Sleep Disorder Centre

Sleep Disorder Centre Equipment Funding Changes

Continuous Positive Airway Pressure (CPAP) Therapy Equipment and Supplies

Effective April 23, 2018, adults requiring initial CPAP Therapy will copay $500 towards the purchase of CPAP equipment. The remainder of the cost of the equipment and service fees will be paid for by the WRHA. 

Individuals will also be responsible for the cost of supplies related to their therapy going forward.

Individuals are eligible for equipment replacement every five years and the $500 individual copayment will be required for those anticipated replacements.

Children’s sleep therapy services remain unchanged. As well, there will be no changes to the services provided by the Sleep Disorder Centre (SDC) Program.  They will continue to diagnose and provide therapy for your sleep breathing disorder including patient assessments and ongoing clinical support.

What is a CPAP machine?

CPAP therapy is a common treatment for obstructive sleep apnea. A CPAP machine uses a hose and mask, or nosepiece, to deliver constant and steady air pressure. Sleep apnea is a common sleep disorder where an individual has one or more pauses in breathing or shallow breaths while they sleep.

Why are these changes taking place?

The WRHA has determined that Continuous Positive Airway Pressure (CPAP) therapy equipment and supplies funding was not comparable with other areas across Canada. Most other provinces have a similar individual copayment model or the individual is required to pay in full. 

How does the WRHA’s funding model for CPAP therapy compare to other provinces?

Most provinces do not provide coverage for CPAP equipment and supplies.  Manitoba is one of only three provinces to provide co-payment coverage for adult therapy – the other two are Ontario and Saskatchewan. In each of those three provinces, Manitoba included, the individual is responsible for an initial fee that covers the use (purchase or loan) of the equipment for the life-span of the machine which is typically about five years.

In Manitoba, the individual is responsible to pay the initial $500 for CPAP equipment and supplies. 

Many private insurance programs offer some financial support for CPAP equipment and supplies which may help reduce an individual’s copayment.  For those currently receiving Employment and Income Insurance (EIA), required health services are often covered by that program, please contact your EIA representative to discuss your financial coverage and support.  Additionally, the WRHA recognizes there may be individuals who do not have other sources of coverage, cannot afford the equipment copayment and may have exceptional circumstances for consideration.  In order to accommodate those individuals, an Appeal Process has been established to determine the best approach to ensure these individuals who require CPAP therapy can access it.

What does this mean for those on other similar types of therapy? Will patients receiving bi-level therapy also lose funding?

Bilevel therapy is offered to breathing disorders that are severe and not restricted to obstructive sleep apnea. Bilevel therapy supports those with neuromuscular disorders that involve respiratory muscles that can impact breathing and will continue to be funded by WRHA.

How will these changes affect me and my treatment?

Starting April 23, 2018, adult CPAP Therapy Equipment and supplies, including delivery fees, will no longer be fully funded by the WRHA.  Individuals requiring initial CPAP Therapy will now be responsible to copay $500 towards the purchase of CPAP equipment.

The initial copayment will include the new CPAP machine and the following supplies:

  • Interface (nasal, full-face or direct),
  • Filters for your equipment,
  • Tubing. 


You will also be responsible to pay for additional or replacement supplies as well as delivery charges.

Services for children remain unaffected.

What remains fully covered?

The Sleep Disorder Centre (SCD) program will continue to provide sleep breathing disorder assessment and treatment planning including patient consultations, and ongoing clinical support.  WHRA will also continue to pay the remaining balance for CPAP machines, and service fees including:

  • The administration fee for the initial equipment purchase;
  • 60 minute consultation fee with the client’s vendor of choice;
  • Mask fitting;
  • Education regarding equipment use and care;
  • Follow-up appointments for treatment issues;
  • Auto-titration trial fee (if required to determine fixed pressure setting).


When is this change happening?

This change will take effect April 23, 2018. The current funding arrangement will be in place until April 22, 2018 for all adults who have received their prescription and have met the compliance requirements as outlined by their sleep specialist.

I currently have a CPAP machine through the SDC Program. How will this change affect me?

As of April 23, 2018 any adult CPAP user will be responsible to cover the cost for supplies. Those who currently have CPAP machines will not be required to copay for the equipment until a replacement machine is required.  Individuals are eligible for machine replacement every five (5) years. This will be determined from the WRHA record of the purchase date of your existing machine.

Will I be responsible to pay for repairs to the equipment?

Yes, individuals will be responsible for repairs to the equipment. To minimize repairs required we encourage all clients to clean and maintain the equipment and supplies as recommended by the manufacturer.

I currently have a CPAP machine through the SDC program and equipment repairs were covered by WRHA. Is this still the case?

No, as of April 23, 2018 you will be responsible to cover the cost of equipment repairs. The useful life of a machine has been defined as five years. You can continue to use the machine beyond five years, but if it requires repair or replacement, you will be responsible for the cost.

Will the cost of the equipment and supplies be covered by private insurance?

Possibly. Individuals are encouraged to contact their private insurer or group benefits administrator directly to see if the equipment and supplies are a benefit under their policy.

What if I am unable to cover the cost of the equipment or supplies for the machine?

The Employment and Income Assistance Program (EIA) will cover the cost of CPAP equipment and supplies for clients who currently receive EIA and there may be options available under most private insurance plans. Additionally, the WRHA will have an appeal process in place for exceptional circumstances. For more information please visit the WRHA’s website at http://www.wrha.mb.ca/prog/sleep-disorder-centre/

Where do I pay for my machine?

The $500 copayment will be made directly to the vendor of the equipment (Medigas or VitalAire).  You will make arrangements directly with the vendor for copayment.  The vendor will work with WRHA to receive the remainder of the payment.

Do I need to pay the $500 copayment before I receive the CPAP machine?

Yes, payment will be required before the permanent CPAP machine is provided.

Is the $500 initial co-payment for equipment refundable if I decide I no longer require the CPAP machine?

No, the copayment is not refundable. You own the CPAP equipment once you have made the copayment.

For more information, or to discuss your current CPAP therapy services, please contact the WRHA’s Client relations department at (204) 926–7825 or ClientRelations@wrha.mb.ca.

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