How often are you eligible for new CPAP supplies?

Having a cpap doesn’t mean you buy the different parts and never have to worry about it again. It’s important to keep your cpap clean to prevent you from getting sick from bacteria that could build up, as well as to replace different parts like a filter, tubing, mask, etc. when needed. this will allow you to get the best treatment possible! so how often are you eligible for new cpap supplies? Read on to find out!

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Reading: How often will insurance pay for a new cpap machine

For all of the items below, you’ll want to make sure you have a prescription and understand your insurance policy. Since these items can be expensive, your insurance will want to make sure you qualify if they pay for your parts. The exact requirements differ from company to company, but a common goal is that you use your CPAP for at least four hours a night for 30 consecutive days during the first three months of use.

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Reading: How often will insurance pay for a new cpap machine

mask

Your cpap mask could be a full face mask or a nasal mask. you should replace this every 3 months. if you notice excessive leaks, the mask may need to be replaced. also, if you feel very uncomfortable with your mask, it is recommended that you try a new style or have it refitted. insurance companies will generally allow replacement every 90 days.

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Reading: How often will insurance pay for a new cpap machine

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pipe

Over time, the tube may develop small tears, which may result in the patient receiving a lower pressure setting than prescribed. replace the tubes every 3 months to avoid any problems. Typically, insurance companies will authorize the replacement of CPAP masks, tubing, and filters every 90 days. Many insurance plans follow Medicare guidelines for regular replacement of supplies. You can review the guidelines online at http://oig.hhs.gov/oei/reports/oei-07-12-00250.pdf.

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Reading: How often will insurance pay for a new cpap machine

filter

You want the air you breathe to be clean, so replace your filters every 2 weeks. over time, they can wear out or become clogged. if the environment is particularly humid or dusty, then the disposable filter will not last as long. visual inspection is the key to determining the useful life of the disposable filter.

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Reading: How often will insurance pay for a new cpap machine

cushions/pillows

Over time and use, the silicone in the cushion or nose pad can soften and not be as effective. pay attention to this and replace as necessary. a common schedule to follow would be twice a month or every other week for pillows/nose pillows and once a month for full face pillows.

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Reading: How often will insurance pay for a new cpap machine

machine

In view of its daily use, it is a good idea to replace the actual cpap device every 3 to 7 years. many insurance companies will cover a new device every three to five years. You may also need a new sleep study before your insurance company authorizes the new device.

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Reading: How often will insurance pay for a new cpap machine

helmet/chin strap

Over time and use, the headgear can stretch and lose elasticity, leading to over-tightening and discomfort. replace this every 6 months.

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Reading: How often will insurance pay for a new cpap machine

We hope this helps you know how often you should replace your products and how often insurance will help. If you have any additional questions, feel free to contact us! we are always happy to help answer any questions you may have.

See also: My Member ID Card – Horizon Blue Cross Blue Shield of New Jersey

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