Can I claim for a CPAP machine?

Continuous Positive Airway Pressure (CPAP) therapy is a common treatment for obstructive sleep apnea. It includes a small machine that supplies a constant and steady air pressure through a hose and mask or nose piece.

Who can claim for CPAP machines?
CPAP machines are included on our top two Extras Covers, Super and Premium Options, within the External Prosthesis / Medical Appliance category. Here's a quick overview of what can be claimed:

  • Rebates and annual limit: One machine can be claimed every 5 years from the previous supply (per person) and the benefit will be deducted from the Prosthesis annual limit of $1,500. The benefits payable are:
    • $300 for members who've held Super or Premium Options for 3-5 years.
    • $600 for members who've held Super or Premium Options for 5+ years.
  • Waiting period: 3 years
  • Conditions apply: The device being claimed must follow admission to hospital for sleep apnea and/or a letter recommendation from the treating practitioner must be provided in support of the claim. Please note that a benefit is only payable towards the CPAP machine itself (accessories like the mask and nose piece cannot be claimed from HIF).

CPAP Machine


Category: Extras Cover
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