How to file a claim: CPAP/BiPAP machines

Purchasing your CPAP or BiPAP machine:

The coverage of durable medical equipment requires pre-approval from Medavie Blue Cross.

To assess your eligibility for coverage of a CPAP or BiPAP machine, we'll need:

Prescription from Physician or Nurse Practitioner that includes your diagnosis and information on other contributing medical conditions.
A copy of your Sleep Study Report.
A copy of your 30-day Compliance Report.
If provincial healthcare is helping to cover costs, we’ll need a statement that confirms the amount.
If Blue Cross is not your primary health insurer, we need confirmation of what your primary carrier has approved.
A detailed (itemized) quote from an approved Medavie Blue Cross provider.

Note: Short term rentals are available while you shop for your CPAP/BiPAP machine that only require your prescription and paid receipt from an approved provider.

Replacing your CPAP or BiPAP machine:

The requirements to replace a machine that you’ve already had are a little different than buying a new one.

To file a claim for CPAP or BiPAP replacement, we’ll need:

Prescription from Physician or Nurse Practitioner
Details on why the unit needs to be replaced (Does the existing unit need repairs? Is it still covered under warranty?)
A copy of a current 30 day Compliance Report
If provincial healthcare is helping to cover costs, we’ll need a statement that confirms the amount.
If Blue Cross is not your primary health insurer, we need confirmation of what your primary carrier has approved.
A detailed (itemized) quote from an approved Medavie Blue Cross provider.