Getting a CPAP should feel straightforward—not stressful. If you’re starting CPAP therapy for the first time or replacing an older machine, this guide breaks down exactly what documentation is typically required so we can get you set up faster.
Quick Checklist (Most Common Requirements)
To qualify for CPAP through insurance, you’ll usually need:
- In-person doctor visit documentation
- A qualifying sleep study
- A complete CPAP order (with settings)
- Patient demographics + insurance info
Starting CPAP Therapy (New CPAP Setup)
If you’re new to CPAP, here’s what you’ll need:
1) In-Person Doctor Visit Documentation
Your physician must document symptoms of sleep apnea and the need for a sleep study.
2) A Qualifying Sleep Study
Your sleep study must show:
- AHI/REI greater than 5
- Interpreted, signed, and dated by an AASM Board Certified Sleep Medicine Physician
3) A Complete CPAP Order (With Settings)
Your CPAP order must include:
- Therapy settings
- Humidifier and supplies
- Signed and dated by the ordering physician
4) Patient Demographics + Insurance Information
We’ll need your basic patient info and insurance details to verify coverage.
Replacing a CPAP Machine (Replacement Order)
If you’ve had CPAP therapy before and need a replacement, you’ll typically need:
1) In-Person Doctor Visit Showing Continued Need
Your physician must document:
- Continued need for CPAP
- That you’re using it and benefiting from therapy
2) A Complete CPAP Order (With Settings)
Your order must include:
- CPAP settings
- Humidifier and supplies
- Signed and dated by the ordering physician
3) Your Original Qualifying Sleep Study (If You’re New to Alpine)
If you’re new to Alpine Home Medical, we may need the sleep study that qualified you for your last CPAP.
BiPAP / RAD Orders (If Applicable)
If your order is for RAD/BiPAP, please include:
- Diagnostic sleep study
- Titration study
- Any additional supporting documentation
Most Common Questions From Our Customers
What is the fastest way to qualify for a CPAP?
Have these ready: your doctor visit documentation, qualifying sleep study, and a complete CPAP order with settings.
Do I need a sleep study to get a CPAP?
In most cases, yes. Insurance usually requires a qualifying sleep study before approving CPAP therapy.
What does AHI/REI mean on my sleep study?
AHI/REI measures breathing interruptions during sleep. CPAP coverage usually requires AHI/REI greater than 5.
Does my CPAP prescription need to include settings?
Yes. A complete CPAP order includes therapy settings, and should include humidifier and supplies, signed and dated by your physician.
What do I need for a replacement CPAP?
You’ll need a recent in-person doctor visit documenting continued need and benefit from CPAP, plus a complete order.
