Does Medicare cover CPAP machines and sleep apnea treatment?

Question

Mike Alexander · Accepted Answer

Yes the c pap machine is covered unfer DME durable medical equipmenthe trearments are covered by part b

Mark Maliwauki · Answer

Yes, Medicare Part B covers CPAP machines and sleep apnea treatment as Durable Medical Equipment (DME). This includes the machine, required accessories, and sleep studies, provided they are deemed medically necessary and your doctor and supplier participate in Medicare.

Answered by Mark Maliwauki on June 15, 2026

Broker Licensed in ID, AZ, CA & 13 other states

Answered by Mark Maliwauki Medicare Insurance Agent

Edward MacConnell · Answer

Medicare covers sleep studies (either in-lab or approved home sleep tests) when ordered by a Medicare‑enrolled provider to diagnose obstructive sleep apnea and durable medical equipment covers a CPAP Machine under Medicare part B when precribed.

Answered by Edward MacConnell on April 13, 2026

Broker Licensed in PA, AK, AZ & 19 other states

Answered by Edward MacConnell Medicare Insurance Agent

Marc Butler · Answer

Yes, but you will have get a referral form your PCP to see a to see a specialist who after a sleep study may recommend a CPAP...

Jennifer Gobble · Answer

Medicare would cover CPAP machines and sleep apnea treatment under part 
B but there may be certain rules that apply for individuals to receive this coverage. Members will need to have an appropriate diagnosis and undergo a sleep study to begin the process in most cases.

Barbara Patterson, CFP · Answer

Yes if medically necessary and it’s usually treated as durable medical treatment.  Copay of 20% is often required.

Pauline Weiland · Answer

CPAP machines would be considered Durable Medical Equipment. 
Sleep Apnea sleep studies would have to be conducted by a specialist or sleep canter. 
Medicare takes care of 80% minus co-pays. Best to look into supplement (Medigap) or Advantage plan.

William Brobson · Answer

Medicare does cover durable Medical Equipment.  However, you are likely to have a copay of up to 20% for the equipment.

Marcy Bulliner · Answer

Yes, Part B covers doctors, ambulance, testing, imagining/MRI, AND durable equipment. Any medications that goes into the machine for care will be covered under your prescription drug coverage via a Part D or medicare advantage plan.

Answered by Marcy Bulliner on June 1, 2026

Agent Licensed in MI, IN, MO, SC & TX

Answered by Marcy Bulliner Medicare Insurance Agent

Jeff LeSourd · Answer

Yes, Medicare has covered my CPAP machine and supplies for years. You will need a prescription script to get the sleep apnea treatment covered by Medicare. Just make sure your CPAP comes from a Medicare approved supplier and the machine is on their approved list

Answered by Jeff LeSourd on April 13, 2026

Agent Licensed in VA, DC, FL & 6 other states

Answered by Jeff LeSourd Medicare Insurance Agent

Ken Correa · Answer

I have been on Medicare for over 11 years now and have had sleep apnea for over 30 years. My pulmonary specialist have treated my sleep apnea and my CPAP and BiPAP machines and equipment have been covered per the durable medical equipment coverage on my policies. So yes, Medicare does cover CPAP and BiPAP machines and treatment for sleep apnea.

Answered by Ken Correa on April 29, 2026

Broker Licensed in CA

Answered by Ken Correa Medicare Insurance Agent

Brooke Smith · Answer

Yes, Durable Medical Equipment is covered under Part B at a 20% coinsurance rate after your part b deductible has been reached. This is something that may have certain conditions that must be met before Medicare will approve it. Typically that means you have been diagnosed by your doctor with sleep apnea through a sleep study.

Answered by Brooke Smith on April 13, 2026

Agent Licensed in UT, CA, ID, NV, OR & WY

Answered by Brooke Smith Medicare Insurance Agent

Robert Silva · Answer

A good way to find out if original Medicare covers anything is to refer to the booklet "Your Medicare Benefits" on medicare.gov.   It is a bit tricky to find, but once you find it, you can download it.  There is a discussion on page 29.  Basically, you have to go through the paces first:  A potential trial of CPAP therapy and meet with your doctor or other health care provider, and they document in your medical record that you meet certain conditions and the therapy is helping you. 

When you sign up for a Medicare Advantage plan, most of the original Part A and Part B services will be covered by the Medicare Advantage plan.  Those few services that are not transferred to the Medicare Advantage plan (such as hospice) are retained by and paid for by original Medicare.  Between the two (original Medicare vs Medicare Advantage) all of the services in the "Your Medicare Benefits" booklet are covered. 

The coverage for the CPAP machine will be covered as Durable Medical Equipment.  The typical arrangement is that you rent it the equipment for 13 months.  After that, the machine belongs to you.   CPAP machines have a way to send your data to the doctor wirelessly.  So be sure to use it. Otherwise the insurance company may not want to pay for it.   Visits to a sleep doctor will come under a Medical Specialist.  As well, the sleep specialist may order at home or outpatient sleep studies which are also covered.

Does Medicare cover CPAP machines and sleep apnea treatment?

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Does Medicare cover CPAP machines and sleep apnea treatment?

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