Does TRICARE cover CPAP supplies?

Yes, but TRICARE calls it "a limited benefit." You need a prescription from a TRICARE-authorized doctor. TRICARE doesn't cover batteries or machine cleaners like SoClean. How often each supply can be replaced depends on your plan, and intake confirms that with you.

Steps

1. Keep the prescription current. CPAP coverage needs a prescription from a TRICARE-authorized doctor.
2. Know what it's for. TRICARE may cover CPAP for obstructive sleep apnea syndrome and for respiratory insufficiency.
3. Replace parts on schedule. Masks, cushions, tubing and filters wear out. Intake checks how often your plan allows each one.
4. Skip the cleaning machines. TRICARE doesn't cover CPAP cleaners like SoClean, and says they could harm the machine. Clean by hand instead.
5. Replacing the machine. You'll need papers showing why you can no longer use it, proof it costs less to replace than to repair, and a new prescription.
6. Active duty. Service members may be able to get a portable CPAP and batteries with a referral and authorization, if they meet certain criteria.
7. TRICARE For Life. If you have TRICARE For Life and live in the U.S. or a U.S. territory, Medicare's rules apply too.

Checklist

• Prescription from a TRICARE-authorized doctor
• Know which parts are due for replacement
• Cleaning by hand, no cleaning machine
• TRICARE For Life? Medicare's rules checked
• Called intake or sent a request

In TRICARE's words

Yes, but it’s a limited benefit. You must have a prescription from a TRICARE-authorized doctor.

Does TRICARE cover a CPAP machine and supplies? — tricare.mil

TRICARE doesn’t cover batteries or machine cleaners, like SoClean. CPAP cleaners aren't FDA approved and could be harmful to CPAP machines.

Does TRICARE cover a CPAP machine and supplies? — tricare.mil

A CPAP machine is durable medical equipment. This is a limited benefit.

CPAP Machine — tricare.mil

Equipment in this guide

• CPAP Masks & Supplies
• CPAP Machine