REPLACEMENT SCHEDULE

Recommended Replacement Schedule

***Please note. We strongly recommend that you contact your insurance company to find out how often they will cover replacement supplies to avoid unexpected charges.

HPCS Description Private Medicaid
A7032-A7034 Nasal Mask 1 per 6 months 1 per 6 months
Nasal Cushion monthly
Nasal Interface 1 per 3 months
Headgear 1 per 6 months
A7033-A7034 Nasal Pillow Mask 1 per 6 months 1 per 6 months
Nasal Pillow monthly
Nasal Interface 1 per 3 months
Headgear 1 per 6 months
A7030 Full Face Mask 1 per 6 months 1 per 6 months
Full Face Cushion monthly
Full Face Interface 1 per 3 months
Full Face Headgear 1 per 6 months
A7037 Tubing 1 per 3 months 1 per 6 months
A4604 Heated Tubing 1 per 3 months 1 per 6 months
A7046 Water Chamber 1 per 6 months 1 per 6 months
A7036 Chinstrap 1 per 6 months 1 per 6 months
A7038 Disposable White Filter 1 (2pk) per month 1 (2pk) per month
A7039 Non-Disposable Filter 1 (2pk) per 3 1 (2pk) per 6