ResMed, Philips, Luna: What CPAP & BiPAP Machines & Masks Does Insurance Cover?

Key Takeaways

Insurance Coverage is Common: Most health insurance plans cover CPAP and BiPAP machines and masks when medically necessary.
Top Brands are Covered: Popular brands like ResMed, Philips Respironics, and Luna, which offer a range of machines and masks, that meet insurance coverage criteria.
Machines Offer Key Features: Modern machines include auto-adjusting pressure, humidifiers, heated tubing, and data tracking to enhance comfort and effectiveness.
Masks Cater to Different Needs: Full face masks are great for mouth breathers, while nasal and nasal pillow masks offer minimal contact for nose breathers. Many come in various sizes for a custom fit.
We’re Here to Help: Universal Med Supply can assist you in understanding your insurance benefits and finding the right equipment for your therapy.

For many individuals living with sleep apnea or other respiratory conditions, CPAP (Continuous Positive Airway Pressure) and BiPAP (Bilevel Positive Airway Pressure) therapy are life-changing. These devices, along with their masks and supplies, are essential for getting a good night’s sleep and improving overall health. A common question we hear at Universal Med Supply is, “Will my insurance cover my CPAP or BiPAP machine and mask?

The good news is that most health insurance plans, including Medicare, Medicaid, and private insurance, do cover these vital pieces of durable medical equipment (DME), provided they are medically necessary. This guide will walk you through some of the popular CPAP and BiPAP machines and masks that are often covered by insurance, helping you understand your options.

Understanding Your CPAP & BiPAP Machine Options

CPAP and BiPAP machines are designed to deliver pressurized air to keep your airway open while you sleep. The type of machine your doctor prescribes depends on your specific diagnosis and needs. Here are some commonly covered models:

CPAP and APAP Devices

These machines provide a continuous (CPAP) or auto-adjusting (APAP) air pressure.

ResMed AirSense™ 10 AutoSet™: This is one of the most widely used CPAP machines, known for its built-in humidifier with Climate Control, user-friendly screen, and features like AutoRamp™ and Expiratory Pressure Relief (EPR™) for comfortable breathing. It’s a popular choice often covered by insurance.
ResMed AirSense™ 11 AutoSet™: As the next generation, this machine offers an easy-to-use touchscreen, integrated heated humidifier, and wireless connectivity. It automatically adjusts pressure to your needs and connects to the myAir™ app for therapy tracking. It’s a newer model frequently covered by insurance.
Philips Respironics DreamStation Auto CPAP: This machine stands out for its quiet operation, auto-adjusting pressure, and integrated heated humidifier. It often includes a cell modem and Bluetooth® connectivity for easy data transfer and smart features like OptiStart Technology and A-Flex Pressure Relief. It’s a popular choice often covered by insurance plans.
Luna G3 APAP Device with Cellular Modem + Heated Tubing: This device typically offers auto-adjusting pressure, integrated heated humidification, and cellular connectivity for remote monitoring, aiming for comfortable and effective therapy. Check with your provider for specific model features and insurance coverage.

BiPAP Devices

BiPAP machines deliver two different pressure levels: a higher pressure when you breathe in (inhale) and a lower pressure when you breathe out (exhale). This can make therapy more comfortable for some users.

ResMed AirCurve™ 11 VAuto: This auto-adjusting bilevel machine is designed for obstructive sleep apnea, featuring a user-friendly touchscreen and integrated heated humidifier with Climate Control. It integrates with the myAir™ app for therapy support. It’s often covered for those who need bilevel therapy.
ResMed AirCurve™ 10 VAuto: This auto-BiPAP machine includes an integrated heated humidifier and can also be used in S (spontaneous) mode or as a standard CPAP machine. It’s designed to provide the correct air pressure for inhalation and exhalation, improving comfort and therapy effectiveness. It’s a widely used BiPAP machine often covered by insurance.
Philips Respironics DreamStation Auto BiPAP: This common BiPAP option offers a broad pressure range and Flex pressure relief for comfort, along with heated humidification and data storage. It’s known for its quiet operation.
ResMed AirCurve™ 10 ST-A: This advanced bilevel device provides ventilation support using intelligent algorithms to adapt to your breathing patterns. It features adjustable ramp, alarms, and optional heated tubing, and is whisper-quiet. It’s often covered for more complex respiratory needs.
ResMed AirCurve™ 10 ST: This reliable bilevel device is designed for spontaneous timed therapy, offering a compact design and compatibility with heated tubing for added comfort. It’s a common BiPAP-ST model.
Luna G3 BPAP 25A Device with Cellular Modem + Heated Tubing: Similar to the APAP version, this BiPAP device typically offers bilevel pressure, integrated heated humidification, and cellular connectivity for remote monitoring. Specific features may vary, so always confirm with your provider.
Luna G3 Bilevel ST 30Vt: This device is designed for advanced breathing support with spontaneous/timed (ST) and average volume-assured pressure support (AVAPS) therapy. Check with your provider for specific model features and insurance coverage.

Finding the Right CPAP & BiPAP Mask for You

Choosing the right mask is just as important as choosing the right machine for comfortable and effective therapy. Insurance typically covers a variety of mask types to suit different facial structures and breathing habits. Most CPAP and BiPAP masks come in a range of sizes, commonly Small, Medium, and Large, with some models also offering Extra Small or Extra Large options to ensure the best possible fit for your face. To learn more about the specific sizing for any particular mask type or to find the perfect fit for your therapy, please contact Universal Med Supply.

