Sleep Apnea Machine Covered By Medicare

How does medicare pay for cpap. In some states you must get equipment from a supplier who participates in medicare s bidding program. Medicare covers the sleep apnea equipment for a specific period of time.

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If your doctor determines that the machine is beneficial medicare may cover the rental costs for longer than 3 months.

Sleep apnea machine covered by medicare.

Medicare may cover a 3 month trial of cpap therapy. Medicare may cover it longer if you meet in person with your doctor and your doctor documents in your medical record that you meet certain conditions about the use of the device and the cpap therapy is helping you. Medicare may cover continuous positive airway pressure cpap therapy if you ve been diagnosed with obstructive sleep apnea. If you have medicare and you re diagnosed with obstructive sleep apnea you may be eligible to receive continuous positive airway pressure cpap therapy for a three month trial period.

You must get the cpap equipment from a medicare assigned supplier for medicare to cover it. Medicare part b s durable medical equipment dme coverage will help pay the cost of a 3 month trial of a cpap machine if you have been diagnosed with obstructive sleep apnea. After that time medicare may cover a longer period of treatment if you meet with your doctor and he or she determines the device or helping you. If you are diagnosed with sleep apnea and are enrolled in original medicare parts a and b the majority of the cpap machine rental costs will be covered for a 3 month trial period.

With medicare part b you ll pay 20 of the medicare approved amount for the cpap machine rental and supplies after reaching the medicare part b deductible. When it comes to sleep apnea medicare covers 80 of an oral appliance or cpap machine as durable medical equipment to avoid additional costs be sure your equipment comes from a supplier accepting medicare assignment. The coverage can be extended if you meet with your physician who documents in your medical records that the cpap is improving your sleep apnea. Current medicare rules dictate that if you rent a cpap machine for 13 months you own it.

Medicare initially may pay for a three month trial with a cpap machine. In most cases medicare generally covers 80 of the allowable charges related to a sleep apnea machine.

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