|
Is it Time to Replace your CPAP or BiLevel Equipment?
If you are one of the many patients being seen routinely in our clinics you may already be aware of the improvements that have been made in both masks and CPAP and BiLevel machines. New technology and design improvements have made machines more comfortable, easier to maintain and easier to travel with.
Many users are not replacing their CPAP or BiLevel masks as often as recommended, and are unaware of their durable medical equipment (DME) health insurance benefits. Most insurances will allow you to upgrade your CPAP or BiLevel unit after a period of time, and some insurances allow you a certain amount of money you can spend each year on equipment. Below is list of reimbursement information for major insurance companies.
Blue Cross Blue Shield
- If you have a DME account, you may obtain new equipment yearly.
- If you have $1500.00 per year, your CPAP unit would be covered in full.
- If you have $750.00 per year, you would have an out of pocket expense for the remaining balance.
Medicare
- Allows a new CPAP or BiLevel unit every five years and covers 80% of the allowable.
- Medicare allows a new mask with headgear every six months.
- Medicare allows a new hose every month.
Harvard Pilgrim Health Care
- Allows a new CPAP or BiLevel unit every 1-2 years, as medically necessary.
- Allows new mask as needed.
Commonwealth Indemnity (GIC)
- Allows a new CPAP or BiLevel unit every three years.
- Allows a new mask and headgear at least every six months or as medically needed.
Neighborhood Health Plan (NHP)
- Allows a new CPAP or BiLevel unit every five years, or as medically needed.
- Allows a new mask and headgear every six months with prior approval from NHP
Tufts Associated Health Plans
- Allows a new CPAP or BiLevel unit every three years or as medically needed
- Allows a new mask and headgear every six months, or sooner if medically needed.
If you would like to find out if you are eligible to upgrade your equipment, we suggest you call and speak with one of our insurance verification specialists at 877-753-7243 or email us at supplies@sleephealth.com.
You always have the option of purchasing this new CPAP or BiLevel unit yourself. For pricing information and to learn more about the units please e-mail Don Ordway,
CRT
, Manager of Ancillary Services at don_ordway@sleephealth.com.
We look forward to helping you obtain the right equipment so that you can sleep well and maintain the quality of your health and life!
To see the latest masks and equipment, click here.
|
