Medicare pays most prices of CPAP, a standard remedy for individuals with obstructive sleep apnea, or OSA. To get protection, you’ll want a doctor to prescribe a CPAP machine primarily based on exams — together with a sleep examine — exhibiting that you’ve OSA.
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OSA, which afflicts 25 million adults in the USA, is a critical situation that, along with disturbing your sleep, will increase the danger of heart problems, diabetes and despair. A CPAP machine offers steady constructive airway strain by way of a masks to maintain your higher airway clear for simpler respiration, higher sleep and improved total well being.
What’s required to get protection for CPAP
Medicare Part B covers CPAP remedy in two phases. There’s a three-month trial interval prescribed by your physician to find out if CPAP works for you. If the trial is profitable, there’s a rental interval of as much as 13 months, after which you personal the machine. To acquire protection, you have to lease the machine from a Medicare-approved provider of sturdy medical gear.
However even earlier than you start the trial, you have to have a sleep check to find out that you simply meet the medical standards for obstructive sleep apnea. The excellent news is that if dwelling sleep check gear is out there by an area doctor’s workplace or sleep clinic, you needn’t spend the evening in a sleep lab.
CPAP remedy comes with persevering with bills
CPAP remedy requires periodic buy of alternative provides, together with masks, filters, headgear, the water reservoir within the humidifier and the tubing that connects the CPAP machine together with your face masks. Medicare covers these provides on various schedules; a reliable provider will show you how to optimize the timing of those purchases.
What you pay for CPAP
As a result of CPAP is roofed as sturdy medical gear, the Medicare Half B deductible applies; it’s $203 in 2021. You then pay 20% of the Medicare-approved quantity for the CPAP machine rental and ongoing provide purchases.
Make sure that each your physician and your CPAP provider are enrolled in Medicare; if not, your provider may cost you extra.
Medicare Advantage could present larger protection for CPAP. Contact your native Medicare Benefit suppliers to seek out out what the financial savings may be.
The article Does Medicare Pay for CPAP Machines and Provides? initially appeared on NerdWallet.