Does Medicaid cover cpap therapy

Answer 1

Yes. Medicare will typically cover 80% of the cost of the machine rental, as well as 80% of covered supplies(headgear, masks, filters etc). Medicare guidelines do not allow for the purchase of the machine. The remaining 20% is the responsibility of the patient or secondary insurance.

Answer 2

Medicaid/Medicare do cover CPAP therapy. However, the amount they cover will vary from plan to plan. Some are covered completely, some there is a deductible or copay before the costs are covered. Check with your insurance company to be sure.

Answer 3

Yes, Medicare will pay to repair a cpap that you own. If Medicare originally paid for the machine, getting it repaired should be no problem if the machine is less than 5 years old (if the cost to repair it is greater than the cost for a new machine, they will not pay and will require the provider to give you a new machine). If the machine is over 5 years old, they will likely pay for a new one instead of repair. If your machine was purchased prior to becoming a Medicare member, you will need documentation from your sleep study showing that you qualify under Medicare guidelines (AHI > 15, or between 5-15 with noted hypertension or excessive daytime sleepiness) before Medicare pays for repairs.

Answer 4

Your medical provider would know whether Medicaid will cover CPAP therapy for you.