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Download it here . Complete the claim form above 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.

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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

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

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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
      • Nasal Congestions Strips
      • Blue Air Gel Full Mask
      • Anti Snore Nose Ring
      • CPAP PRO Nasal Pillows
      • BreathWear Nasal Pillows Mask
      • BreathWear Nasal Mask
      • Mini Mesh Nebulizer
      • Transcend Micro CPAP
      • Z2 Travel CPAP Machine
      • ResVent iBreeze BiPAP
      • ST-A30 Advanced BiPAP
    • 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 -All Size Cushions Included
      • Non- Magnetic Masks
      • Masks Without Headgear
    • Parts
      • Machine Parts
        • Power Supplies & Batteries
        • Filters
        • Heated & Non-Heated Tubings
        • CPAP & Oxygen Adapter
        • Machine Connectors
        • Humidifiers & Water Chambers
        • Mufflers
        • Other Machine Parts
      • Mask Parts
        • Mask Cushions/Pillows
        • Mask Frames
        • Mask Headgears
        • Mask Clips
        • Soft Wraps
        • Elbow & Swivel
        • Short Tubes
        • Other Mask Parts
    • Other Supplies
      • Nasal Congestions Strips
      • Anti Snore Nose Ring
      • 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
        • O3N
        • SoClean
    • Oxygen
      • Oxygen Concentrators
        • InogenOne G5
        • InogenOne G4
        • InogenOne G3
        • Simply Go
        • SimplyGo Mini
        • Mobi
        • EverFlo
      • Oxygen Supplies
        • Oxygen Batteries
        • Oxygen Power Supplies
        • CPAP & Oxygen Adapter
        • Other Supplies
      • Nebulizers
        • InnoSpire Elegance
        • Innospire Go
        • Mini Mesh Nebulizer
        • Nebulizer Supplies
    • Resources
      • RX Easy
      • Track your order
      • Replacement Parts Schedule
      • Subscribe & Save
      • Philips Respironics Recall
      • Insurance Claim
      • Sleep Apnea & CPAP FAQ’s
      • Travel With CPAP & BiPAP
      • COVID-19 AND YOUR CPAP
    • Financing
      • AfterPay
      • CareCredit
    • 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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