Yes, Medicare Part B helps cover the cost to rent a Continuous Positive Airway Pressure (CPAP) machine. In order to qualify for Medicare CPAP machine coverage, you must be diagnosed by a doctor with obstructive sleep apnea. Medicare Part B may cover the cost of a sleep apnea test if you are displaying the signs and symptoms of the disorder and your doctor orders a test to be administered.
You also must be enrolled in Part B of Medicare in order to have the use of the CPAP machine covered. Part B is optional and comes with a standard monthly premium and Medicare enrollment requirements.
Medicare Part B and Sleep Apnea
After satisfying your Part B deductible (which is $185 per year in 2019), you will typically pay 20% of the Medicare-approved amount for the rental of a CPAP machine as well as the purchase of any related accessories such as a mask, filters, humidifiers, straps and tubing.
Medicare will cover the first three months initially, and then your doctor will reevaluate your condition. If your doctor determines the CPAP therapy is helping, Medicare may then cover the use of the CPAP machine for up to 13 months. Once you’ve been renting the machine for 13 months, you then take over ownership of it. CostHelper reports that CPAP machines can be rented for around $250 per month, though prices will vary.
Patients suffering from sleep apnea can benefit from a Medicare Supplement Insurance plan. There are 10 such plans that offer either partial or full coverage of the 20% Medicare Part B coinsurance requirement. Two Medigap plans also offer full coverage for the Part B deductible.