Insurance Policy
easybreathe
.com accepts "cash" (credit cards, Google checkout, pay pal, etc.) for all online and phone orders. If you would like to check your insurance coverage for sleep apnea therapy products, just click here to have an insurance specialist contact you.
The products we sell are eligible for your health savings accounts ("HSA") and flexible spending accounts ("FSA"). In today's insurance environment, many of our customers choose to take advantage of how fast and easy it is to purchase their sleep apnea therapy products from easybreathe
.com because they don't have insurance or have high deductible plan. If you're going to pay for the products anyway, why not get what you want today?
However, if you have met your deductible for the year, Medicare and most private insurance companies provide excellent coverage for sleep apnea therapy products. The following table illustrates the maximum frequency of product replacement that Medicare will cover. Many private insurance companies choose to use Medicare's reimbursement schedule as their own.
| Product Category | HCPCS | Maximum Medicare Replacement Schedule |
|---|---|---|
| Tubing with Integrated Heating Element | A4604 | 1 per 3 months |
| Combination Oral/Nasal Mask | A7027 | 1 per 3 months |
| Replacement Cushion for Combination Oral/Nasal Mask | A7028 | 1 per month |
| Replacement Pillows for Combination Oral/Nasal Mask | A7029 | 1 per month |
| Full-Face Mask | A7030 | 1 per 3 months |
| Replacement Cushion for Full-Face Mask | A7031 | 1 per month |
| Replacement Cushion for Nasal Mask | A7032 | 2 per month |
| Replacement Pillow for use on Nasal Mask (cannula/pillow) | A7033 | 2 per month |
| Nasal Mask (mask or cannula/pillow type) | A7034 | 1 per 3 months |
| Headgear | A7035 | 1 per 6 months |
| Chin Strap | A7036 | 1 per 6 months |
| Tubing, Standard | A7037 | 1 per 3 months |
| Disposble Filter | A7038 | 2 per month |
| Non Disposable Filter | A7039 | 1 per 6 months |
| Oral Interface | A7044 | 1 per 3 months |
| Replacement Chamber for Humidifier | A7046 | 1 per 6 months |
| Bi-Level Machine without Back-Up Rate Feature | E0470 | 1 per 5 Years |
| Bi-Level Machine with Back-Up Rate Feature | E0471 | 1 per 5 Years |
| Humidifier, Non-Heated | E0561 | 1 per 5 Years |
| Humidifier, Heated | E0562 | 1 per 5 Years |
| Continuous Positive Airway Pressure ("CPAP") Machine | E0601 | 1 per 5 Years |
As a customer of easybreathe
.com , it's important to note that these are the maximum number of replacement products that Medicare is currently willing to reimburse. More frequent product replacement will lead to improved product performance and greater hygiene.
