Support

CPAP Resupply Request

Typical insurance replacement schedules: mask cushions and nasal pillows monthly, a complete mask every 3 months, tubing every 3 months, disposable filters monthly, headgear and water chamber every 6 months. Your plan may differ — we'll verify your coverage before anything ships.

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 *

Timing

When did you last receive supplies? *

A rough guess is fine — it helps us check your plan's schedule before we process the order.

What do you need?

Select everything you need *

Mask assembly diagram — cushion, frame, and headgear

CPAP machine brand *

CPAP machine model *

Current mask model *

Mask / cushion size

Photos of your current supplies (optional)

Requesting the same items again? A photo of your mask or supplies works just as well as a model number — snap what you have and we'll match it.

Sizes, quantities, or anything else about the items

Insurance

Has your insurance changed since your last order? *

We ask because an insurance change is the most common reason a resupply order stalls.

Shipping

Is your shipping address still current? *

Acknowledgement

I understand Medigy will verify my insurance coverage and replacement schedule before shipping, and will contact me if anything needs attention *

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