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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.