Best Medicare Advantage Plans for CPAP / Sleep Apnea Devices Coverage
St. Louis City, Missouri
| Plan Name | Coverage | Cost Sharing | Premium | Star Rating | Details |
|---|---|---|---|---|---|
|
Aetna Medicare Value Plus (HMO-POS)
CVS Health Corporation · HMO-POS · H2663/057
|
⚠️ Prior Auth | See plan docs | $31/mo | No rating | Plan Profile → |
|
Humana Gold Choice H8145-006 (PFFS)
Humana · PFFS · H8145/006
|
⚠️ Prior Auth | See plan docs | $37/mo | No rating | Plan Profile → |
|
Aetna Medicare Enhanced Extra (HMO-POS)
CVS Health Corporation · HMO-POS · H2663/006
|
⚠️ Prior Auth | See plan docs | $40/mo | No rating | Plan Profile → |
|
AARP Medicare Advantage from UHC ST-0001 (PPO)
UnitedHealthcare · PPO · H2406/043
|
⚠️ Prior Auth | See plan docs | $53/mo | No rating | Plan Profile → |
|
Essence Advantage Plus (HMO)
Lumeris Group Holdings Corporation · HMO · H2610/006
|
⚠️ Prior Auth | See plan docs | $59/mo | No rating | Plan Profile → |
|
Aetna Medicare Enhanced (PPO)
CVS Health Corporation · PPO · H1608/013
|
⚠️ Prior Auth | See plan docs | $60/mo | No rating | Plan Profile → |
|
HumanaChoice H5216-032 (PPO)
Humana · PPO · H5216/032
|
⚠️ Prior Auth | See plan docs | $63/mo | No rating | Plan Profile → |
|
Essence Advantage Premier Plus (PPO)
Lumeris Group Holdings Corporation · PPO · H6200/008
|
⚠️ Prior Auth | See plan docs | $254/mo | No rating | Plan Profile → |
|
Humana Gold Plus H0028-014 (HMO)
Humana · HMO · H0028/014
|
⚠️ Prior Auth | See plan docs | $0/mo | No rating | Plan Profile → |
|
Humana Gold Plus Giveback H0028-065 (HMO)
Humana · HMO · H0028/065
|
⚠️ Prior Auth | See plan docs | $0/mo | No rating | Plan Profile → |
|
HealthSpring Preferred (HMO)
Health Care Service Corporation · HMO · H0439/020
|
⚠️ Prior Auth | See plan docs | $0/mo | No rating | Plan Profile → |
|
HealthSpring Preferred Savings (HMO)
Health Care Service Corporation · HMO · H0439/021
|
⚠️ Prior Auth | See plan docs | $0/mo | No rating | Plan Profile → |
|
Aetna Medicare Elite (PPO)
CVS Health Corporation · PPO · H1608/050
|
⚠️ Prior Auth | See plan docs | $0/mo | No rating | Plan Profile → |
|
Aetna Medicare Signature (PPO)
CVS Health Corporation · PPO · H1608/067
|
⚠️ Prior Auth | See plan docs | $0/mo | No rating | Plan Profile → |
|
Wellcare Simple (HMO-POS)
Centene Corporation · HMO-POS · H1664/001
|
⚠️ Prior Auth | See plan docs | $0/mo | No rating | Plan Profile → |
|
Wellcare Giveback (HMO-POS)
Centene Corporation · HMO-POS · H1664/006
|
⚠️ Prior Auth | See plan docs | $0/mo | No rating | Plan Profile → |
|
DEVOTED CORE 001 MO (HMO)
Devoted Health, Inc. · HMO · H2041/001
|
⚠️ Prior Auth | See plan docs | $0/mo | No rating | Plan Profile → |
|
DEVOTED GIVEBACK 002 MO (HMO)
Devoted Health, Inc. · HMO · H2041/002
|
⚠️ Prior Auth | See plan docs | $0/mo | No rating | Plan Profile → |
|
AARP Medicare Advantage from UHC ST-2 (PPO)
UnitedHealthcare · PPO · H2406/069
|
⚠️ Prior Auth | See plan docs | $0/mo | No rating | Plan Profile → |
|
Essence Advantage (HMO)
Lumeris Group Holdings Corporation · HMO · H2610/005
|
⚠️ Prior Auth | See plan docs | $0/mo | No rating | Plan Profile → |
|
Essence Advantage Select (HMO)
Lumeris Group Holdings Corporation · HMO · H2610/016
|
⚠️ Prior Auth | See plan docs | $0/mo | No rating | Plan Profile → |
|
Aetna Medicare Signature (HMO-POS)
CVS Health Corporation · HMO-POS · H2663/005
|
⚠️ Prior Auth | See plan docs | $0/mo | No rating | Plan Profile → |
|
AARP Medicare Advantage Essentials from UHC ST-3 (HMO-POS)
UnitedHealthcare · HMO-POS · H2802/028
|
⚠️ Prior Auth | See plan docs | $0/mo | No rating | Plan Profile → |
|
AARP Medicare Advantage Extras from UHC ST-4 (HMO-POS)
UnitedHealthcare · HMO-POS · H2802/052
|
⚠️ Prior Auth | See plan docs | $0/mo | No rating | Plan Profile → |
|
AARP Medicare Advantage from UHC ST-1P (HMO-POS)
UnitedHealthcare · HMO-POS · H2802/071
|
⚠️ Prior Auth | See plan docs | $0/mo | No rating | Plan Profile → |
|
AARP Medicare Advantage CareFlex from UHC ST-6 (HMO-POS)
UnitedHealthcare · HMO-POS · H2802/073
|
⚠️ Prior Auth | See plan docs | $0/mo | No rating | Plan Profile → |
