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Humana Coverage Summary
If you have met your deductible for the year, most Aetna PPO plans provide excellent coverage for sleep apnea therapy products. These plans typically follow Medicare's guidelines for product replacement:
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to check your Humana Coverage for Sleep Apnea Products.
| 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 |
