher sleep and improved total well being.

What’s required to get protection for CPAP

Medicare Part B covers CPAP remedy in two levels. There’s a three-month trial interval prescribed by your physician to find out if CPAP works for you. If the trial is profitable, there’s a rental interval of as much as 13 months, after which you personal the machine. To receive protection, you could lease the machine from a Medicare-approved provider of sturdy medical tools.

But even earlier than you start the trial, you could have a sleep take a look at to find out that you simply meet the medical standards for obstructive sleep apnea. The excellent news is that if dwelling sleep take a look at tools is on the market via an area doctor’s workplace or sleep clinic, you needn’t spend the evening in a sleep lab.

CPAP remedy comes with persevering with bills

CPAP remedy requires periodic buy of alternative provides, together with masks, filters, headgear, the water reservoir within the humidifier and the tubing that connects the CPAP machine together with your face masks. Medicare covers these provides on various schedules; a reliable provider will assist you optimize the timing of those purchases.

What you pay for CPAP

Because CPAP is roofed as sturdy medical tools, the Medicare Part B deductible applies; it’s $203 in 2021. Then you pay 20% of the Medicare-approved quantity for the CPAP machine rental and ongoing provide purchases.

Be positive that each your physician and your CPAP provider are enrolled in Medicare; if not, your provider would possibly cost you extra.

Medicare Advantage might present better protection for CPAP. Contact your native Medicare Advantage suppliers to search out out what the financial savings may be.

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