Equipment

CPAP supplies

CPAP and BiPAP machines for sleep apnea, with masks, cushions, tubing and filters replaced on schedule.

A full-face CPAP mask with headgear and tubing

Mask styles

Mask style is about fit and comfort, not an upgrade. Your doctor, your therapist or our team helps you find the one that seals well. Tell us if a mask isn't working for you.

Man sleeping with a nasal pillows CPAP mask

Usually covered

Nasal pillows mask

Small soft cushions that rest at the nostrils
The least contact with your face
Often liked by people who feel closed in by a mask

Your usual share of the costReplaced on a set schedule while you keep using CPAP.

Usually covered

Nasal mask

Covers the nose only
A steady seal for most people
Comes in several sizes and headgear styles

Your usual share of the costReplaced on a set schedule while you keep using CPAP.

Usually covered

Full face mask

Covers the nose and mouth
Often helps if you breathe through your mouth
Can be easier when your nose is stuffy

Your usual share of the costReplaced on a set schedule while you keep using CPAP.

Florida Medicaid and other plans have their own replacement rules; we check yours.

Prices aren't listed online because your cost depends on your insurance plan. Call (561) 245-5444 and we'll tell you in writing what you may owe before anything is ordered, based on what your insurance tells us.

For doctors' offices: full face mask A7030 (cushion A7031) · nasal mask A7034 (cushion A7032) · nasal pillows A7034 (pillows A7033). Replacement quantities per policy article A52467.

Also for CPAP

CPAP machineKeeps your airway open while you sleep.

Tubing and filtersReplaced on a regular schedule.

Heated humidifierPrevents a dry nose and mouth.

Not sure which one is right?

Tell us how things are going at home and we'll help you choose. No pressure to upgrade.

Check coverage Call (561) 245-5444

Plain-language summary of the Medicare rule

What Medicare usually requires for CPAP

So everyone knows what's needed before the order is sent. Florida Medicaid and other plans have their own rules; we check yours.

Have Florida Medicaid, a health plan or Medicare Advantage? See what your plan usually needs.Check coverage for your plan

For patients and families

You saw your doctor about sleep problems before your sleep test.
A sleep test (at home or in a lab) shows sleep apnea at the level Medicare requires.
In the first 3 months you use the machine regularly (at least 4 hours a night on most nights), and your doctor sees you again to confirm it's helping.
Replacement supplies follow a schedule, and you confirm you still use them.

You don't have to collect any of this yourself. We request it from your doctor.

For providers and case managers

Standard written order: patient name or Medicare number, order date, item description, quantity, practitioner name or NPI, and practitioner signature.
In-person clinical evaluation by the treating practitioner before the sleep test.
A qualifying sleep test (AHI or RDI ≥ 15, or 5–14 with documented symptoms or conditions).
Re-evaluation between days 31 and 91 documenting benefit, and adherence of ≥ 4 hours per night on 70% of nights in a 30-day period.

How to send a referral →

Source: LCD L33718 Positive Airway Pressure Devices · Article A52467. Summary reviewed Oct 2026. Coverage depends on your plan and medical records; we verify every case. A summary, not the full rule. Meeting these points does not guarantee payment.