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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:

 

Click Here to check your Humana Coverage for Sleep Apnea Products.

Product CategoryHCPCSMaximum Medicare Replacement Schedule
Tubing with Integrated Heating ElementA46041 per 3 months
Combination Oral/Nasal MaskA70271 per 3 months
Replacement Cushion for Combination Oral/Nasal MaskA70281 per month
Replacement Pillows for Combination Oral/Nasal MaskA70291 per month
Full-Face MaskA70301 per 3 months
Replacement Cushion for Full-Face MaskA70311 per month
Replacement Cushion for Nasal MaskA70322 per month
Replacement Pillow for use on Nasal Mask (cannula/pillow)A70332 per month
Nasal Mask (mask or cannula/pillow type)A70341 per 3 months
HeadgearA70351 per 6 months
Chin StrapA70361 per 6 months
Tubing, StandardA70371 per 3 months
Disposble FilterA70382 per month
Non Disposable FilterA70391 per 6 months
Oral InterfaceA70441 per 3 months
Replacement Chamber for HumidifierA70461 per 6 months
Bi-Level Machine without Back-Up Rate FeatureE04701 per 5 Years
Bi-Level Machine with Back-Up Rate FeatureE04711 per 5 Years
Humidifier, Non-HeatedE05611 per 5 Years
Humidifier, HeatedE05621 per 5 Years
Continuous Positive Airway Pressure ("CPAP") MachineE06011 per 5 Years

 

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