Welcome to Easy Breathe's Insurance Verification service!

You can send us your insurance information using this form, or request a call from an insurance specialist if you would prefer to speak on the phone.

* Please note that cleaning products, batteries, and travel CPAPs/accessories are not covered by insurance.
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What is your First Name? *

 
Hi, {{answer_UEL4K4adfl1b}}! What is your Last Name? *

 
What is your Phone Number? *

Please format 888-888-8888.
 
What is your Zip Code? *

 
Is your healthcare provided by Medicare or Medicaid?


 
Thanks for your information! If you have your insurance card handy, you can complete your sign-up right now online. *

If you would prefer to speak to one of our insurance representatives, submit your form now and we will be in touch to help you with the rest of the process.

 
What type of insurance policy do you have? *


 
What type of TRICARE policy do you have? *


 
What type of BCBS Federal Plan do you have? *


 
What is the Member or Subscriber I.D. Number on your insurance card? *

If you have Blue Cross/Blue Shield insurance, please include all of the letters and number in your ID (example: XYZ123456789).
 
What is your Date of Birth? *

 
Almost there! Just a few more questions because you indicated your insurance carrier as "Other".

 
What is the full name of your insurance company? *

 
What is the phone number for Provider Services from your insurance card? *

This toll-free phone line may also be listed as "Benefits and Eligibility." If you can't find it, please put any customer service number that you can find.
 
(Optional) Are there any particular products that you are interested in?

Still shopping? Feel free to skip this question for now. Please note that cleaning products like the So Clean are not covered by insurance.
 
(Optional) What is generally the best time for us to contact you to discuss your coverage?

We will not call the number provided before 9 a.m. or after 8 p.m.

 
I accept Easy Breathe's Terms and Conditions and Privacy Policy. *

Easy Breathe is unable to work with your Medicare or Medicare Supplement Plan. Even so, many Medicare-eligible CPAP users like yourself prefer the convenience, quick turnaround, and customer service that Easy Breathe provides.

We also offer a 15% off coupon code to all of our Medicare recipients: just enter the code MED15 at checkout.

If using your Medicare coverage is the most important thing for you, we want to help. Check your email for our free Medicare Information Packet, which will have information on how to get your supplies covered by Medicare and additional coupons if you decide to go with Easy Breathe after all.

Please contact us at (866) 564-2252 or email us at info@easybreathe.com for additional assistance!
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Easy Breathe is unable to work with Medicaid. Even so, many CPAP users like you choose to bypass insurance coverage in favor of the convenience, quick turnaround, and customer service that Easy Breathe provides. We offer all the most popular supplies, such as CPAP masks, without a prescription.

We also offer a 15% off coupon code to Medicaid patients: just enter the code MED15 at checkout.

To find a local provider that is contracted with Medicaid, call the phone number on your card. Please contact us at (866) 564-2252 or email us at info@easybreathe.com for additional assistance!
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Easy Breathe is unable to work with HMO or EPO type plans because we are considered an Out-of-Network provider. To find a local provider that is contracted with your insurance, we recommend calling the phone number on your card.

Even though we are unable to bill your insurance, many CPAP users in your situation prefer the convenience, quick turnaround, and customer service that Easy Breathe provides. We offer all the most popular supplies, such as CPAP masks, without a prescription. Please contact us at (866) 564-2252 or email us at info@easybreathe.com for additional assistance!
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Easy Breathe is not able to work with TRICARE Prime or TRICARE for Life type plans because we are considered an Out-of-Network provider. To find a local provider that is contracted with your insurance, we recommend calling the phone number on your card.

Even though we are unable to bill your insurance, many CPAP users in your situation prefer the convenience, quick turnaround, and customer service that Easy Breathe provides. We offer all the most popular supplies, such as CPAP masks, without a prescription. Please contact us at (866) 564-2252 or email us at info@easybreathe.com for additional assistance!
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Easy Breathe is not able to work with Federal Basic type plans because we are considered an Out-of-Network provider. To find a local provider that is contracted with your insurance, we recommend calling the phone number on your card.

Even though we are unable to bill your insurance, many CPAP users in your situation prefer the convenience and customer service that Easy Breathe provides. We offer all the most popular supplies, such as CPAP masks, without a prescription. Please contact us at (866) 564-2252 or email us at info@easybreathe.com for additional assistance!
Continue Shopping
Thank you for completing our contact form, {{answer_UEL4K4adfl1b}}! One of our representatives will be reaching out to you shortly to request your complete insurance information and verify your coverage. You can also give us a call at (866) 564-2252 or email us at info@easybreathe.com
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Thank you for completing our contact form, {{answer_UEL4K4adfl1b}}!
We will contact your insurance company to verify your coverage and will send you an email when we have your coverage ready to review.

Please contact us at (866) 564-2252 or email us at info@easybreathe.com for additional assistance!
Continue Shopping