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

Below are some of the common questions our customers ask while researching and purchasing sleep apnea products from cpapRX.

Placing An Order

Orders can easily be placed online or over the phone. To place an order online, simply shop for your products in our online CPAP store and proceed to the checkout using your shopping cart. If for any reason you’re having trouble placing your order, our customer service staff will be happy to assist you. Just give us a call at 833-216-CPAP.

Any order placed before 12PM Central Time will be shipped out on the same business day. If your order is placed after 12PM Central Time it will be shipped on the following business day. Business days are Monday through Friday, 8AM-5PM Central Time, excluding national holidays. You can expect your order to arrive in 3-6 business days. We ship all orders via FedEx and you will receive an email with the tracking number shortly after your order is placed. If you have any questions or need to expedite an order, please call us at 833-216-CPAP.

For assistance, please call us at 833-216-CPAP. You can also email our customer service department at customerservice@cpaprx.com. Our customer service hours are Monday through Friday, 8AM-5PM Central Time.

We understand that CPAP therapy varies for each individual and will work with you to find the equipment that works best for you. Returns are accepted up to 30 days after receipt of the material if it is unused. Defective material may be returned in the same time period after usage reveals the product to have a defect. Refunds will be given for unused materials (excluding postage). Full refunds, including postage, will be given for defective material.

cpapRX prides itself on having the most competitive pricing on the world’s best CPAP supplies and we will match any competitor that you find as long as it is from an authorized CPAP retailer. If you find a lower price anywhere, contact us directly at 833-216-CPAP or send us an email at customerservice@cpapRX.com and we will gladly look into the situation with you.

Insurance &
Financing

At this time, cpapRX does not bill insurance companies for purchases. cpapRX is exclusively for self-pay and HSA account purchases only.

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 able to use these funds for 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 at customerservice@cpapRX.com or call us at 833.216.CPAP.

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: 130 Warren Street, Suite 130, Beaver Dam, WI 53916
  • Phone: 833-216-CPAP(2727)
  • Fax: 920-356-6415
  • Email: sleeptight@cpaprx.com
  • Tax ID Number: 2721-21295

Masks &
Supplies

There are three main CPAP mask categories. Each type of mask has its own pros and cons based on health conditions and personal preferences. CPAP users may also find that they have changing needs on a daily basis, and thus they use different kinds of masks at home to fit these varying situations. The three main categories of CPAP masks are:  

  1. Full-Face CPAP Masks: Full face masks don’t actually go over the entire face, but they do cover both the nose and the mouth. If you breathe with your mouth open, or you have frequent problems with allergies and nasal congestion, this is the style of mask we recommend. 
  2. Nasal Masks: Nasal masks cover, you guessed it, the nose only. These masks are held in place using a four point headgear. Nasal masks are one of the most popular styles of CPAP masks.
  3. Nasal Pillows Masks: Nasal pillow masks are the smallest and most discreet of the three mask styles. They fit up inside your nostrils. If you are experiencing skin irritation with other types of masks, this is the style we recommend since they have the least amount of contact with your face.

There are several options to help you find the right CPAP mask. Being fit for a mask by a trained professional will always be the best way to ensure accurate sizing. While shopping online, try using the sizing chart included for each product. Also, feel free to contact us directly at 833-216-CPAP or email us at customerservice@cpapRX.com and we will be glad to help. Please note that Pillow CPAP masks come with MISSING CONTENT

To measure for a Nasal Mask, the preferred method is: 

  1. Find a ruler, and measure in a straight line horizontally (left to right) 
  2. Measure from the outside of your nose on the left and to the right side of your nose (Ask a friend for help if needed) 
  3. Match your measurement to the sizing chart

To measure for a Full Face Mask, the preferred method is: 

  1. Find a ruler, and measure vertically (top to bottom) 
  2. Measure from the bridge of the nose down to the indentation below your bottom lip 
  3. Match your measurement to the sizing chart.

