Sleep Therapy

Want to learn about getting sleep therapy products through your insurance? Fill out the form on this page to get in touch with our product experts.

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Qualify through Insurance

1 - Schedule Your Sleep Test

If you have not previously been diagnosed with a sleep disorder, call your doctor to schedule a preliminary evaluation and referral to see a sleep doctor. Once your evaluation and sleep test have been completed, confirming your need for a positive airway pressure (PAP) device, your sleep doctor will prescribe one for you.

2 - Send Us Your Prescription

Send us your sleep therapy prescription, including device settings if applicable, and insurance details directly or through your doctor. Prescriptions can be faxed to 972.572.1112 or emailed to resupply@universalmedsupply.com to start the process.

3 - Insurance Verification

Once we receive your prescription and insurance details, we will verify your insurance and our ability to provide you with our products and services. Rest assured, if we are unable to support you through your insurance, we will help you find a provider that can.

4 - Documenting Medical Necessity

Our team will work with you and your doctor to obtain the medical records and the sleep test results required to qualify you for the sleep therapy products you need through your insurance. Our goal is to make the documentation process as smooth and hassle-free as possible, while securing funding for your products.

5 - Insurance Authorization

Depending on the type of device you qualify for or supplies you need, prior authorization from your insurance may be required before delivery. If so, we will work with your insurance to obtain prior authorization to ensure your products are covered.

6 - Delivery

Once your order is ready for delivery, we’ll give you a call to discuss our delivery options. If you need guidance with the features and functions of the sleep products provided, our support team includes licensed Respiratory Therapists who are available to assist.

Sleep Therapy Products

Getting a good night’s rest is critical to your ability to function at your best during the day. Sleep therapy products such as positive airway pressure (PAP) devices provide support for individuals diagnosed with sleep disorders, such as obstructive sleep apnea. PAP devices work by using low pressurized air delivery through an individual’s airways to prevent obstructions that can cause interruptions during sleep. There are two major types of sleep therapy devices, continuous positive airway pressure (CPAP) and bi-level positive airway pressure (BiPAP) devices. CPAP devices provide a constant level of pressure during both inhalation and exhalation, while BiPAP devices allow for differing levels of air pressure during inhalation and exhalation. Select each type of PAP device below to learn more.

CPAP Machines

Continuous Positive Airway Pressure (CPAP) machines are medical devices used to treat sleep apnea. The devices are programmed, based on doctor’s orders, to deliver a single constant flow of air through a mask worn during sleep. Typically these devices come with a modem or removable drive to communicate and capture sleep therapy data, such as usage, to assist your doctor with setting changes to achieve optimal therapy outcomes and to provide evidence of use to meet insurance requirements.

BiPAP Machines

Similar to CPAP machines, BiPAP (Bi-level Positive Airway Pressure) machines are medical devices used to treat sleep apnea and other complex respiratory conditions. Unlike CPAP machines, these machines are typically programmed to administer two distinct pressure levels: a higher level during inhalation and a lower level during exhalation. In order for individuals to qualify for BiPAP machines through insurance, typically the use of a CPAP machine must be tried and ruled out as an effective solution.

Just as important as the devices are to getting a good night’s rest, the comfort and replenishment of the supplies used to deliver air into an individual’s airways are also important. To assist with ensuring comfort, manufacturers have designed different types of interfaces to suit an individual’s specific needs. Most insurances allow for the routine disposal of supplies to ensure sanitary therapy. Select each type of PAP mask or accessory below to learn more.

Full Face Masks

As the most common mask, full face masks cover an individual’s nose and mouth, providing a secure and comfortable seal to deliver pressurized air to keep an individual’s airways open during sleep. These masks use a soft, silicone, or gel insert that rests on an individual’s skin to cover their nose and mouth. These masks are most effective for individuals whose breathing can shift between their nose and mouth during sleep.

