Ordering guide
How to order CPAP equipment and supplies with Scotts
What happens between the first call and the first delivery, what your prescriber has to document, and how resupply runs afterward. Written for patients and the people helping them.
Key takeaways
- Three things have to line up: a need, a prescriber’s order, and documentation in your chart. We handle the third with your prescriber so you do not have to.
- We verify coverage before anything is delivered and tell you what your plan says your share is.
- Resupply runs on the policy’s schedule, tracked by us and confirmed with you before each shipment.
How it works, step by step
- Tell us what you need. Call (800) 304-7030, start in the order wizard, or have your clinician send a referral with the documents attached. If you already use a product, the manufacturer code on the box is the most useful thing you can give us: it settles size, style and fit without guesswork.
- We verify your benefits first. Medicare Part B, Florida Medicaid, Medicare Advantage and most commercial plans. Before anything ships you hear what the plan covers and what your share is, and if it is not covered we say so and quote a private-pay option instead.
- We collect the order and the documentation from your prescriber. For CPAP equipment and supplies that usually means:
- A written order from the treating physician
- A sleep study — in-lab polysomnography or home sleep apnea test — supporting the diagnosis
- A face-to-face clinical evaluation documenting the symptoms and the diagnosis
- For continued coverage after the initial period, documentation of adherence (usage data from the machine) and a follow-up visit showing benefit. This trips up more people than the initial setup does
- For resupply, an order covering the replacement items
- Delivery or shipping. Delivered and set up across South Florida, or shipped across Florida, with the instructions you need and a phone number for the questions that come later.
- Resupply, if it applies. Supplies that recur are tracked on the policy’s schedule. We check in before each shipment; nothing ships that you did not ask for. How automatic resupply works.
What Medicare looks for
CPAP + supplies is covered under Medicare policy LCD L33718, Positive Airway Pressure Devices for OSA. The policy sets out what the chart has to show; we read it against your documentation before we bill. The diagnoses it names include obstructive sleep apnea. How often the policy allows a replacement depends on the item: 1 every 3 months; 1 every 6 months; capped rental, 13 months; monthly, ongoing.
Policies change and plans differ; the link above is the current text. We do not publish allowances or quantity limits here because the number that applies to you depends on your plan and your chart. Ask us and we will tell you yours.
Products people order
The manufacturers’ own photographs, shown under our dealer agreements. Pick one to check coverage and order it; sizes and pack counts come next.
ResMedAirfit™ N30i Nasal CPAP Mask Replacement Small Frame with Medium Cushion, no Headgear
RespironicsDreamWear Full Face CPAP Mask with Small Cushion, Small and Medium Frames & Headgear
RespironicsDreamWear Nasal CPAP Mask with Cushions, Large Frame and Headgear
Philips RespironicsDreamWear Silicone Pillow Mask with large cushion, small frame and headgear
Fisher & PaykelFisher & Paykel Headgear for Eson 2, Small
ResMedAir Fit F30i Full Face Frame System (standard frame, small cushion)All respiratory & oxygen product families
Brands we carry
ResMed, Philips Respironics, Fisher & Paykel, Drive Medical, Hudson RCI, Roscoe Medical.
Questions people ask
My mask leaks. Can I try a different one?
How often do supplies get replaced?
What is a compliance requirement?
Related
About this guide
This is general information written to be useful, not medical advice, and it is not a coverage determination. It does not replace what your own clinician has told you about your own situation — where the two differ, follow your clinician.
We deliberately publish no prices, allowables or fee-schedule figures. Those vary by plan, state and year, and a stale number is worse than none. Call (800) 304-7030 and we will verify your actual benefit.
Not sure where to start?
Call us and tell us what happened — a surgery, a new diagnosis, a discharge date, a supply you keep running out of. We will tell you what is usually needed, check your benefits, and ask your prescriber for the order if you do not have one yet.