The great news is that all CPAP masks are compatible with all CPAP machines, regardless of the manufacturer or brand! For further machine components please contact us and we will assist you with finding the machine brand and generation, to ensure you are purchasing the correct product.

Keeping your mask clean is extremely important. It’s not only an issue of sanitation but it’s an issue of safety and your health. All CPAP supplies should be cleaned on a daily to weekly basis. cpapRX offers some of the CPAP supply cleaning products. Check out our section on CPAP cleaning supplies to learn more!

Most CPAP machines are warranted for two years. We are happy to handle any problems that arise and will work with you to fix whatever problem you might have. Please know that some repairs can take up to 2-3 weeks to process. Rental machines are available to help you while the manufacturer of your machine is attempting repair or replacement. Give us a call and we’ll take care of you.

With so many CPAP mask choices, which one is right for you? Traditional CPAP nasal masks are usually the most popular with CPAP users. Full face CPAP masks are preferred by patients who have problems with mouth breathing or leaking from the mouth. Other options include nasal interface systems (such as nasal pillows systems), and oral masks. There are pros and cons for all these options. For the best possible choice, stick with what has worked in the past but consider trying something new if you have been having issues. Either way, cpapRX is here to Simplify Your Sleep and we will make sure we help you get it right. Give us a call and we can talk about what options might be best for you.

Some employers, and physicians, like to (or need to) track how well you are performing with your CPAP machine and therapy. Compliance data allows your physician or employer to monitor your usage and to be sure you are getting the best treatment possible. The clinical data assists the physician in making necessary changes to your treatment and is very helpful in tweaking your therapy to make sure it is right, just for you!

All CPAP masks are universal and can be used with any CPAP machine or BiPAP machine from any manufacturer. Yay!

If you happen to breathe with your mouth open and are using a nasal mask, pressure can be reduced making treatment ineffective. Full face CPAP masks allow you to breath from the nose or the mouth, while still obtaining maximum treatment.

CPAP and BiPAP supplies are disposable and are meant to be replaced frequently to ensure that they are safe, and effective, for your treatment. If you are using things like masks, tubing, filters, and headgear for extended periods of time – past their suggested replacement frequency – you can jeopardize your CPAP therapy. Your mask cushions are delicate and can develop leaks, clogged filters can allow dust and pollen to be delivered into your airway, and over-stretched headgear can require extreme tightening, causing pain and leaving marks on your face.

Take a look at the recommendations for replacement frequency and consider sticking to this schedule to ensure safe and effective therapy.

Item 

Replacement Frequency 

CPAP Machine 

Generally, every 3-5 years, or as necessary

Mask Headgear

Every 3-6 months 

CPAP Tubing 

Every 3 months

Disposable Filter 

Twice per month

Non-disposable Filters 

Once every 6 months 

CPAP Chin strap 

Every 6 months 

Full Face Interface/seal

Once per month 

Nasal Cushion/Seal 

Twice per month

Humidifier Chamber (Water tank)

Every 6 months

Nasal Pillow

Twice per month

Mask leakage is important to fix and can be caused by a variety of issues. One thing to know is that CPAP masks are never intended to be 100% airtight and it is normal to experience just a little leaking from time to time. Before shopping for a new CPAP mask, there are a couple things you can do to help fix the issue. First, with your machine running, pull your CPAP mask away from your face and let the seal inflate fully. Next, try setting the CPAP mask back into place to see if that fixes the issue. If that doesn’t work, perhaps your CPAP mask is too tight. Try loosening the head straps to allow proper inflation of the seal. If you are trying a new mask out, please remember to allow yourself ample time to adjust to the CPAP mask. If you continue to have problems, give us a call and we’ll help you out.

Prescription
Information

Under the federal law and FDA (Food and Drug Administration) medical devices are placed in three classes, class l, ll, or lll, based on their risks and the regulatory controls needed to provide reasonable assurance of safety and effectiveness.

  • Class I – Have a mild risk for users. 
  • Class II – Have a moderate risk for users. 
  • Class III – Have a high risk for users.

