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Medically Modern

Sleep & Respiratory Care

CPAP & Sleep Apnea Supplies in New York

CPAP and BiPAP therapy, masks, tubing, filters, and nebulizers. Ask us about your coverage and item, and about refills.

Check your coverageOr fill out the form on this page
Text the storeCall (347) 817-1037

A few quick questions. No obligation.

  • Ask us about benefits first
  • Ask us what paperwork your plan requires
  • Ask us about delivery coverage
  • Ask us about refills
CPAP machine with mask and tubing beside a nebulizer

What we offer

CPAP, BiPAP and nebulizer therapy - ask us about your benefits

  • CPAP/BiPAP Therapy & Resupplies

    The device, humidifier, mask, cushions, tubing, and filters as one managed therapy. Medicare may cover a 12-week trial of CPAP therapy (including devices and accessories) for obstructive sleep apnea, and may continue coverage when your doctor documents in your medical record that the therapy is helping you.

  • Nebulizer Therapy & Resupplies

    Compressor nebulizers with masks, mouthpieces, and tubing for patients managing COPD, asthma, or chronic bronchitis at home.

Already have a CPAP? Leave your name, phone, and email; we'll follow up.

Related

Stay on track

Reminders and switching, handled by text

Resupply reminders by text

Masks, cushions, tubing, and filters all have replacement schedules. Tell us what you use and we will text you when it is time to reorder, so you do not have to track the calendar.

Text the storeCall (347) 817-1037

Or sign up here

Secure, encrypted submission to Medically Modern.

Using another supplier?

Switching to Medically Modern is straightforward. Tell us who your current supplier is and we will walk you through the move and check your benefits with you first.

Text the storeCall (347) 817-1037

Or sign up here

Secure, encrypted submission to Medically Modern.

Coverage explained

How CPAP insurance coverage actually works

Want the detailed Medicare rules?

Ask us whether a sleep apnea diagnosis on its own qualifies for PAP coverage. Medicare requires a qualifying sleep study meeting its AHI or RDI criteria, a practitioner order, and, for continued coverage, a re-evaluation between day 31 and day 91 documenting benefit, together with objective adherence data. Nebulizer coverage is a separate determination with its own criteria; a respiratory diagnosis alone is not a complete coverage standard for either therapy.

  1. 01Get the order
  2. 02Verify benefits
  3. 03Complete documentation
  4. 04Arrange delivery
  1. 1

    Qualifying sleep study and order

    A home or in-lab sleep study reports the AHI or RDI that the payer's coverage criteria use. Ask your provider about the study and order, and ask us what your plan requires.

  2. 2

    Adherence window and re-evaluation

    Medicare requires documented use of at least 4 hours per night on 70% of nights during a consecutive 30-day period in the first three months, plus a practitioner re-evaluation between day 31 and day 91 documenting that therapy is helping. Ask us about your plan's adherence and replacement rules.

  3. 3

    Rental period

    Medicare pays the supplier to rent a CPAP machine for 13 months as long as you are using it continuously; after 13 continuous months of rental payments you own the machine. Leave your name, phone, and email; we'll follow up.

  4. 4

    Ask about supply replacement

    Ask us about replacement schedules for cushions, masks, tubing, and filters. Ask us how your plan's refill rules work for your supplies.

What patients typically pay

Ask us about your current benefits and your expected out-of-pocket cost. Benefit information is an estimate, not a guarantee of payment. After the Part B deductible, you pay 20% of the Medicare-approved amount if your supplier accepts assignment.

Want the specifics for your plan? Read how our insurance process works or check your coverage.

Get started

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Takes about 2 minutes.

Secure, encrypted submission to Medically Modern.

Mask and replacement-supply questions, without the runaround.

More about how Medically Modern works
CPAP and sleep questions

Ask us about coverage for sleep & respiratory care first.

Medically Modern works with NY Medicaid, Medicare, and major insurance plans including Aetna, Humana, Fidelis, Anthem Blue Cross Blue Shield, NYSHIP Empire Plan, Cigna, MagnaCare, and UnitedHealthcare.

  • NY Medicaid
  • Medicare
  • Aetna
  • Humana
  • Fidelis
  • Anthem Blue Cross Blue Shield
  • NYSHIP Empire Plan
  • Cigna
  • MagnaCare
  • UnitedHealthcare
  • And more

Coverage depends on the specific plan, product, location, item, and benefit. Ask us to confirm that Medically Modern is eligible for your benefit before ordering.

Sleep & Respiratory Care FAQ

CPAP insurance coverage questions

Official coverage sources

You can read payer rules here; ask us what your own plan allows.

Often, but a sleep apnea diagnosis alone is not enough. Medicare Part B covers CPAP as durable medical equipment when a qualifying sleep study meets its AHI or RDI criteria and a practitioner orders therapy; commercial plans apply their own criteria. Continued coverage also requires a practitioner re-evaluation between day 31 and day 91 plus objective adherence data.

Medicare pays the supplier to rent a PAP device for 13 months as long as you are using it continuously; after 13 continuous months of rental payments you own the machine. Leave your name, phone, and email; we'll follow up. After the Part B deductible, you pay 20% of the Medicare-approved amount if your supplier accepts assignment. Ask us about your current benefits and your expected out-of-pocket cost. Benefit information is an estimate, not a guarantee of payment.

Under Part B, when a qualifying sleep study meets Medicare's criteria, a practitioner re-evaluation between day 31 and day 91 documents benefit, and adherence data is on file. Ask us about your plan's adherence and replacement rules.

Ask us about your plan's covered replacement schedule for masks, cushions, tubing, filters, and water chambers, for example how often it covers new cushions or a new mask. Ask us how your plan's refill rules work for your supplies.

Nebulizers and nebulizer medications are listed as covered DME under Part B when medically necessary and prescribed for home use. Ask us about your plan's rules.

Ask us about CPAP and BiPAP therapy. Leave your name, phone, and email; we'll follow up.

For obstructive sleep apnea, ask us whether your plan requires a documented CPAP trial before BiPAP and what the clinician's record needs to show. Ask us about the criteria for other respiratory conditions.

Ask us how to restart paused coverage. Leave your name, phone, and email; we'll follow up.

Leave your name, phone, and email; we'll follow up.

See what your plan covers for sleep & respiratory care

Start with a short form. Ask us about your coverage and item.

Start the intake form

A few quick questions.

Leave your name, phone, and email; we'll follow up.