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General Discussion on any topic relating to CPAP and/or Sleep Apnea.
Mr-Sleepy-Oak
 
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Insurance problem cpap.com

Postby Mr-Sleepy-Oak on Mon Nov 13, 2017 8:26 am

Hi All,
I have an insurance question: In your experience will insurance companies reimburse purchases made on cpap.com? I'm trying to get my CPAP machine reimbursed out of network through my insurance. I send them the receipts, they send a letter to CPAP.com asking for proof, of course CPAP.com doesn't work with insurance companies so they don't respond, and then weeks later my claim is denied. Happened about three or four times.

Is it that purchase from cpap.com are not eligible for out of network claims as well?

Thanks!

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Pugsy
 
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Re: Insurance problem cpap.com

Postby Pugsy on Mon Nov 13, 2017 8:34 am

It depends on the insurance company but in general, online purchases from places like cpap.com aren't reimbursed by most insurance companies.
At best it might be considered an out of network purchase paid at a reduced rate but most of the time not not a covered provider at all and no reimbursement will happen.

Cpap.com used to furnish a universal insurance form for private submission to insurance....did they not furnish you with one? It was emailed to me when I purchased a mask years ago but I don't remember if they quit doing that now or not. On that universal form was all the information needed for filing a claim....diagnosis code, HCPCS billing codes, address and tax ID number of cpap.com.

_________________
Machine: AirSense™ 10 AutoSet™ For Her CPAP Machine with HumidAir™ Heated Humidifier
Mask: AirFit™ P10 For Her Nasal Pillow CPAP Mask with Headgear
Additional Comments: Backups..AirCurve 10 ST, S9 Adapt, PR S1 Bipap #760

xxyzx
 
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Re: Insurance problem cpap.com

Postby xxyzx on Mon Nov 13, 2017 11:06 am

Mr-Sleepy-Oak wrote:Hi All,
I have an insurance question: In your experience will insurance companies reimburse purchases made on cpap.com? I'm trying to get my CPAP machine reimbursed out of network through my insurance. I send them the receipts, they send a letter to CPAP.com asking for proof, of course CPAP.com doesn't work with insurance companies so they don't respond, and then weeks later my claim is denied. Happened about three or four times.

Is it that purchase from cpap.com are not eligible for out of network claims as well?

Thanks!

=======

depends on the company

you need to ask them not us
we dont know what your insurance will do
IF I ever say anything incorrect somebody will post true facts to prove it. But when my posts are accurate they will always attack me personally. You can decide whether my post is correct or not by looking at which they did. [color=#FF00FF]

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coconur
 
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Re: Insurance problem cpap.com

Postby coconur on Mon Nov 13, 2017 11:16 pm

Pugsy wrote:Cpap.com used to furnish a universal insurance form for private submission to insurance....did they not furnish you with one? It was emailed to me when I purchased a mask years ago but I don't remember if they quit doing that now or not. On that universal form was all the information needed for filing a claim....diagnosis code, HCPCS billing codes, address and tax ID number of cpap.com.

The last two times I purchased from them, I didn't receive a form by email, but there is a link to an insurance form on the website. There's one in the fine print at the bottom of the page under "order info", but I remember seeing a larger, more prominent link while I was checking out as well.

_________________
Machine: IntelliPAP Standard CPAP Machine
Mask: Swift™ FX Bella Nasal Pillow CPAP Mask with Headgears
Humidifier: IntelliPAP Integrated Heated Humidifier
Additional Comments: I use the Bella Loops instead of the headgear


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