CPAP devices are costly, so it may not be affordable to all. The CPAP paid by OHIP is a program initiated by the Ministry of Health and Long-Term Care in Ontario to offer CPAP machines to Ontario residents at minimum cost. Only the health cardholders are eligible for the program. CPAP paid by OHIP pays for the CPAP devices to patients suffering from obstructive sleep apnea syndrome and have been certified by a sleep physician.
Before making the application for CPAP paid by OHIP the person will have to undergo diagnostic tests to find out the fundamental reason of disruptive sleep by a physician who specializes in sleep medicine. The application will be completed if the client satisfies the medical eligibility criteria and the sleep physician affirms that the client has obstructive sleep apnea syndrome. The sleep physician and sleep clinic staff will then select the suitable device for the client.
CPAP paid by OHIP will pay up to 75 percent of the approved price. The balance amount will be charged to the client. OHIP will pay full-approved price if the client is receiving social assistance benefits from Ontario works, Ontario Disability Support Program. Lots of private health insurance companies pay their client’s share. The clients can purchase the CPAP equipments from any respiratory vendor registered with the program. The vendors can directly bill CPAP paid by OHIP for the 75 percent portion of the cost of the equipment. The registered vendors can charge their clients less than the approved price but cannot charge more than the approved price.
CPAP or APAP system offered through CPAP paid by OHIP consists of a CPAP/APAP device, heated humidifier, basic mask and headgear, carrying case, 6 ft tubing, all necessary caps and filters, power cord and patient instruction manual. If any item that the client required is not part of the CPAP or APAP system, the vendor will charge the client the full cost of the item.
Registered respiratory vendors should ensure their clients receive appropriate instructions for the safe use of the equipment. The OHIP funded CPAP/APAP systems must have a 3-year warranty. The clients can receive additional services such as an extended warranty, yearly pressure checks and calibrations or pressure adjustments from the respiratory vendor for extra cost, which falls apart from the CPAP paid by OHIP. Additional services are not mandatory. The clients can decide whether they need the additional services or not.
The clients can replace the equipment after five years if the equipment is no longer working and cannot be repaired. CPAP paid by OHIP will contribute towards the cost. For this the client needs a new form signed by the doctor to prove that still meet the eligibility requirements. Any client who is a resident of Ontario more than three months comes under the coverage of OHIP.
To know more about the CPAP paid by OHIP, you may contact CPAP Clinic, an ADP-authorized dealer of CPAP machines and accessories.
CPAP Clinic – Sleep Apnea Treatment at-your-home
Toronto, ON, Canada
For more information about CPAP Paid by OHIP or CPAP Machine, please visit www.cpapclinic.ca or call 1-877-430-CPAP(2727).