Replace Your CPAP

Call 517-364-2115 for more information. Choose option 2, and enter ext. 66743 to get in contact with a Respiratory Specialist.


Or Email SRMS@sparrow.org


Replacement InfoIf you’ve had your CPAP machine for 5+ years, you may qualify for a replacement.

Many insurance companies replace medical equipment every 5 years. If your CPAP machine is at least five years old, you may be eligible to replace it with a new order from your Physician.


Medicare has some additional requirements. Please see the details below.


Medicare Replacement Guidelines

 

The replacement of an item past the five-year lifetime will be considered in cases of irreparable wear if the item has been in continuous use by the patient, on either a rental or purchase basis, for the equipment’s useful lifetime.


  • Irreparable wear:
    • Irreparable wear refers to deterioration sustained from day-to-day usage over time and a specific event cannot be identified.

    • In cases involving irreparable wear, the Reasonable Useful Lifetime (RUL) of the equipment is taken into consideration, and in no case can it be less than five years old.

    • Computation of the useful lifetime is based on when the equipment is delivered to the patient, not the age of the equipment.

    • A physician’s written order is needed to reaffirm the medical necessity of the item.

  • If a PAP machine is replaced following the five-year RUL, there must be a face-to-face evaluation by the treating physician documenting that the patient continues to use and benefit from the PAP machine. There is no requirement for a new sleep test or trial period. Note: If a DME item reaches its five-year life expectancy, is in good working order and meets the patient’s medical needs, it should not automatically be replaced.

Why replace?

Call 517-364-2115 for more information. Choose option 2, and enter ext. 66743 to get in contact with a Respiratory Specialist.


Or Email SRMS@sparrow.org


AirSense 10With the recent launch of ResMed Air Solutions, this is a great time to start exploring the latest and greatest technology for treating your sleep apnea. This groundbreaking series of sleep apnea machines, masks and technologies work seamlessly together to deliver the comfort and support you deserve. And with ResMed's new web program, myAir ™, you can track how your therapy is going each night – they’ll even send you pointers and encouragement along the way.

See www.ResMed.com/AirSolutions for more details.


See the AirSense ™ 10