How many Medicare Advantage plans cover cpap supplies in Fredericksburg City?

There are 26 Medicare Advantage plans available in Fredericksburg City, Virginia that include DME coverage for cpap supplies. All plans may require prior authorization.

Does prior authorization apply to cpap supplies in Fredericksburg City?

26 out of 26 Medicare Advantage plans in Fredericksburg City require prior authorization for cpap supplies. Prior authorization means your doctor must get approval from the plan before you receive the equipment.

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Best Medicare Advantage Plans for CPAP Supplies Coverage

Fredericksburg City, Virginia

Plans Available

No Prior Auth

$0 Premium Plans

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Avg Star Rating

Coverage legend: ✅ Covered ⚠️ Prior Auth ℹ️ Limits Apply ❌ Not Covered

Plan Name	Coverage	Cost Sharing	Premium	Star Rating	Details
Humana Gold Choice H8145-004 (PFFS) Humana · PFFS · H8145/004	⚠️ Prior Auth	See plan docs	$7/mo	No rating	Plan Profile →
Kaiser Permanente Medicare Advantage Standard 1 VA (HMO-POS) Kaiser Foundation Health Plan, Inc. · HMO-POS · H2172/009	⚠️ Prior Auth	See plan docs	$15/mo	No rating	Plan Profile →
Humana Gold Plus H6622-085 (HMO) Humana · HMO · H6622/085	⚠️ Prior Auth	See plan docs	$16/mo	No rating	Plan Profile →
HumanaChoice H5216-363 (PPO) Humana · PPO · H5216/363	⚠️ Prior Auth	See plan docs	$20/mo	No rating	Plan Profile →
Anthem Medicare Advantage 3 (HMO-POS) Elevance Health, Inc. · HMO-POS · H3447/051	⚠️ Prior Auth	See plan docs	$24/mo	No rating	Plan Profile →
Kaiser Permanente Medicare Advantage Standard 2 VA (HMO-POS) Kaiser Foundation Health Plan, Inc. · HMO-POS · H2172/023	⚠️ Prior Auth	See plan docs	$25/mo	No rating	Plan Profile →
Aetna Medicare Elite (HMO-POS) CVS Health Corporation · HMO-POS · H3931/190	⚠️ Prior Auth	See plan docs	$60/mo	No rating	Plan Profile →
HumanaChoice H5216-027 (PPO) Humana · PPO · H5216/027	⚠️ Prior Auth	See plan docs	$60/mo	No rating	Plan Profile →
Aetna Medicare Elite (PPO) CVS Health Corporation · PPO · H5521/650	⚠️ Prior Auth	See plan docs	$90/mo	No rating	Plan Profile →
Kaiser Permanente Medicare Advantage High VA (HMO-POS) Kaiser Foundation Health Plan, Inc. · HMO-POS · H2172/008	⚠️ Prior Auth	See plan docs	$137/mo	No rating	Plan Profile →
AARP Medicare Advantage from UHC VA-0006 (PPO) UnitedHealthcare · PPO · H2001/098	⚠️ Prior Auth	See plan docs	$0/mo	No rating	Plan Profile →
Kaiser Permanente Medicare Advantage Value 2 VA (HMO-POS) Kaiser Foundation Health Plan, Inc. · HMO-POS · H2172/024	⚠️ Prior Auth	See plan docs	$0/mo	No rating	Plan Profile →
AARP Medicare Advantage from UHC VA-0018 (PPO) UnitedHealthcare · PPO · H2406/125	⚠️ Prior Auth	See plan docs	$0/mo	No rating	Plan Profile →
Anthem Medicare Advantage 2 (HMO-POS) Elevance Health, Inc. · HMO-POS · H3447/025	⚠️ Prior Auth	See plan docs	$0/mo	No rating	Plan Profile →
Aetna Medicare Elite (HMO-POS) CVS Health Corporation · HMO-POS · H3931/143	⚠️ Prior Auth	See plan docs	$0/mo	No rating	Plan Profile →
Humana Essentials Plus Giveback H5216-308 (PPO) Humana · PPO · H5216/308	⚠️ Prior Auth	See plan docs	$0/mo	No rating	Plan Profile →
HumanaChoice H5216-408 (PPO) Humana · PPO · H5216/408	⚠️ Prior Auth	See plan docs	$0/mo	No rating	Plan Profile →
Humana Gold Plus H6622-083 (HMO) Humana · HMO · H6622/083	⚠️ Prior Auth	See plan docs	$0/mo	No rating	Plan Profile →
Humana Total Complete H6622-091 (HMO) Humana · HMO · H6622/091	⚠️ Prior Auth	See plan docs	$0/mo	No rating	Plan Profile →
Humana Essentials Plus Giveback H7617-100 (PPO) Humana · PPO · H7617/100	⚠️ Prior Auth	See plan docs	$0/mo	No rating	Plan Profile →
AARP Medicare Advantage Patriot No Rx VA-MA01 (PPO) UnitedHealthcare · PPO · H2001/099	⚠️ Prior Auth	See plan docs	$0/mo	No rating	Plan Profile →
Kaiser Permanente Medicare Advantage Liberty (HMO) Kaiser Foundation Health Plan, Inc. · HMO · H2172/005	⚠️ Prior Auth	See plan docs	$0/mo	No rating	Plan Profile →
HumanaChoice H5216-152 (PPO) Humana · PPO · H5216/152	⚠️ Prior Auth	See plan docs	$0/mo	No rating	Plan Profile →
Humana USAA Honor Giveback (PPO) Humana · PPO · H5216/310	⚠️ Prior Auth	See plan docs	$0/mo	No rating	Plan Profile →
Aetna Medicare Eagle Giveback (PPO) CVS Health Corporation · PPO · H5521/322	⚠️ Prior Auth	See plan docs	$0/mo	No rating	Plan Profile →
Humana USAA Honor Giveback (PPO) Humana · PPO · H7617/101	⚠️ 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 Supplies in Fredericksburg City

What is covered?

Medicare Advantage plans must cover the same cpap supplies 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 Fredericksburg City, Virginia.

Prior Authorization

Prior authorization (prior auth or PA) means your doctor must submit documentation to the plan for approval before you can receive cpap supplies. 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 supplies. 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 Fredericksburg City

Use DMEHelper to find accredited cpap supplies suppliers in Fredericksburg 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 Virginia

Accomack County → Albemarle County → Alexandria City → Alleghany County → Amelia County → Amherst County → Appomattox County → Arlington County →

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Disclaimer: Coverage information is derived from CMS Medicare Advantage plan data and may not reflect all plan details or recent updates. Always verify specific coverage, cost sharing, and prior authorization requirements directly with your plan before obtaining equipment. Plan availability and benefits may change each plan year. DMEHelper is not affiliated with any Medicare Advantage plan.