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Resupply Eligibility Table

Most insurance companies allow the following replenishment schedule.  They are also very strict with the timeline.  For instance, if you order your three month supply and it's only been two months, we will have to hold your order to the end of the third month.  Simply enter your information to the right to place the order.

(Pictures below are displayed as examples and do not represent your equipment)  

Every Three Months
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1 Non-Disposable and
6 Disposable Filters
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1 Hose
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3 Cushions/Pillows

Every Six Months  (Everything Above Plus)
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1 Headgear
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1 Water Chamber
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1 Mask

Order Your Resupplies Here

If you have received a letter or postcard from us and would like to order, you have two options: Click this Link to call us or complete the form below and submit it. 
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    Is there something that needs to be changed on the resupply order form (ex. new insurance, different mask, etc.) If yes, please add comments in the box below.
    Please choose an option - we will check your eligibility based on your last order. If you choose "Other", please note what you would like in the comments section below.
    Let us know what you would like if its different than the standard orders (ex. mask only, mask and filters, etc.) Also, this is the area to let us know of changes.
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1020 Sun Down Way, Suite 160 Roseville, CA 95661 | 916.789.0112