Support

PAP renew Request

Already using PAP therapy? Existing Medigy patients and people new to Medigy can request a replacement review. Tell us about your current device. We’ll check your benefits and explain the next steps.

Patient Information

First name *

Last name *

Date of birth *

Phone number *

By providing your number, you agree Medigy may call or text you about your request. Message and data rates may apply.

Email address *

Your Current Therapy

Have you received a device or supplies from Medigy before? *

How long have you had your current PAP device? *

Your best estimate is fine. We’ll verify your plan’s replacement requirements.

Current PAP device brand

Optional. If you’re not sure, leave this blank or attach a device photo below.

Current PAP device model

Optional. If you’re not sure, leave this blank or attach a device photo below.

Photo of your device or its label (optional)

If you aren’t sure of the model, a clear photo can help us identify it.

Why are you interested in a replacement? *

My device is getting olderMy device is not working reliablyMy clinician recommended a replacementI want to check my replacement benefitsSomething else

Are you currently using your PAP device? *

Insurance

Are you new to Medigy, or has your insurance changed? *

If Medigy already has your current insurance, you won’t need to re-enter it here.

Your Provider and Anything Else

Current sleep or prescribing provider (if known)

Provider’s office phone (optional)

Anything else you’d like us to know? (optional)

Tell us about device problems or questions you’d like help with.

Acknowledgement

I understand this is a request for review. Medigy will verify replacement eligibility, coverage, and any out-of-pocket cost before I move forward. *

Your information is sent securely to Medigy and used only to process this request. Questions? Contact us.