ProviderMachine vs MaskCover
ACA Health Benefits Fund

CPAP Machine and Accessories,
Letter of recommendation from doctor and an eligible invoice
Up to 80% of cost to $1,200, every 5 years
ahm Health Insurance

CPAP Machine and Mask with an eligible invoiceHospital Cover
CPAP machine $500-$600 each five year
Mask benefit of $100 per year
Australian Unity Health Limited

CPAP Machine only with eligible invoice$400 per year need to register as a provider
Bupa HI Pty Ltd

CPAP Machine only,
Letter of recommendation from doctor and an eligible invoice
Platinum Cover
85% of cost to $1,000
Amount reduces on lower cover policies.
CBHS Corporate Health Pty Ltd

CPAP Machine and Masks
Letter of recommendation from doctor and an eligible invoice.
70% of cost $0-$1,000 machine per three years depending on cover
CBHS Health Fund Limited

CPAP Machine and Masks
Letter of recommendation from doctor and an eligible invoice.
70% of cost $0-$1,000 machine per three years depending on cover
CDH Benefits Fund (Cessnock District Health fund)No COVER
CUA Health Limited

CPAP Machine and Masks just eligible invoice% of total spend to $600-$800 based on cover
Defence Health Limited

CPAP Machine and Masks and invoiceUp to $1,500 depending on cover every three years
Doctors' Health FundCPAP Machine and Masks.
Letter of recommendation from doctor and an eligible invoice.
75% of the cost to $1,000,
For Fund approved consumable items, benefit paid twice per calendar year. For Fund approved non-consumable items benefits paid 2 years after the first supply.
Emergency Services HealthCPAP Machine and Masks.
Letter of recommendation from doctor and an eligible invoice.
80% up to $2,000 per 4 years
GMHBA Limited CPAP Machine only.
Letter of recommendation from doctor and an eligible invoice.
up to $200 for sleep apnea machine.
Grand United Corporate Health (corporate Health fund tailor made solutions to individual corporations)CPAP Machine only.
Letter of recommendation from doctor and an eligible invoice.
Depends on the corporation plan that they individual is on
HBF Health LimitedCPAP Machine only
Eligible invoice required

Provider number B29524 Item A879 on invoice
Plus
75% up to $1,000 for 1yr increasing by $200 per year to a maximum of $1,800

Mid
65% up to $800 for 1yr increasing by $150 per year to a maximum of $1,400

Basic
55% up to $600 for 1yr increasing by $100 per year to a maximum of $1,000
HCFCPAP Machine and Mask
With an eligible invoice
$200 per 3 years
Claim upon receipt
Health Care Insurance LimitedCPAP Machine and Mask
With an eligible invoice
Available on Premier Extras up to 90% of cost up to $700 once every three years for appliance
Health Insurance Fund of Australia LimitedCPAP Machine and Mask
With an eligible invoice
Super and Premium
70% of spend up to $300 or $600 depending on time in fund. But 5 years between each machines reimbursement.
Health Partners (South Australian Based)CPAP Machine and Accessories
Letter of recommendation from doctor and an eligible invoice.
GOLD and Nationals
Years 1-2 75% $500
Years 3-4 85% $750
Years 5+ 100% $1,000
Based on continuous years of Gold Extras membership. Maximum benefit is limited to once every 5 years $150 every 5 years for support
health.com.auCPAP Machines and Masks requires an eligible invoiceOn top cover $400 on appliances per year
Latrobe Health ServicesCPAP Machine and Mask requires an eligible invoicePremier GOLD and silver cover $250 and $200 on Premier
Medibank Private LimitedCPAP Machine only
requires an eligible invoice
Receipt and letter from medical professional
Mildura Health Fund (local fund) CPAP Machine only
requires an eligible invoice
$400 every three years
National Health Benefits Australia Pty Ltd (onemedifund)CPAP Machine and Mask requires an eligible invoiceExtras Plus
50% of cost to $400
Loyalty benefits apply - 80% up to $1,000 after 5 years cover.
Contact the fund for details.
Navy Health Ltd (restricted to ADF or Navy Connected people)CPAP Machine Only
requires an eligible invoice
Premium Extras $1000, Healthy Living Extras $600
NIB Health Funds Ltd.CPAP Machine and Mask
requires an eligible invoice
top cover is $500
Provider number 10176845
Nurses & Midwives Health (for members of the Nurses and Midwives union)CPAP Machine Only
requires an eligible invoice
75% up to $800 one machine every three years
Peoplecare Health InsuranceCPAP Machine and Masks
requires an eligible invoice
High Extras
$500 per person and $1,000 per family
Premium Extras
$700 per person and $1,400 Per family one Machine every three years, and no limit on masks
Phoenix Health Fund LimitedCPAP Machine only and Letter of recommendation from doctor and an eligible invoice.TOP Cover
80% of charge
(after $20 co-payment is made) to the value of $900
Intermediate $200
Mid-level $150
Police Health (for Police employees and their families)CPAP Machine and Masks Letter of recommendation from the doctor, with test results if a home study. And an eligible invoicePlatinum
80% of invoice up to $2,000 over four years.
Queensland Country Health Fund Ltd (based in Northern Queensland) Townsville, Ayr, Mackay, Mount Isa, TownsvilleCPAP Machine and Mask, an eligible invoice and a copy of the Medicare approved sleep study.Top cover only 80% of $2,000 once every three years for machine and 85% up to $250 per year for consumables.
Railway and Transport Health Fund Limited (government based fund for Transport and Energy workers)Depending on Corporate planVarious Corporate health plans
Reserve Bank Health Society Ltd (for employees of the reserve bank)CPAP Machine Only.
Please contact fund before purchasing
Gold Extras
Limit of $1,800 in any 5 rolling years

$360 after 1 year
$720 after 2 years
$1,080 after 3 years
$1,440 after 4 years
$1,800 after 5 years
St.Lukes HealthCPAP Machine on all cover except basic. and CPAP Masks on top two covers
requires an eligible invoice
90% of spend from $500 up to $1,050 each 5year for machine, depending on the cover.
90% up to $80-$90 dollar per year for Mask (only available on the top two covers)
Teachers Health Fund (exclusively for current and former education members)CPAP Machine and CPAP MaskTop Extras
75% up to $900 once every three years
Transport Health Pty Ltd Top Extras
75% up to $900 once every three years
Top Hospital Cover and Healthy cover $750
Top Extra Cover 80% of cost to $200 for Masks per year.
TUH (Queensland Teachers Union) open to past and present members of ANY union and family members CPAP Machines and MasksTop Extras
CPAP Machines
Yr 1-2 85% of Cost to $620
Yr 3-4 85% of Cost to $655
Yr 5-6 85% of Cost to $690
Yr 7+ 85% of Cost to $790

CPAP Masks
85% to $100.00

Family Extras
CPAP Machines
85% of cost to $600 every three years

CPAP Masks
85% of cost to $100 per year
Westfund Limited.CPAP Machine require eligible invoice and letter of recommendation from medical practitioner

CPAP Mask requires eligible invoice.
Platinum Extras

CPAP Machine
$750 claimable every 3 years
CPAP Mask
$100 every year

Important Note: Health funds may regularly revise their cover through the year. Whilst we attempt to keep this table updated regularly, you are advised to check with your health fund for the latest cover pertaining to your individual circumstances.