You've got a few questions & we have some answers.

Our clinic based team has years of experience processing CPAP supplies through every major insurance provider. For the best support, please call us directly at 833-216-2727 and we can assist you with your purchase today.

While virtually all health insurance plans now cover CPAP therapy for obstructive sleep apnea, cpapRX.com does not bill private insurance companies for the cost of your CPAP supplies.  You can however submit a request for reimbursement to your insurance company to cover your out-of-pocket costs.  

Most of the costs incurred by CPAP therapy fall into two categories: clinical care and equipment.  Clinical care includes doctor visits and consultations, as well as procedures like in-lab sleep studies.  Equipment costs for CPAP therapy are your periodic replacement parts like your CPAP masks and seals, tubing, filters, etc.

To help our patients with this process, we have outlined some instructions on how to file an insurance claim on your behalf for both CPAP and BiPAP supplies.

***cpapRX can only provide you with basic instructions on how to submit reimbursement.  We are not responsible for determining the procedures and policies that insurance companies follow, so the accuracy of this information can not be guaranteed.

Provider-Specific Help

Reimbursement is fully dependent on your insurance provider.  See below for easy step by step instruction for how to obtain reimbursement for your CPAP machine and/or supplies.

United HealthCare

1. Fill Out the Claim Form:  Download it here.  Complete the form and submit it along with your cpapRX.com receipt and prescription to the address listed on the back of your Health Plan ID Card.  The cpapRX Federal Tax ID Number is 2721-21295.
2. Attach Receipt & Prescription: You will receive a receipt after you have placed your order via email, or you can request a copy by contacting us via email at sleeptight@cpaprx.com or by calling us at 833-216-2727.
3. Submit Claim Form, Receipt, and Prescription:  Please note – receipts for masks with headgear and machines with humidifiers may not break down the cost separately.  Packaged items may not list all items separately on the packing slip/receipt. 
4. Get Money Back:  After submitting your claim, you’ll typically be reimbursed within 2-3 weeks.  (Time frame will vary per provider)

BlueCross BlueShield

1.  Standard Claim Form:  Download a Universal Claim Form here.  Call the Customer Service number on the back of your Health Plan ID Card and ask for the mailing address for claim forms.  Complete the claim form above and submit it along with your cpapRX.com itemized receipt and prescription to the mailing address identified by your insurance company.  The cpapRX Federal Tax ID is 2721-21295.  You can download more specific instructions (beginning on page 7) for filling out the claim form here. 
   • Specific Local BCBS Forms:  Download the Specific BCBS Claim form for your local BCBS company.  Click here to go to the Blue Cross Blue Shield website.  Search for your local BCBS company.  Once on that page, use the search field to search for “medical claim form”.  Download the claim form.  Follow the instructions to fill out and submit it along with your cpapRX itemized receipt and prescription to the address given on the claim form.  The cpapRX Federal Tax ID is 2721-21295.
2. Attach Receipt & Prescription: You will receive a receipt after you have placed your order via email, or you can request a copy by contacting us via email at sleeptight@cpaprx.com or by calling us at 833-216-2727.
3. Submit Claim Form, Receipt, and Prescription: Please note – receipts for masks with headgear and machines with humidifiers may not break down the cost separately.  Packaged items may not list all items separately on the packing slip/receipt. 
4. Get Money Back:  After submitting your claim, you’ll typically be reimbursed within 2-3 weeks.  (Time frame will vary per provider)

Kaiser Permanente

1. Fill Out Claim Form:  Download it here.  Complete the claim form and submit it along with your cpapRX itemized receipt and prescription to this address: Claims Processing Kaiser Permanente, P.O. Box 30766, Salt Lake City, UT 84130-0766. The cpapRX Federal Tax ID is 2721-21295.
2. Attach Receipt & Prescription:  You will receive a receipt after you have placed your order via email, or you can request a copy by contacting us via email at sleeptight@cpaprx.com or by calling us at 833-216-2727.
3. Submit Claim Form, Receipt, and Prescription:  Please note – receipts for masks with headgear and machines with humidifiers may not break down the cost separately.  Packaged items may not list all items separately on the packing slip/receipt. 
4. Get Money Back:  After submitting your claim, you’ll typically be reimbursed within 2-3 weeks.  (Time frame will vary per provider)

Aetna

1. Fill Out Claim Form: Download it here.  Complete the claim form above and submit it along with your cpapRX itemized receipt and prescription to the address listed on the back of your Health Plan ID Card.  The cpapRX Federal Tax ID is 2721-21295.
2. Attach Receipt & Prescription: You will receive a receipt after you have placed your order via email, or you can request a copy by contacting us via email at sleeptight@cpaprx.com or by calling us at 833-216-2727.
3. Submit Claim Form, Receipt, and Prescription:  Please note – receipts for masks with headgear and machines with humidifiers may not break down the cost separately.  Packaged items may not list all items separately on the packing slip/receipt. 
4. Get Money Back:  After submitting your claim, you’ll typically be reimbursed within 2-3 weeks.  (Time frame will vary per provider)

Humana

1. Fill Out Claim Form: Download it here.  Complete the claim form above and submit it along with your cpapRX itemized receipt and prescription to the address listed on the back of your Health Plan ID Card.  The cpapRX Federal Tax ID is 2721-21295.
2. Attach Receipt & Prescription: You will receive a receipt after you have placed your order via email, or you can request a copy by contacting us via email at sleeptight@cpaprx.com or by calling us at 833-216-2727.
3. Submit Claim Form, Receipt, and Prescription:  Please note – receipts for masks with headgear and machines with humidifiers may not break down the cost separately.  Packaged items may not list all items separately on the packing slip/receipt. 
4. Get Money Back:  After submitting your claim, you’ll typically be reimbursed within 2-3 weeks.  (Time frame will vary per provider)