Nasal Masks

Nasal masks come in two distinct types, nasal cushions and nasal pillows. Typically these two types of mask inserts use the same nasal mask component, but the cushion used with the mask is either a single cushion that goes over both nostrils, or a single cushion that has two holes that rest over each of an individual’s nostrils. Nasal cushions are more common than the use of nasal pillows.

Full Face Cushions

Full face cushions are soft, silicone or gel inserts used in PAP masks for sleep apnea therapy. They cover both the nose and mouth, providing a comfortable and secure seal to deliver pressurized air.

Nasal Cushions

Nasal cushion masks cover an individual’s nose only, providing a secure and comfortable seal to deliver pressurized air to keep an individual’s airways open during sleep. These masks use a soft, silicone, or gel insert that rests on an individual’s skin to cover their nose. These masks are most effective for individuals who primarily breath through their nose during sleep or for individuals who experience discomfort with full face masks.

Nasal Pillow Cushions

Nasal pillow cushion masks cover each of an individual’s nostrils only, providing a secure and comfortable seal to deliver pressurized air to keep an individual’s airways open during sleep. These masks use a soft, silicone, or gel insert that rests on the edge of each nostril. These masks are most effective for individuals who primarily breath through their nose during sleep or for individuals who require the least amount of contact between a mask and their skin.

Headgear

Headgear is used to ensure the snug fit of a PAP mask to an individual’s face to prevent the disruption of therapy when moving during sleep.

Tubing

PAP tubing is used to deliver pressurized air from the machine to the mask during sleep therapy. Heated PAP tubing is also available for individuals who require the prevention of condensation and an optimal air temperature.

Filters

Due to the air intake required by PAP machines, the devices have disposable filters designed for more frequent changes and are typically made of lightweight materials like paper or synthetic fibers, or non-disposable filters constructed from durable materials like metal, foam, or woven fabric. Device filters work to ensure clean air circulates into the device.

Why Choose Us

As the prevalence of sleep disorders grows, we recognize the importance of addressing conditions, such as sleep apnea, to enhance your overall well being through a good night’s rest. As a result, we offer the latest technologically advanced products with the highest quality, while working with you, your doctor, and your insurance for you to achieve the best sleep possible. As we all become increasingly aware of insights our personal health data offers, we are proud to offer products that provide personal access to your sleep statistics.

Our sleep therapy product specialists have the expertise to help you navigate the process with ease. Fill out the form above to be contacted by a sleep specialist or give us a call today at 866.864.6332 to learn more.

Frequently Asked Questions

What factors should I consider when choosing the right positive airway pressure (PAP) mask?

Choosing the right PAP mask depends on an individual’s needs and comfort preferences. Considerations can include size requirements, shape, and skin sensitivities. Oftentimes individuals get a feel for the different mask types through the sleep test process, but if not, our sleep specialists will assist you with selecting the most suitable mask to ensure effective therapy and comfort.

Does Medicare pay for sleep therapy products?

Insurance typically covers most of the cost of sleep therapy products, but your share can depend on your specific plan’s deductible and coinsurance rates. For example, traditional Medicare covers 80% of the cost of a power wheelchair after your deductible has been met. Afterwards, if you have secondary insurance, such as a supplemental or Medicaid plan, these plans will typically cover the remaining 20%. If you have a Medicaid plan as your primary payer, there is typically no cost for you.

What sleep products and supplies does Medicare cover?

Medicare covers CPAP and BiPAP machines, masks, tubing, headgear, and filters considered necessary for the use of aPAP device for the first 90 days of therapy. Continued coverage is determined based on the usage of the device and documented benefit of the therapy by a doctor within the first 90 days of use. Medicare does not cover accessories such as PAP device cleaners.

How often does insurance allow sleep therapy supplies to be replenished?

Generally speaking, masks and tubing are allowed every three months, while mask cushions are allowed monthly. Supply items such as headgear, non-disposable filters, and humidifier water chambers are allowed every six months. Disposable filters are allowed every month. Some insurances, including Medicare, allow a three month supply to be shipped at one time.