|
Anthem Medicare Advantage (HMO-POS)
Elevance Health, Inc. · HMO-POS · H3447/038
|
⚠️ Prior Auth | See plan docs | $0/mo | No rating | Plan Profile → |
|
Humana Essentials Plus Giveback H4461-045 (HMO)
Humana · HMO · H4461/045
|
⚠️ Prior Auth | See plan docs | $0/mo | No rating | Plan Profile → |
|
Humana Total Complete H4461-046 (HMO)
Humana · HMO · H4461/046
|
⚠️ Prior Auth | See plan docs | $0/mo | No rating | Plan Profile → |
|
Humana Value Choice H5216-318 (PPO)
Humana · PPO · H5216/318
|
⚠️ Prior Auth | See plan docs | $0/mo | No rating | Plan Profile → |
|
Humana Full Access H5216-407 (PPO)
Humana · PPO · H5216/407
|
⚠️ Prior Auth | See plan docs | $0/mo | No rating | Plan Profile → |
|
Essence Advantage Choice (PPO)
Lumeris Group Holdings Corporation · PPO · H6200/001
|
⚠️ Prior Auth | See plan docs | $0/mo | No rating | Plan Profile → |
|
Wellcare Simple Open (PPO)
Centene Corporation · PPO · H7518/001
|
⚠️ Prior Auth | See plan docs | $0/mo | No rating | Plan Profile → |
|
Humana Full Access H7617-008 (PPO)
Humana · PPO · H7617/008
|
⚠️ Prior Auth | See plan docs | $0/mo | No rating | Plan Profile → |
|
Humana Value Choice H7617-023 (PPO)
Humana · PPO · H7617/023
|
⚠️ Prior Auth | See plan docs | $0/mo | No rating | Plan Profile → |
|
HealthSpring True Choice Savings (PPO)
Health Care Service Corporation · PPO · H7849/077
|
⚠️ Prior Auth | See plan docs | $0/mo | No rating | Plan Profile → |
|
Aetna Medicare Eagle (HMO-POS)
CVS Health Corporation · HMO-POS · H2663/069
|
⚠️ Prior Auth | See plan docs | $0/mo | No rating | Plan Profile → |
|
AARP Medicare Advantage Patriot No Rx MO-MA01 (HMO-POS)
UnitedHealthcare · HMO-POS · H2802/050
|
⚠️ Prior Auth | See plan docs | $0/mo | No rating | Plan Profile → |
|
Anthem Veteran (PPO)
Elevance Health, Inc. · PPO · H4909/021
|
⚠️ Prior Auth | See plan docs | $0/mo | No rating | Plan Profile → |
|
Humana USAA Honor Giveback (PPO)
Humana · PPO · H5216/278
|
⚠️ Prior Auth | See plan docs | $0/mo | No rating | Plan Profile → |
|
Wellcare Patriot Giveback Open (PPO)
Centene Corporation · PPO · H7518/002
|
⚠️ Prior Auth | See plan docs | $0/mo | No rating | Plan Profile → |
|
Humana USAA Honor Giveback (PPO)
Humana · PPO · H7617/012
|
⚠️ Prior Auth | See plan docs | $0/mo | No rating | Plan Profile → |
Plans sorted by: no prior auth first, then star rating, then monthly premium.
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Medicare Advantage Coverage for CPAP / Sleep Apnea Devices in St. Louis City
What is covered?
Medicare Advantage plans must cover the same cpap / sleep apnea devices benefits as Original Medicare (Part B), but they can impose different rules — including requiring prior authorization, limiting quantity, or requiring you to use preferred suppliers. The comparison table above shows the specific rules for each plan available in St. Louis City, Missouri.
Prior Authorization
Prior authorization (prior auth or PA) means your doctor must submit documentation to the plan for approval before you can receive cpap / sleep apnea devices. This is different from Original Medicare, which generally doesn't require prior auth for most DME. If your plan requires prior auth, work with your doctor to submit the required clinical documentation (e.g., sleep study results for CPAP, physician's order for mobility equipment).
Cost Sharing
After meeting your plan deductible (if any), you typically pay a copay or coinsurance for cpap / sleep apnea devices. Original Medicare Part B covers 80% of approved costs, leaving you with 20%. Many Medicare Advantage plans offer lower out-of-pocket costs for DME, especially if you use a preferred (in-network) supplier. Always confirm cost sharing with your plan and supplier before ordering.
Choosing a Supplier in St. Louis City
Use DMEHelper to find accredited cpap / sleep apnea devices suppliers in St. Louis City that are enrolled in Medicare. Make sure the supplier accepts your specific Medicare Advantage plan — not all suppliers are in-network with all plans.
Other Counties in Missouri
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