How Often Can I Get a New CPAP/BiPAP Machine or Replace My Mask and Other Supplies?
Key Takeaways:
The table below outlines how often you can get replacements for different types of CPAP/BiPAP devices and supplies:
| Supply Type | Replacement Frequency |
| CPAP/BiPAP Machine | Every 5 Years |
| Full Face Mask Cushions | Monthly |
| Masks | Every 3 Months |
| Nasal & Nasal Pillow Mask Cushions | 2 Every Month |
| Full Face Mask Interface | Every Month |
| Nasal & Nasal Pillow Mask Interface | Every 3 Months |
| Headgear & Chinstrap | Every 6 Months |
| Tubing | Every 3 Months |
| Disposable Filters | 2 Every Month |
| Non-Disposable Filters | Every 6 Months |
| Water Chambers | Every 6 Months |
Qualifying For Replacement Sleep Therapy Devices And Supplies Through Health Insurance:
The journey begins with the realization that CPAP/BiPAP machines and supplies, like any medical devices, have a lifespan. To qualify for replacements, certain criteria must be met. Recent medical necessity documentation, a recent prescription from your doctor, and cause for replacement play key roles in the process. The specific documentation requirements can vary based on your insurance and your past sleep supply orders. Don’t worry – our product specialists can assist and work with your doctor’s office to collect the needed documents to ensure coverage through insurance.
In this blog post, we will outline Medicare’s established replacement cycles for CPAP/BiPAP machines and supplies such as masks and filters. If you have another type of health insurance, such as a private insurance plan through Humana, Aetna, Blue Cross Blue Shield, United Healthcare, or a Medicaid plan, please note that these replacement rules may vary.
CPAP And BiPAP Machines:
Medicare guidelines stipulate that CPAP and BiPAP machines typically have a life span of at least 5 years. However, a replacement may be allowed sooner if there is documented evidence of loss, theft, or irreparable damage. If your current machine is malfunctioning, Medicare may cover the cost of a replacement, if the cost of repair exceeds established limits.
Keeping a record of any issues you encounter with your CPAP or BiPAP machine and discuss these issues with your doctor is important. This documentation can support your case for a covered replacement through Medicare.
CPAP And BiPAP Supplies:
Medicare replacement coverage also extends to related supplies that contribute to the effectiveness of your CPAP or BiPAP therapy. You can learn more about the importance of the regular replacement of CPAP/BiPAP supplies here: Why It’s Important to Replace Your CPAP Supplies Regularly
The table below outlines how often you can get replacements for different types of CPAP/BiPAP supplies:
| Supply Type | Replacement Frequency |
| Full Face Mask Cushions | Monthly |
| Masks | Every 3 Months |
| Nasal & Nasal Pillow Mask Cushions | 2 Every Month |
| Full Face Mask Interface | Every Month |
| Nasal & Nasal Pillow Mask Interface | Every 3 Months |
| Headgear & Chinstrap | Every 6 Months |
| Tubing | Every 3 Months |
| Disposable Filters | 2 Every Month |
| Non-Disposable Filters | Every 6 Months |
| Water Chambers | Every 6 Months |
Conclusion
The replacement of CPAP and BiPAP machines and supplies according to Medicare involves a combination of understanding the lifespan of each component, recognizing when replacements are necessary, and being aware of Medicare coverage guidelines. By staying informed and proactive, you can ensure the continuity of your CPAP or BiPAP therapy, promoting better sleep and overall health. If you have further questions or need assistance, give our sleep supply specialists a call at 866.864.6332 – we’re here to guide you through the process with clarity.
