Insurance Changes & Navigation


Healthcare Changes Create Detours - Don't Get Lost in the Confusion!

Insurance changes and federal mandates for dispensing CPAP equipment are here, and with more requirements and regulations than ever before it can be hard to tell which direction to go. 

Turn to the specialists at CPAP 2 Go. We’ll help you read all the road signs, determine which path is best for you, and help you avoid any speed bumps (like unexpected charges due to lack of coverage) that you may find along the way.

Read below to learn more about:

  • Which Items Require Prescriptions
  • Non-Insurance Requirements
  • Other Insurance Documentation

 

Non-Insurance “Cash” Purchases

(Cash, Credit Card or Personal Check)

Step 1: Get Road Ready

Have a Patient Information Sheet on file and meet the basic prescription requirements to receive CPAP your supplies.

If you are making a cash purchase for your CPAP supplies, that's it! All other supplies do not require a prescription for cash purchases.

 

Insurance Purchases

(Any Items Billed Through Your Insurance)

Step 1: Get Road Ready

Have a Patient Information Sheet on file and meet the basic prescription requirements to receive CPAP your supplies.

 

 If you choose to have us bill insurance for your supplies, continue to Step 2.

Step 2: Confirm Your Course

We'll help you determine if pre-authorization is necessary and request your benefits for you.

Once pre-authorization is received (often with-in minutes) you'll be all set! For future requirements, continue to Step 3.

Step 3: Prepare for the Long Road

Medicare Guidelines have changed already, requiring more supporting documentation than ever before, and traditionally commercial insurances follow the same path. Whether it’s needed now or in the future, we’ll help you gather the required documentation for your medical and insurance record, including:

  • Provider Signed Sleep Study
  • Compliance Download
  • Face-to-Face Compliance Visit in the Last 12 Months
  • Face-to-Face Initial Consultation with Chart Notes Indicating Reason for Sleep Study

 

Get in the Express Lane! 

Save time by starting the journey before your next visit to CPAP 2 Go! Complete this form before you come in and we’ll start navigating the route for your unique situation right away, ensuring that you can walk out with supplies in hand. 

 

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  Photos and copy provided by ResMed, Inc. used with permission.