Important coverage information for Sun Life benefit plan members regarding CPAP machines
CHANGES TO CLAIMS FOR CPAP MACHINES EFFECTIVE JANUARY 1, 2021
If you or one of your dependents has SLEEP APNEA, please take note:
Effective January 1, 2021, Sun Life will no longer reimburse for CPAP machines in cases of Mild obstructive sleep apnea.
This change will affect members with newly diagnosed mild sleep apnea as well as existing plan members who choose to purchase a new CPAP machine once their 5 year frequency limit has expired. Existing plan member claiming for supplies will not be impacted.
Sun Life will continue to reimburse Continuous Positive Airway Pressure (CPAP) machines for moderate and severe diagnoses.
The Canadian Agency for Drugs and Technologies in Health (CADTH) recommends lifestylechanges for mild obstructive sleep apnea, rather than CPAP machines.
CADTH defines mild sleep apnea as an Apnea-Hypopnea Index (AHI) of under 15.Reminder: If you live in Ontario, Manitoba or Saskatchewan, your provincial healthplan helps with costs.
If you have moderate to severe obstructive sleep apnea, apply to the province for fundingbefore purchasing a CPAP machine. Once you have provincial approval for funding, you can buy your CPAP and send your claim to Sun Life.
Please call Sun Life at 1-800-361-6212, Monday to Friday, 8 a.m. to 8 p.m. ET.
Please contact your Benefits Administrator.