The ASAA CPAP Assistance Program (CAP) has provided over 5,000 CPAP equipment packages to patients in need over the years. It is our mission to help as many patients as possible get the treatment that they need. No one should go untreated due to financial hardship or other issues.
Due to generous donations and while supplies last, we have various machine models available for sleep apnea patients who need a new machine, a replacement or backup, or for travel.
The equipment package consists of a positive air pressure machine (CPAP, AutoCPAP) and new tubing, filter, carrying case and data card. If a requested mask is available it will be shipped with the package. In the event the requested mask is NOT available a mask will not be included.
The equipment package is offered “as is” and does not come with a humidifier, warranty or technical support from the manufacturer. The ASAA provides a 30-day warranty in the event the device is damaged and will replace the machine for free.
A simple application and proof of prescription is required along with a $100 Program Fee per package to help cover program costs so we may help others.
How do I start the process?
Choose Patient CAP Application or Physician CAP Application option (to submit on behalf of a patient). See FAQs below to determine which applies to you. Print the Application and fax completed form with required signatures, equipment package choice and valid prescription to 888-293-3650. Click to Pay $100 Program Fee online using credit or debit card. See FAQs below for other payment options.
To apply online click below:
Alternatively, you can print the relevant application using these buttons:
Fax the completed form with required signatures, equipment package choice and valid prescription to 888-293-3650.
If you have questions or need more information, contact the program coordinator firstname.lastname@example.org or call 888-293-3650 and choose option 3 to leave a message.
To learn more about how our program works, please review our Frequently Asked Questions.
Q. How do I know if I qualify for the CAP program?
A. Any patient qualifies who may have difficulty affording CPAP equipment despite having insurance or who, for a limited time needs a replacement, backup or machine for travel.
Q. Why are there 2 applications?
A. We have simplified our application to make the process easier for both patient and prescribing physician.
Choose PATIENT CAP Application option if you are an existing patient and have a valid prescription.
Choose PHYSICIAN CAP Application option if you are an medical professional or agency assisting a patient or client in obtaining a CAP package OR if you are a patient and require education and follow up service with your physician. The ASAA provides no instruction on device use or mask fit. If you require such education, it is recommended we ship to the office or agency as you direct to provide these services and any ongoing follow up care. There are also many good educational videos online offered by CPAP manufacturers and others.
Q. Why is there a program fee?
A. The Program Fee covers costs such as storage, staffing, shipping, promotion and allows us to continue to help other patients in need. Patients are required to pay a $100 Program Fee per device prior to shipping. Without this, we would not be able to provide this valuable service. The packages are worth several hundred dollars in retail value.
Q. What are my Program Fee payment options?
A. The fastest way to process and receive your CAP package is to pay with our secure online option using a credit or debit card or PayPal. We do not accept personal checks but you can choose to send a money order or certified check payable to ASAA and with patient name clearly identified on the check.
Send checks to:
524 Craig Ave.
Tracy, MN 56175
Q. Is the Program Fee refundable if I change my mind?
A. Yes, the fee is 100% refundable if requested prior to shipping. There are no refunds after shipment.
Q. What will I receive in the CAP equipment package?
A. The equipment package consists of a PAP device as prescribed by your doctor and based on availability , factory-sealed mask, tubing, filter, carrying case, and patient/clinician manuals. No humidifier is provided in the CAP equipment package. We offer a 30-day warranty and will replace your machine for free is it is found to be defective.
Q. Can I request certain CPAP or mask brands?
A. The CAP Program relies on donations from individuals and manufacturers, therefore is limited to what we have in inventory. You may request a particular mask brand, but it is not guaranteed it will be included in your package.
Q. Is a warranty provided?
A. The equipment package is offered “as is” and without warranty or technical support from the manufacturer. The ASAA does provide a 30-day warranty in the event the device is damaged during shipment or has a mechanical failure within 30 days of receipt.
Q. How long will it take to process my application for CAP equipment package?
A. Once we receive the completed application and Program Fee, you can expect the equipment package to ship in approximately one week. We ship UPS ground from our Minnesota CAP facility. Incomplete applications will held for 30 days, at which time the process may need to be restarted.
Q. How will I know when my CAP package has been shipped?
A. By providing an email address on the application, you will receive the UPS tracking number as soon as it leaves our CAP facility.
Q. Does the device need to be shipped to my doctor’s office?
A. No, we will ship directly to address indicated on the application. However, the ASAA provides no instruction on device use or mask fit. If you require such education, it is recommended the equipment package is shipped to an office or agency who will provide these services and any ongoing follow up care.
Q. What if there is a problem with the machine or mask?
A. We test the devices to assure they are in good working order before they are shipped. If the machine is damaged in shipment or fails within 30 days, we will replace it at no additional charge. If you question the machine pressure setting, or comfort settings, refer to the patient manual or discuss with your doctor or local home healthcare provider.
The application allows choice of full-face mask, nasal mask or nasal pillow mask in small medium or large. We send what is marked on the application. There are no substitutions once the package ships. Please choose wisely.
Q. How do I contact a program staff member?
A. If you have questions or need more information, contact the program coordinator email@example.com or call 888-293-3650 and choose option 3 to leave a message.