Insurance Claim Forms to Get Your CPAP & O2 Equipment Reimbursed

Above, you will find links to claim forms for Medicare and other major insurance providers. To submit a claim, print the appropriate form, fill it out, and send it together with your RespShop invoice to the address listed on the back of your health insurance card. If your insurance company is not listed, you can request the form from them, or you can use the Universal Claim form, which is provided under the "Other Insurance Providers" link.

If the form asks for a diagnosis code, enter the ICD-10 code from your invoice.

If the form asks for a procedure code, enter the HCPCS code from your invoice.

The form may request an NPI number. NPI stands for National Provider Identifier.

RespShop’s NPI number: 1831715739

Mail the form, invoice and your prescription to the address on the back of your insurance card.

Please note that receipts for masks with headgear and machines with humidifiers do not itemize the cost separately as they are packaged items. In case your insurance provider has any queries, feel free to contact us for assistance.

After completing the reimbursement process, send the necessary documents, such as the completed claim form and your RespShop invoice, along with any other documents requested by your insurance provider, to the address listed on the back of your health insurance card. It is recommended that you submit your claim for reimbursement as soon as possible, as insurance companies typically limit reimbursement to events that occurred within one year.

If you have any questions or concerns regarding your insurance provider, please don't hesitate to reach out to us for assistance.

CPAP machines, masks, humidifiers, oxygen concentrators, including stationary and portable, and all related parts are classified as Durable Medical Equipment (DME) by insurance companies. Medicare and most health insurance companies may reimburse you for CPAP equipment, supplies, and other durable medical equipment purchased from RespShop.

We strongly recommend that you contact your insurance company before making a purchase. Insurance policies vary considerably, and it's best to understand your financial obligations upfront. Contacting your insurance company before buying also enables you to determine if there are specific documentation requirements that must be met when submitting your claim for reimbursement. For instance, some companies may require both your invoice and a copy of your prescription.

Your policy may only cover a certain percentage of the cost or require a co-pay amount. For example, Medicare typically covers 80% of CPAP equipment, and you are responsible for the remaining 20%.

Out of pocket purchasing often makes the most sense. Some policies have high deductibles that must be met before any eligibility for reimbursement. In those cases, you can make an informed decision about whether paying out of pocket or filing an insurance claim is the smartest financial decision for you. People with a high deductible or a high co-pay obligation often find that paying out of pocket for CPAP equipment is the most cost-effective and friction-free approach.