CPAP Medicare and Insurance in the Greater Peoria, IL Area

Complete Home Respiratory Care is dedicated to helping our patients navigate their CPAP Medicare and insurance in the Greater Peoria, IL area. We understand the importance of access to quality healthcare, especially for those with chronic conditions such as sleep apnea. If you or a loved one has been prescribed a CPAP machine, it’s important to understand your coverage options and make the most out of your benefits. In this guide, we’ll explain what Medicare and insurance plans cover for CPAP treatment and how you can ensure you’re getting the best coverage possible.

Contact Us

Portrait of a beautiful senior couple in the public park

Maximizing Health Benefits for Essential Medical Equipment

The majority of medical equipment is covered by Medicare and health insurance. While the rules of private insurance vary, we accept most major plans. Home medical equipment and assistive devices help accommodate mobility limitations and respiratory needs for individuals with health challenges, making life easier for patients and caregivers. If you have Original Medicare, you may be eligible for coverage of CPAP devices and treatments. This includes the machine itself, as well as supplies such as masks, tubing, filters, and more. In order to receive coverage, you must have a doctor’s prescription stating a CPAP device is medically necessary for your condition.

Portrait of a senior man on a workout in the public park

Understanding Medicare Coverage for CPAP Devices and Treatments

Medicare covers individuals 65 years of age or older or people under 65 with permanent kidney failure or a chronic disability with social security benefits. In order to be covered by Medicare, your home medical equipment must withstand repeated use, be used in the home, be used to improve a medical condition, and be useless in the absence of illness or injury. If your medical equipment provider “accepts assignment,” they agree to accept Medicare’s approved payment in full. The patient will then be responsible for the annual deductible and the coinsurance.

Upgrading Your Medical Equipment

Most types of equipment have available options for upgraded features through the Advance Beneficiary Notice. This notice requires a signature indicating you agree to pay the retail difference in cost. When upgrading through an ABN, Medicare covers the cost of basic equipment while the patient pays the difference. In some cases, Medicare requires additional completed documentation. If you have private insurance, coverage for CPAP devices and treatments may vary depending on your policy. Some insurance plans may cover the entire cost, while others may only cover a portion of it. It’s important to check with your insurance provider to understand their specific coverage guidelines.

How Complete Home Respiratory Care Can Help

Navigating Medicare and insurance coverage for CPAP devices and treatments can be overwhelming. That’s where we come in. Our team at Complete Home Respiratory Care is well-versed in the guidelines and requirements of both Medicare and private insurance providers. We can help you determine if you are eligible for coverage, assist with the necessary paperwork, and provide guidance on choosing a supplier. We are dedicated to making sure our patients receive the best possible care and coverage for their sleep apnea treatment.

Quality Solutions for a Hassle-Free
Shopping Experience

Call Now

Guide to Medicare and Insurance