Best Medicare Advantage Plans for CPAP Supplies Coverage
Lynchburg City, Virginia
| Plan Name | Coverage | Cost Sharing | Premium | Star Rating | Details |
|---|---|---|---|---|---|
|
Anthem Medicare Advantage (PPO)
Elevance Health, Inc. · PPO · H4909/014
|
⚠️ Prior Auth | See plan docs | $14/mo | No rating | Plan Profile → |
|
Anthem Medicare Advantage 2 (PPO)
Elevance Health, Inc. · PPO · H4909/026
|
⚠️ 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 → |
|
UHC Medicare Advantage VA-0001 (PPO)
UnitedHealthcare · PPO · H1659/002
|
⚠️ Prior Auth | See plan docs | $28/mo | No rating | Plan Profile → |
|
AARP Medicare Advantage from UHC VA-0012 (HMO-POS)
UnitedHealthcare · HMO-POS · H5253/112
|
⚠️ Prior Auth | See plan docs | $36/mo | No rating | Plan Profile → |
|
AARP Medicare Advantage Access from UHC VA-20 (PPO)
UnitedHealthcare · PPO · H2001/115
|
⚠️ Prior Auth | See plan docs | $255/mo | No rating | Plan Profile → |
|
AARP Medicare Advantage from UHC VA-0007 (PPO)
UnitedHealthcare · PPO · H2001/109
|
⚠️ 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 → |
|
Anthem Medicare Advantage 4 (HMO-POS)
Elevance Health, Inc. · HMO-POS · H3447/039
|
⚠️ Prior Auth | See plan docs | $0/mo | No rating | Plan Profile → |
|
Anthem Medicare Advantage 3 (HMO-POS)
Elevance Health, Inc. · HMO-POS · H3447/050
|
⚠️ Prior Auth | See plan docs | $0/mo | No rating | Plan Profile → |
|
Humana Value Choice H5216-266 (PPO)
Humana · PPO · H5216/266
|
⚠️ 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 → |
|
AARP Medicare Advantage from UHC VA-0011 (HMO-POS)
UnitedHealthcare · HMO-POS · H5253/111
|
⚠️ Prior Auth | See plan docs | $0/mo | No rating | Plan Profile → |
|
AARP Medicare Advantage Giveback from UHC VA-13 (HMO-POS)
UnitedHealthcare · HMO-POS · H5253/119
|
⚠️ Prior Auth | See plan docs | $0/mo | No rating | Plan Profile → |
|
Humana Gold Plus H5377-002 (HMO-POS)
Humana · HMO-POS · H5377/002
|
⚠️ 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 Value Choice H7617-098 (PPO)
Humana · PPO · H7617/098
|
⚠️ 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 → |
|
Anthem Veteran (PPO)
Elevance Health, Inc. · PPO · H4909/020
|
⚠️ 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 → |
|
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 Lynchburg 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 Lynchburg 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 Lynchburg City
Use DMEHelper to find accredited cpap supplies suppliers in Lynchburg 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.
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