CPAPs are considered to be a Class ll Medical Device because: 

  • You need prescription that includes pressure settings based on your apnea/hypopnea index (AHI) and lowest oxygen saturation (Sao2), after taking a sleep test. Otherwise, inadequate CPAP settings could be harmful to your health. 
  • Correct pressure settings can only be determined by a qualified physician based on your sleep studyPrescriptions provide accurate pressure settings based on your individual needs. 
  • If you’re suffering from central or mixed sleep apnea instead of only obstructive sleep apnea will need to be treated with a slightly different PAP machine. A sleep doctor’s recommendation or prescription ensures that will get the correct device. 

If you see a used CPAP online or hear that your friend has one in storage, don’t use it. USED CPAP machines have a variety of risks. 

  • The plastic and materials break down over time, leading to cracks and air leaks, causing your CPAP therapy to be less effective. 
  • CPAP machines collect germs, viruses, skin cells, bacteria, and more. So you may be breathing in all of those pathogens from the previous user. 
  • If you need a BiPAP and end up with a CPAP you won’t receive proper treatment. 
  • You don’t know how often a recycled CPAP machine was used or if it works correctly. CPAP machines need to be replaced every five years! 

An at-home sleep test can be ordered at cpapRX.com. Once your sleep test arrives you will wear the device for one night and then return it, so a qualified sleep physician can review your results.

Once the at-home sleep test is completed sleep specialists will analyze and interpret your results. Your study data will first be reviewed and scored by a registered sleep technologist then interpreted by a board-certified sleep physician.

This data along with your medical history is used to diagnose your sleep problem and make recommendations for therapy based on your test results and unique needs. 

  • Medical Doctor
  • Doctor of Osteopathy
  • Psychiatrist
  • Physicians Assistant 
  • Nurse Practitioners 
  • Dentist 
  • Naturopathic Physician 
  • Email us a photo of your prescription to sleeptight@cpapRX.com. Either take a photo of it to send directly or add it as an attachment. This can be performed on your smartphone. Please include, “Prescription for cpaprx” as your subject line. 
  • Fax your prescription to 920-356-6419. 
  • Upload an image of your prescription directly to our site. 
  • Call us for help at 833-216-CPAP. 
  • To buy CPAP equipment online you find a trusted supplier like cpapRX.com that offers top quality CPAP machines and supplies from industry-leading manufacturers. 
  • Then while making your purchase, make sure they have your prescription information to verify it. 
  • And last but not least, follow the check out process. 
  • Physician’s contact information
  • Physician’s signature
  • Patient’s full name
  • Diagnosis (obstructive sleep apnea, central sleep apnea, mixed sleep apnea)
  • Duration (most CPAP prescriptions come with a lifetime prescription)
  • Type of machine (CPAP, APAP, BiPAP, ASV, etc.)
  • Pressure setting of the machine (fixed or range depending on machine type).
  • If a humidifier is included in the prescription
  • Mask/delivery system (usually indicates that patient can choose a preference of mask)
  • Recommended schedule for replacement masks, parts, and accessories

Various machine types will require different information:

  • CPAP device will require a single pressure setting
  • APAPs will have a pressure range with two settings (minimum pressure and maximum pressure)
  • BiPAPs will have an IPAP (inspiratory) pressure over an EPAP (expiratory) pressure
  • BIPAP autos will have a max IPAP and minimum EPAP
  • BiPAP S/T will have I/E plus a breath rate
  • BiPAP ASV will have a max IPAP, minimum and maximum EPAP, minimum and maximum pressure support (PS), and breath rate

If your CPAP prescription mentions a “Life time Need” or says “99 months”, it’s valid for as long as you need therapy. If your prescription shows an expiration date, it is valid until the date shown. If it contains a certain amount of refills, these items can be dispensed per the number of times listed. We are happy to review your prescription to determine when it can be used. 

Our knowledgeable cpapRX representative will be happy to help! Send us an email at sleeptight@cpaprx.com, or call us at 833-216-CPAP(2727). You’ll be sleeping better with your new CPAP in no time!

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