Full Face Masks

These masks cover both your nose and mouth, ideal if you breathe through your mouth during sleep or have nasal congestion.

ResMed AirFit™ F20 Mask: This mask features InfinitySeal™ technology for a secure seal that adapts to different facial contours, minimizing leaks even at high pressures. It offers a clear line of sight and uses magnetic clips for easy attachment.
ResMed AirTouch™ F20: Using an ultra-soft, breathable memory foam, this mask adapts to your face for a comfortable fit and shares the same frame as the AirFit™ F20 for a clear field of vision.
ResMed AirFit™ F10 for Her Complete Mask System: This is a lightweight and compact full face mask with only four parts for easy use and cleaning. Its Dual-wall SpringAir™ design minimizes pressure points and offers an open view with no forehead contact.
ResMed AirFit™ F30i Mask System: This mask features a unique top-of-the-head tube connection with a 360° swivel, keeping the tubing out of your way for freedom to sleep in any position. It has a flexible frame and UltraCompact design for minimal facial contact and a clear view.
Fisher & Paykel Simplus Full Face Mask Complete Kit: This mask is designed for simplicity and comfort, aiming to provide a secure seal with minimal fuss.
Fisher & Paykel FlexiFit™ 432 Full Face Mask: This mask is known for its comfortable fit and reliable seal.
Philips Respironics DreamWear Full Face Mask: This mask features an innovative under-the-nose design that prevents red marks on the bridge of your nose, with a soft silicone frame allowing for an open field of vision.
ResMed Quattro Air Complete Mask System: This is a lightweight and streamlined full face mask designed for comfort and ease of use.
ResMed Quattro FX Full Face Complete Mask System: This mask is known for its lightweight, flexible frame and clear line of sight, designed to reduce facial contact.
Fisher & Paykel Evora Full Face Mask Extra Small: This is a compact full face mask designed for a minimal and comfortable fit.
ResMed Mirage Quattro Full Face Mask Complete System: This is a popular and established full face mask known for its reliable seal and comfort.

Nasal Masks & Nasal Pillow Masks

These masks are ideal if you primarily breathe through your nose during sleep. Nasal pillow masks offer the most minimal contact.

Fisher & Paykel Eson Nasal Mask Complete: This mask features a low-profile frame for a clear line of sight and an Easy Clip frame for simple assembly.
Fisher & Paykel FlexiFit™ 406 Petite Nasal Mask: This is a compact nasal mask designed for a comfortable fit, especially for smaller faces.
Fisher & Paykel Opus Nasal Pillows Mask Complete System: This nasal mask features a minimal contact design for stability and comfort.
Fisher & Paykel Zest Petite Nasal Mask: This is a lightweight and quiet nasal mask designed for a comfortable fit.
Philips Respironics DreamWisp Nasal Mask w/ Headgear Fitpack: This mask combines the freedom of a top-of-head tube connection with a minimal contact nasal design, allowing for various sleeping positions.
Philips Respironics Nuance Gel Pillows Mask w/Headgear: This mask uses soft gel nasal inserts that conform to your nostrils for a comfortable and effective seal.
Philips Respironics Nuance Pro Gel Pillows Mask w/Headgear: Similar to the Nuance, this mask features a fabric frame for added comfort.
Philips Respironics Pico Mask with Headgear: This is a lightweight and minimalist nasal mask designed for comfort and an open field of vision.
ResMed AirFit™ N20 Mask: This mask features InfinitySeal™ technology that adapts to different facial contours for a secure seal and exceptional comfort. It offers an open field of vision and uses magnetic headgear clips.
ResMed AirFit™ N30 Mask: This is an ultra-lightweight and compact nasal mask with an under-the-nose cradle design, featuring QuietAir™ technology for quiet exhalation, ideal for side sleepers.
ResMed AirFit™ P10 Mask Kit: This is an incredibly lightweight and quiet (50% quieter than previous models) minimal contact nasal mask. It features QuietAir™ mesh vents and a dual-wall nasal seal system for a comfortable and secure seal, and is easy to clean.
ResMed Swift™ FX Mask Kit: This is a highly popular and minimalist nasal mask known for its lightweight design and flexible fit.
Fisher & Paykel Brevida Nasal Pillows Mask: This mask features an innovative AirSeal™ technology designed for a gentle and effective seal. It has easily adjustable headgear and is compact for travel.

Your Partner in Sleep Therapy

Navigating the world of CPAP and BiPAP machines and masks, especially with insurance, can feel overwhelming. At Universal Med Supply, we’re here to simplify the process. We provide and help people obtain a wide range of urological catheters and related supplies, and we specialize in CPAP and BiPAP machines and supplies through health insurance coverage.

For personalized advice on CPAP/BiPAP machines and masks models covered by insurance (Medicare, Medicaid or other) benefits reach out to us today! Our sleep specialists are ready to help you find the right equipment and ensure you get the comfortable, effective sleep therapy you need.

Disclaimer: This information is for educational purposes only and should not replace professional medical advice. Always talk to your doctor or healthcare provider for diagnosis and treatment of any medical condition. Insurance coverage depends on your policy, medical necessity rules, and your individual plan benefits.