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Portable CPAP Device Coverage for Active Duty

Tuesday, September 3, 2019

Beneficiaries diagnosed with obstructive sleep apnea (OSA) syndrome or respiratory insufficiency may qualify to receive a Continuous Positive Airway Pressure (CPAP) machine under TRICARE’s durable medical equipment benefit. CPAP machines are a limited benefit and prior authorization is required.

Under the Supplemental Health Care Program, active duty service members can now be authorized to receive a portable CPAP device if they meet the following criteria and this criteria is documented on the authorization request:

  • The active duty service member has a diagnosis of OSA; and 
  • The active duty service member travels on official business at least three days/month or is being deployed.  

Portable CPAP devices must have humidification and battery capability.

If the service member already has a standard CPAP device, a portable device may be authorized if the criteria are met. However, once the service member has been authorized to receive a portable CPAP device, he or she won’t be eligible to receive a standard CPAP device in the future.  

For additional benefit details, please visit our Continuous Positive Airway Pressure (CPAP) Machine details page.