Why Do I Need a Prescription for ResMed AirSense 11, AirSense 10, AirMini, and Other CPAP Machines?

Yes, you can absolutely walk in and buy CPAP supplies from us! USA Medical Supply, located at 1779 Riverdale Street, West Springfield, MA 01089, offers one of the largest DME & CPAP retail locations around. Our licensed respiratory therapists are available on-site to assist you, and our walk-in hours are:

• Monday - Friday: 9 AM - 6 PM
• Saturday: 9 AM - 2 PM
• Sunday: Closed

Feel free to stop by anytime during these hours for your CPAP and medical supply needs!

Why Choose Us Over the Competition?

We stand out from the competition for several key reasons:

1. Trusted Authorized Dealer:
2. Manufacturer-Backed Warranty:
3. Unbeatable Pricing:
4. Expert Support:

We are committed to providing high-quality CPAP equipment and exceptional service. Choose us for a seamless experience from purchase to post-sale care.

Yes, we are an authorized ResMed dealer and have been for over 10 years. We purchase all our products directly from ResMed, guaranteeing that every item you receive is authentic and of the highest quality. Additionally, all ResMed products we sell come with lot numbers and/or serial numbers, providing full traceability and authenticity.

Rest assured, every product is backed by the manufacturer’s warranty, giving you peace of mind with every purchase.

Our team is available Monday through Friday from 9 a.m. to 6 p.m., and Saturdays from 9 a.m. to 2 p.m. We also offer walk-in consultations for a fee, perfect for those seeking consultation services only. Our Licensed Respiratory Therapists—Monica, Richard, and Natalia—each bring over 12 years of experience setting up CPAP patients. Their extensive backgrounds include working in hospital settings such as the ICU and emergency room, making us a standout choice for your PAP needs.

In the United States, under federal law, CPAP machines are classified as Class II medical devices by the FDA. As such, they require a prescription from a licensed healthcare provider for purchase. This classification is in place because CPAP therapy is considered a medical treatment that needs to be customized for each patient's condition and safety.

A prescription ensures that your treatment is appropriate and monitored by a healthcare professional. Most suppliers, including USA Medical Supply, will not ship a CPAP machine without first receiving a valid prescription. You can submit your prescription through the following methods:

1. Text: (413) 200-4191
2. Email: info@usamedicalsupply.com
3. Fax: (413) 732-2238

This requirement ensures compliance with federal regulations and guarantees you receive the correct equipment and pressure settings.

No, and we are not contracted with any provider. We do provide a Universal Claim Form that you can download [here] if you wish to try and get reimbursed yourself.

Insurance billing using a Universal Claim Form (UCF) involves submitting a standardized document to your insurance provider to request reimbursement for medical expenses. However, it is not guaranteed that you will be reimbursed, and we are not implying that you will be. It is important to check with your insurance provider to understand your coverage and eligibility for reimbursement, especially for durable medical equipment (DME) like CPAP machines and supplies.

Here’s how the process typically works:

1. Obtain a Universal Claim Form

The UCF is usually provided by your insurance company or available on their website. The form includes sections to detail the medical services or products you've received, such as CPAP supplies, and what you're seeking reimbursement for.

2. Complete the Form

• Personal Information: Enter your personal details, including your name, insurance policy number, and contact information.
• Provider Information: Include details of the healthcare provider or supplier (such as USA Medical Supply), like their name, address, and tax identification number (TIN).
• Service Details: Provide specific information about the medical service or product. For CPAP equipment, this might include the model number, date of purchase, and a description of the equipment (e.g., CPAP machine, mask, tubing).
• Cost and Charges: Indicate the total cost, including what you've already paid out-of-pocket.

3. Attach Supporting Documentation

• Receipts: Attach copies of receipts for the medical service or product you've purchased.
• Prescription: If required, include a copy of the prescription from your healthcare provider for the CPAP equipment.
• Explanation of Benefits (EOB): If your insurance company has already processed part of the claim, include any EOB documents that detail what they have paid and what remains your responsibility.

4. Submit the Claim Form

Send the completed form and all supporting documentation to the address provided by your insurance company. Some insurers may allow you to submit the form electronically, while others may require it to be mailed.

5. Review and Processing

Once submitted, your insurance company will review the claim and determine the amount of reimbursement based on your policy’s coverage for durable medical equipment (DME), such as CPAP machines and supplies. The insurer may contact you or the supplier if more information is needed.

6. Receive Reimbursement

After approval, the insurance company will send you a reimbursement check or direct deposit for the amount they cover, minus any deductibles or co-payments.

Things to Note:

• Coverage Varies: Insurance policies differ in their coverage for DME, so check with your provider to understand your benefits.
• Out-of-Network Providers: If your supplier is out-of-network, you might receive partial or no reimbursement.
• Time Limit: Ensure you submit the claim within the time frame allowed by your insurance provider, as delays can result in denial.

Please remember, reimbursement is not guaranteed. You need to verify all details with your insurance provider.

Additionally, we do accept HSA/FSA payments, which you may be able to use to cover the cost of CPAP equipment and supplies.

To maintain effective therapy, it’s essential to replace certain CPAP components regularly:

• Mask Cushions: Every 1-3 months
• Tubing: Every 6-12 months
• Filters: Every 1-3 months
• Headgear: Every 6 months These recommendations ensure your equipment stays in optimal condition and your therapy remains effective.

Cleaning your CPAP equipment regularly is crucial for effective therapy and hygiene:

• CPAP Mask and Tubing: Wash weekly with warm water and mild detergent. Let it air dry completely before use.
• Humidifier Chamber: Clean once a week with mild soap and warm water, and replace it every 6 months.
• CPAP Machine Exterior: Wipe down weekly with a dry, non-abrasive cloth. Avoid using ozone-based cleaning devices as they may damage your machine and void warranties.

• CPAP (Continuous Positive Airway Pressure) delivers a fixed pressure throughout the night.
• APAP (Auto-Adjusting Positive Airway Pressure) automatically adjusts pressure based on your breathing patterns.
• BiPAP (Bi-Level Positive Airway Pressure) provides two different pressure levels — one for inhalation and a lower one for exhalation. BiPAP is typically recommended for users with specific needs or those who find CPAP uncomfortable.

Choosing the right mask is key for comfort and therapy compliance:

• Full Face Mask: Best for mouth breathers or those with nasal congestion.
• Nasal Mask: Ideal for those who breathe through their nose and move around during sleep.
• Nasal Pillow Mask: Great for users who prefer minimal contact with their face. If unsure, our customer support can guide you through finding the best option based on your preferences.

CPAP machines are FAA-approved and can be carried as a medical device during air travel. We do Sell Travel Models.Our Travel Models are compact enough to use during flights. Consider investing in a portable battery for convenience if you frequently travel.

• Heated Tubing: Helps prevent condensation buildup by maintaining consistent temperature from the humidifier to your airway. Also they have an anti-microbial effect by preventing condensation from building in the tubing.
• Non-Heated Tubing: More affordable, lighter, and suitable if you don’t experience condensation issues. It’s compatible with most CPAP machines and masks.

Common signs of sleep apnea include:

• Loud snoring
• Gasping or choking during sleep
• Daytime fatigue
• Morning headaches If you experience these symptoms, consult a healthcare provider for a sleep study to diagnose sleep apnea.

Click Here For More Details

If you experience bloating, elevate your head while sleeping to help reduce the swallowing of air. Persistent issues should be discussed with your doctor, who may recommend adjusting the pressure settings or trying a BiLevel machine.