Medicare covers a CPAP if a patient is diagnosed with sleep apnea by a facility-based sleep study. A face to face clinical evaluation must be made prior to the sleep study to ensure coverage by Medicare. Medicare will cover the CPAP for up to 3 months. If the patient needs a CPAP beyond 3 months no sooner than the 61st day after beginning use of the CPAP S&S Drug must be notified by the doctor that the patient need for the CPAP will be extended beyond the 3 months.
PLEASE NOTE: A written order that is signed and dated must be on file with S&S Drug.