CPAP Machine
A continuous positive airway pressure machine is also known as a respiratory assist device. A CPAP machine is durable medical equipment. This is a limited benefit.
TRICARE may cover CPAP machines for:
- Obstructive sleep apnea syndrome
- Respiratory insufficiency
Portable CPAP Machines
TRICARE may cover a portable CPAP machine. You must be an active duty service member. You must have a . The referral must note:
- Your diagnosis of obstructive sleep apnea
- You travel on official business at least three days per month, or you’re being deployed.
- You aren't retiring or separating from the military within the year.
Also, the device must have humidification and battery capability.
If you have a standard CPAP machine, you can get a portable machine as long as you meet the above conditions. TRICARE won’t authorize a standard CPAP machine if you already have a portable machine.
CPAP Batteries
TRICARE covers batteries for active duty service members for standard and portable CPAP machines. You must submit a request to your regional contractor. The request must note:
- You’re deployed
- You aren't retiring or separating from the military within the year
You’ll get a new battery if your current battery:
- Doesn’t work after normal use
- Gets damaged during your deployment
TRICARE doesn’t cover:
- Variable positive airway pressure machines
- Adaptive servo-ventilation machines
See Also
This list of covered services isn’t all-inclusive. TRICARE covers services that are and considered proven. Some services have special rules or limits, and some services are excluded. Learn how a benefit becomes covered.
Last Updated 9/16/2024