Once you’ve met your deductible and requirements, Medicare will cover 80 percent of the cost of CPAP services and accessories. For accessories, this includes face masks, filters, and tubes, among other things.
To maintain and keep your CPAP accessories up-to-date, you may need to replace them from time to time. According to the Department of Health and Human Services (HHS), certain supplies for CPAP and other accessories are replaced on “the basis of medical necessity.” This can vary widely by state and whether your provider can provide a Medicare-approved amount of coverage for CPAP accessories.
As an example, CPAP tubing with a heating element can be replaced every three months, compared to a nondisposable filter, which needs to be replaced every six months. According to HHS, Medicare will cover the following CPAP accessories:
Since the 1990s, Medicare recipients have been able to choose private health plans as an alternative to original Medicare. These health plans, once called Medicare Part C, are now known as Medicare Advantage.
The Basics: If you have original Medicare, the government directly pays for your Medicare benefits. In contrast, with Medicare Advantage plans, you receive your benefits from private medical insurance companies that Medicare has approved.
We do not work with private insurance / Medicare Advantage plans currently.