PAP Supplies Through Insurance

Complete our Quick Qualification Form.

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    Customer Information

    Date Of Birth

    Primary Insurance Information

    Attach a photo of your Insurance or Medicaid Card

    Secondary Insurance Coverage.

    Attach a photo of your Insurance or Medicaid Card

    Tell Us More About Yourself

    Have You Been Diagnosed With Sleep Apnea?
    Do You Currently Have A PAP Machine?
    I Authorize PediaCare To Contact Me By Phone, Email Or Text. PediaCare Will Not Share Or Distribute This Information. By Checking This Box, I Confirm That I Have Not Received PAP Supplies From Another Provider In The Last Three Months.

    GET PAP SUPPLIES IN 3 SIMPLE STEPS

    Complete PediaCare’s Quick Qualification Form.

    Your dedicated Sleep Specialist contacts your insurance provider and doctor to verify coverage and submits required paperwork.

    You’re enrolled in our complimentary PediaCare Sleep Program, where you will regularly receive new PAP supplies.

    Congrats! Your PAP supplies will be shipped straight to your front door!

    Auto-Ship

    We will automatically ship fresh supplies to you on a schedule recommended by most Nebulizer experts, manufacturers and insurance companies.

    Courtesy Contact

    We will call or email you when you are eligible to see if you are ready to Refresh your supplies.

    Resupply

    Once you sign up with a DME to receive equipment through insurance such as a PAP machine, breast pump, or incontinence supplies, you may notice an option to join a resupply program.

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