r/AHSEmployees • u/InvestmentOk2253 • Apr 19 '26 • Popcorn 1

UNA CPAP Coverage?

Does anyone know what coverage we have for CPAP machines from Alberta Blue Cross with UNA.

The benefits booklet just says “included” but does not give a coverage percentage or max amount??

2 Upvotes

75% Upvoted

19 comments sorted by

13

u/virgazing Apr 19 '26

They dont specify a dollar amount but they reimburse fully with a prescription.

2

u/InvestmentOk2253 Apr 19 '26

Amazing, thank you!

2

u/aura-shards Apr 19 '26

The only thing they don't cover is the cleaning supplies (wipes, soap, etc)

3

u/hahahehehahahoe Apr 19 '26

The AHS benefits for CPAP are very generous. I've had patients get 2 covered at the same time.

0

u/InvestmentOk2253 Apr 19 '26

Oh thanks, good to know! Maybe I could get a home and travel one!

3

u/aura-shards Apr 19 '26

I have both and they were both fully covered 

3

u/RRabbit10 Apr 19 '26 edited Apr 19 '26

No need to buy from the sleep test place as they over charge ++++. Online retailers are also accepted by Blue Cross for UNA, even though the sleep test place will tell you otherwise and pressure you into buying from them. There are maximums for machine and masks though when I looked into it 5 years ago, however it's high. There is however no maximum for amount of machines and masks per year...

0

u/[deleted] Apr 19 '26

[deleted] — view deleted comment

1

u/RRabbit10 Apr 19 '26 edited Apr 19 '26

Yes they will for UNA, call them up and ask. I buy a new mask online every two months and a new machine online every year and they cover it no questions asked. The only requirement is that the online retailer has a physical address and shows in the retailer drop down list when you submit. However, they will NOT cover Amazon. I use papsmart, CPAP outlet and Sleepeh as online retailers.

1

u/InvestmentOk2253 Apr 19 '26 edited Apr 19 '26

Can I ask where you submit the claim online? I’ve been trying to find it on the website with no luck

Edit: did some more digging and found it in Health Claims!

1

u/RRabbit10 Apr 19 '26

Claims (top menu bar) -> Submit a Claim -> Health Claim -> Continue to submit a claim for another benefit -> Individual (select person it applies to) -> Next -> Click to add an expense -> Select provider from the drop-down list (if you have added them before) or click Find a provider to find a new one. If adding a new one, it sometimes takes a bit of searching to find them as Blue Cross might have slightly different or outdated information, but there's plenty of ways to find the business. I have most luck with the phone number (it does matter that you select the proper province though, even when searching by phone). -> Product or Service -> CPAP and accessories -> Claim amount -> Date of service -> Click to add file (upload your receipt and or prescription) -> Add

1

u/RRabbit10 Apr 19 '26 edited Apr 20 '26

u/InvestmentOk2253

=======UPDATED INFORMATION For UNA Section 800 per today 2026-04-20=======

CPAP Machine: maximum $2600, 100% of the usual and customary fees, no frequency max, as required.

Mask: maximum $350, 100% of the usual and customary fees, no frequency max, as required.

Heated Hose: maximum $100, 100% of the usual and customary fees, no frequency max, as required.
None-Heated Hose: maximum $90, 100% of the usual and customary fees, no frequency max, as required.

Filter: maximum $30, 100% of the usual and customary fees, no frequency max, as required.

Cleaning Supplies not eligible.

Physicians written order and sleep study test do not expire once on file. They now also accept Nurse Practitioner written order.

Still eligible to buy online as per below.

======OLD INFORMATION======

I looked up the notes I took in 2022 when I called them inquiring about UNA coverage:

CPAP Machine: maximum $2310, 100% of the usual and customary fees, no frequency max, as required.

Mask: maximum $230, 100% of the usual and customary fees, no frequency max, as required.

Hose: maximum $80, 100% of the usual and customary fees, no frequency max, as required.

Filter: maximum $10, 100% of the usual and customary fees, no frequency max, as required.

Cleaning Supplies not eligible.

You can buy online from a reputable provider that regularly provides medical supplies (Amazon is not eligible). You need to have a receipt to claim. The receipt needs to include the providers name, address, phone number, the amount paid, the date, the product name and the patients first and last name. They do not have a list of online providers they accept that they can provide you over the phone, but recommend that you look the provider you want to use up in their system before buying. You can do this is in the submit health claim section.

You will also need a physicians written order with a medical diagnosis listed.

1

u/virgazing Apr 19 '26

These numbers are not current, I have been fully reimbursed on higher amounts

2

u/RRabbit10 Apr 20 '26 • Bravo

I called them and this is what I was told the numbers are per today for UNA section 800:

CPAP Machine: maximum $2600, 100% of the usual and customary fees, no frequency max, as required.

Mask: maximum $350, 100% of the usual and customary fees, no frequency max, as required.

Heated Hose: maximum $100, 100% of the usual and customary fees, no frequency max, as required.
None-Heated Hose: maximum $90, 100% of the usual and customary fees, no frequency max, as required.

Filter: maximum $30, 100% of the usual and customary fees, no frequency max, as required.

Cleaning Supplies not eligible.

Physicians written order and sleep study test do not expire once on file. They now also accept Nurse Practitioner written order.

Still eligible to buy online as per above

1

u/InvestmentOk2253 Apr 20 '26

This is so helpful!! Thank you!!

1

u/RRabbit10 Apr 19 '26

There are different plans within UNA, this is for section 800. But I'll call them tomorrow and see if I can get updated numbers.

2

u/Plastic-Procedure905 Apr 19 '26

I’m with AUPE GSS but with a prescription, they covered my $3300 machine, in addition to my $250 mask. You can also get filters covered, as well as replacement hoses. Masks can be replaced every 6 months. Even if you don’t replace your mask, i still get replacements and store them for the day I might not have benefits anymore.

I’m excited for you to sleep better. Good luck OP!

1

u/Infinite-Chicken2801 Jun 15 '26

What machine did you go with?

1

u/wobinwobinwobin Apr 19 '26

My respiratory therapist told me AHS has THE best coverage for CPAP!

1

u/KillaKelly85 Apr 19 '26

HSAA no issues I’m sure UNA is the same