Are CPAP Supplies Considered Durable Medical Equipment?

Is DME covered by insurance?

CPAP machines and supplies are considered durable medical equipment. That means they may be covered by your health insurance. However, this coverage will vary by state, as well as provider. 

What Is DME? 

Durable medical equipment, or DME, includes equipment and supplies authorized by your doctor for at-home treatment of medical conditions. Some DME may be for a short-term injury or illness, such as crutches for a broken leg. Other DME can be used to treat long-term chronic conditions, such as CPAP machines for sleep apnea.

What Are the Items That Fall Under the DME Category? 

Durable medical equipment includes, but is not limited to: CPAP machines, oxygen concentrators, nebulizers, and other respiratory supplies. These are just some of the items on a long list of equipment that meets the criteria of DME.

Will My Insurance Cover DME?

Generally, Medicare and Medicaid provide DME coverage. Medicare provides a list of covered DME, including CPAP machines, on their website. In addition, Medicare offers rules and requirements for coverage. For instance, your DME supplier must enroll in Medicare for you to receive coverage. 

Private health insurance companies are not required to cover DME, so it’s important to check coverage with your provider. While they may cover DME, your particular plan may only cover certain items or provide only partial coverage. It is important to answer all of these questions prior to purchasing your equipment.

Prior to receiving your equipment, the insurance company will need you to provide a valid prescription from a licensed physician. Online retailers who don’t work with insurance companies, such as The CPAP Shop, still require a prescription to purchase equipment.

Where Can I Buy DME?

Durable medical equipment suppliers offer DME, such as CPAP equipment, online and through their supply stores. Some suppliers may even rent you equipment if your needs are only for short-term treatment, such as recovering from surgery.

Why Buy from Us?

The CPAP Shop is a safe, reliable, and convenient provider of DME for managing sleep apnea, as well as other respiratory illnesses. Our knowledgeable customer care team will help guide you to the highest quality CPAP equipment based on your prescription. While The CPAP Shop offers a retail location in West Berlin, NJ, we also provide patients with a complete online shopping experience, allowing you to purchase your equipment from the comfort of home.

For more information about The CPAP Shop visit us online at www.thecpapshop.com. If you have questions about the type of equipment we provide, feel free to call us at 866-414-9700 or email questions@thecpapshop.com.

Chris Vasta CPAP Expert & President at The CPAP Shop

Author

Chris Vasta

Over a 10+ year career at PHH Mortgage managing a $100 million portfolio, Chris Vasta learned the ins and outs of the business world. He learned how to establish business relationships, lead a multi-prong team, and implement strategies for long-term growth. In 2007, Vasta used that experience to transition his role into president of The CPAP Shop. Over his tenure, Vasta has been involved in everything from website design to warehouse layout. His hands-on approach with customers has evolved into an in-depth understanding of the challenges of beginning and adhering to sleep therapy. He often provides his insights on product…


4 Comments Leave new

  • DAVID CHARLES SEIGFREID

    the power supply for my Phillips machine stooped last night. can you tell me if I can get a new one thru my Aetna medical insurance?

    • Chris Vasta

      Hi David, we do not work directly with insurance companies so you would have to reach out independently to them.

  • Leslie Lety

    Mask I ordered before had soft foam
    Mask I got from you was soft plastic.

    • Chris Vasta

      Hello, Leslie. The ResMed Airfit N20 and Airfit F20 are both offered with either a clear silicone cushion or a gray memory foam cushion. When it has the memory foam cushion it is called the Air Touch cushion. For assistance please call our customer service team at 1-866-414-9700.

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