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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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    Copyright 2022 © CPAP Store USA
    ResMed products can only be sold to end users residing in the U.S. and not to other 3rd parties or businesses.
    • New In
      • F&P’s Evora Full Face Mask
      • 59S UVC Sanitizer
      • Velvet Chinstrap
      • Anti Snoring Chinstrap
      • Knightsbridge Chinstrap
      • 16GB SD Card
      • NasoClenz Gel
      • ResVent iBreeze Filters
    • CPAP/ BiPAP Machines
      • Auto Adjust CPAP Machine
      • BiLevel and BiPAP Machine
      • Travel CPAP Machines
    • CPAP/ BiPAP Masks
      • Full Face Masks
      • Nasal Masks
      • Nasal Pillow Masks
      • FitPack Masks
      • No-RX Masks
      • Masks Without Headgear
      • AirMini SetUp Packs
    • Parts
      • Machine Parts
        • Filters
        • Heated & Non-Heated Tubings
        • Hose Tubing With Oxygen Adapter
        • Machine Connectors
        • Humidifiers & Water Chambers
        • Power Supplies & Batteries
        • Other Machine Parts
      • Mask Parts
        • Mask Cushions/Pillows
        • Mask Frames
        • Mask Headgear
        • Mask Clips
        • Soft Wraps
        • Elbow & Swivel
        • Short Tubes
        • Other Mask Parts
    • Other Supplies
      • Black KN95
      • White KN95
      • 3-Ply Blue Surgical Masks
      • Boost Oxygen
      • Chinstraps
      • Travel Bags & Cases
      • Bedside Holder
    • Cleaning
      • CPAP Wipes
      • NasoClenz Gel
      • CPAP Sanitizers
        • 59S Sanitizer
        • Clyn
        • Clyn Hose
        • O3N
        • SoClean
    • Oxygen
      • Oxygen Concentrators
        • Simply Go
        • SimplyGo Mini
        • InogenOne G5
        • InogenOne G4
        • InogenOne G3
        • Mobi
        • EverFlo
        • Oxygen Supplies
      • Nebulizers
        • Flyp
        • Innospire Go
        • InnoSpire Elegance
        • Nebulizer Supplies
    • Resources
      • RX Easy
      • Track your order
      • Replacement Parts Schedule
      • Subscribe & Save
      • Financing
      • Philips Respironics Recall
      • Insurance Claim
      • Sleep Apnea & CPAP FAQ’s
      • Travel With CPAP & BiPAP
      • COVID-19 AND YOUR CPAP
    • SALE
      • Bundle Deal
      • All
      • Machines
      • Masks
      • Cushions & Nasal Pillows
      • Power Supply
      • Sanitizing & Cleaning
      • Other Parts
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    • Need Help? Call
      888-512-7278
      Mon-Sat 9:00AM to 5:00PM (PST)
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