Fill Out Claim Form
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 email@example.com for tax ID.
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 firstname.lastname@example.org
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.