Cigna

1. Fill Out Claim Form: Download it here.  Complete the claim form above and submit it along with your cpapRX itemized receipt and prescription to the address listed on the back of your Health Plan ID Card.  The cpapRX Federal Tax ID is 2721-21295.
2. Attach Receipt & Prescription: You will receive a receipt after you have placed your order via email, or you can request a copy by contacting us via email at sleeptight@cpaprx.com or by calling us at 833-216-2727.
3. Submit Claim Form, Receipt, and Prescription:  Please note – receipts for masks with headgear and machines with humidifiers may not break down the cost separately.  Packaged items may not list all items separately on the packing slip/receipt. 
4. Get Money Back:  After submitting your claim, you’ll typically be reimbursed within 2-3 weeks.  (Time frame will vary per provider)

Not seeing your provider?

1. Fill Out the Universal Form:  Download it here.  Call the customer service number on the back of your Health Plan ID Card and ask for the mailing address for the claims department.  Complete the claim form above and submit it along with your cpapRX itemized receipt and prescription to the mailing address identified by your insurance company.  The cpapRX Federeal ID is 2721-21295.  You can download more specific instructions (start on page 7) for filling out the claim for here.
2. Attach Receipt & Prescription: You will receive a receipt after you have placed your order via email, or you can request a copy by contacting us via email at sleeptight@cpaprx.com or by calling us at 833-216-2727.
3. Submit Claim Form, Receipt, and Prescription:  Please note – receipts for masks with headgear and machines with humidifiers may not break down the cost separately.  Packaged items may not list all items separately on the packing slip/receipt. 
4. Get Money Back:  After submitting your claim, you’ll typically be reimbursed within 2-3 weeks.  (Time frame will vary per provider)

Using a Health Savings Account (HSA) or Flex Savings Account (FSA) can be an effective strategy for reducing health costs, particularly known fixed costs like CPAP.  Patients utilizing an HSA/FSA can deposit (or have their employer deposit) funds into the account tax-free for medical expenses.  Most CPAP equipment is eligible for HSA/FSA coverage, with cpapRX you are able to use these funds towards purchases from our site. 

Using your HSA account to purchase your CPAP supplies is a great idea and we would love to help you with the process. Before we do, please take a moment to familiarize yourself with your plan details and confirm that your HSA account is linked to a major credit card. A portion of your dollars can also be applied to your total order with cpapRX, which makes for a great way to save money! If you have questions about how to do this or are ready to place an order using your HSA account, email us or call us at 833-216-2727.

While Medicare covers CPAP therapy for sleep apnea, healthcare providers must follow stringent treatment guidelines.  These Medicare protocols include a requirement that the PAP machine and related supplies be procured from an approved Durable Medical Equipment (DME) provider.  

Medicare recipients cannot submit claims for reimbursement on their own behalf.  All Medicare claims need to be billed from an equipment company that contains a Medicare provider number.

Medicaid programs are administered by state governments, with each state setting its own guidelines regarding eligibility and services.  While Medicaid programs generally follow Medicare coverage guidelines for CPAP therapy, including requirements to go through approved DME provider, the specific rules differ between states and various Medicaid programs.  Contact your Medicaid insurance provider for specific coverage benefits and authorization rules.

HCPCS Billing Codes

The following codes are used by insurance companies to process claims.  Please use the code that is most appropriate on your claim form to ensure processing can be done in a timely manner.  Codes should also correspond to each item on your invoice.  Items including but no limited to CPAP batteries, bed pillows, and DC adapters are not typically covered, as they are considered luxury items.

• E0601: CPAP Machine Purchase
• A7034: CPAP Nasal Mask
• A7032: CPAP Nasal Mask Cushion
• A7030: CPAP Full Face Mask
• A7031: CPAP Full Face Mask Cushion
• A7044: CPAP Full Oral Interface
• A7046: CPAP Humidifier Chamber
• A7037: CPAP Tubing, Long and Short hoses
• A7038: CPAP Disposable Filters
• A7039: CPAP Foam Non-Disposable Filters
• A7035: CPAP Headgear
• A7033: CPAP Nasal Pillows
• A7036: CPAP Chinstrap
• E0561: CPAP Passover Humidifier
• E0562: CPAP Heated Humidifier
• E0470: BiPAP Purchase
• E0471: BiPAP-ST Purchase
• A4604: Thermo Smart Tube
• K0553: Oral/Nasal Hybrid Mask
• K0554: Oral Cushion for Hybrid Mask
• K0555: Nasal Cushion for Hybrid Mask
• E1399: CPAP Miscellaneous (This code is used for any CPAP items covered by your insurance but not listed above.

Physician Diagnosis Code

Some insurance companies may also require you to include a code that is associated with your diagnosis.  The code for Obstructive Sleep Apnea (OSA) is G47.33.

Your insurance company may require information about cpapRX to process your claim.  The most requested information is below:

• Company Name: Face & Skin LLC DBA cpapRX.com
• Address: 120 Park Avenue, Suite 1, Beaver Dam, WI 53916
• Phone: 833-216-2727
• Fax: 920-356-5136
• Email: sleeptight@cpaprx.com
• Tax ID Number: 2721-21295