CPAP/BIPAP Resupply reasons

Eligible 1 every 3 months

Is your mask frame worn out, cracked, or beyond it's life span? Please indicate why you are in need of a replacement mask frame, if eligible. 

Eligible 1 every 6 months

Is your headgear soiled, loose, or ripped?  Please indicate why you are in need of a replacement headgear, if eligible. 

Eligible 1 every 6 months

Is your chin strap soiled, loose, or ripped?  Please indicate why you are in need of a replacement chin strap, if eligible. 

Eligible 1 every month

Is your cushion leaking air? Is it worn out? Loose?  Please indicate why you are in need of a replacement full face cushion, if eligible. 

Eligible 2 every month

Is your last nasal cushion/pillow leaking air? Is it worn out? Irritating your nostrils?  Please indicate why you are in need of a replacement nasal cushion/pillow, if eligible. 

Eligible 1 every 3 months

Does your tubing have a tear or holes?  Is it pitted? Are the connectors loose?  Please indicate why you are in need of replacement tubing, if eligible. 

 Eligible 2 every month

 Is your last disposable filter soiled?  

Please indicate why you are in need of replacement tubing, if eligible.

Eligible 1 every 6 months

Is your reusable filter beyond soiled? 

Please indicate why you are in need of replacement tubing, if applicable/eligible. 

Eligible 1 every 6 months

Is your water chamber cracked/broken? Is it leaking water? Does it have hard to remove mineral deposits?  Please indicate why you are in need of replacement tubing, if eligible. 

Eligible every 5 years

*New prescription required

Eligible every 5 years

*New prescription required