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    • AirTouch F30i Full Face
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BCBS provides two options to submit your claim: State Specific or Standard Claim Form. You can choose option below.

Standard Claim Form:

Download a Universal Claim Form here. Call the Customer Service number on the back of your Health Plan ID Card and ask for the mailing address for claim forms. Complete the claim form and submit it along with your CPAP Store USA itemized receipt and prescription to the address listed on the back of your Health Plan ID Card.  Please email support@cpapstoreusa.com for Tax ID. You can download more specific instructions (start on page 7) for filling out the claim form here.

Specific Local BCBS Forms:
Download the Specific BCBS Claim form for your local BCBS company. Click here to go to the Blue Cross Blue Shield website. Search for your local BCBS company. Once on that page, use the search field to search for “medical claim form.” Download the claim form. Follow the instructions to fill out and submit it along with your CPAP Store USA itemized receipt and prescription to the address given on the claim form.

Attach Receipt & Prescription

Include a receipt with your order and prescription. If it was ordered online or in-store you should have received the copy and if you don’t have email us at support@cpapstoreusa.com

Submit Claim Form, Receipt and Prescription

Note: If your insurance provider has additional questions, please do not hesitate to reach out to us!

Get Money Back

After submitting your claim, you’ll typically be reimbursed within 2-3 weeks. It really depends on your provider.

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  • New In
    • AirTouch F30i Full Face
    • AirFit X30i Oral Nasal Pillows
    • AirTouch N30i Nasal
    • Magnesium Relaxation Cream
    • Handheld Pulse Stimulator
    • CPAP / BiPAP Protector Mat
    • Sleep Patch
    • CPAP Sleep Pillow
    • Positional Sleep Aid
  • Sleep Test & Services
    • Home Sleep Test
    • RxUpgrade
    • RxRenew
  • CPAP & BiPAP Machines
    • Auto CPAP Machines
    • Travel CPAP Machines
    • Auto BiPAP Machines
    • Advanced BiPAP Machines
  • CPAP & BiPAP Masks
    • Full Face Masks
    • Nasal Masks
    • Nasal Pillows Masks
    • FitPack Masks
    • BPA-FREE Masks
    • Blue Gel Masks
    • Latex-Free Masks
    • Non-Magnetic Masks
    • NIV Ventilator Masks
    • Specialty Masks
    • Pediatric Masks
  • Parts
    • Machine Parts
      • CPAP & BiPAP Batteries
      • Heated and Non-Heated Tubings
      • Power Supplies
      • Humidifiers & Water Chambers
      • Filters
      • Filter Covers
      • CPAP & Oxygen Adapter
      • Machine Connectors
      • Mufflers
      • Travel Bags
    • Mask Parts
      • Mask Cushions /Pillows
      • Headgears
      • Mask Frames
      • Mask Clips
      • Elbow & Swivel
      • Diffuser /Filter
      • Short Tubes
      • Soft Wraps
      • Assembly Kits
      • Other Mask Parts
  • More Products
    • Bedroom & Sleep
    • Travel & Sleep
    • Aromatherapy
    • Cleaning & Sanitizing
    • Chinstraps
    • Cushion Covers & Liners
    • Sleep Aids
    • Soft Wraps
    • Medical Masks
  • Oxygen
    • Oxygen Concentrators
      • Home Units
      • Travel Units
    • Oxygen Supplies
      • Pulse Oximeters
      • Oxygen Batteries
      • Oxygen Power Supplies
      • CPAP & Oxygen Adapter
      • Other Supplies
    • Nebulizers
      • Home Units
      • Travel Units
      • Nebulizer Supplies
  • SALE
    • All
    • Bundle Deals
    • Machines
    • Masks
    • Cushions & Nasal Pillows
    • Power Supply
    • Sanitizing & Cleaning
    • Other Parts
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