Written by Lauren Davis, Fortune Recommends Writer
You may be one of the 54 million U.S. adults with obstructive sleep apnea (OSA). (1) If so, your sleeping partner may notice you snore loudly, gasp for air, or even stop breathing at night. It’s also possible to have sleep apnea without any of these symptoms reported by a bed partner. Left untreated, OSA may increase your risk of heart attack, stroke, and irregular heartbeat. Untreated sleep apnea is also associated with dementia, weight gain, and problems with insulin regulation (including diabetes). (2) This can be scary, but help is available. Once a sleep specialist diagnoses you with OSA, they may recommend a continuous positive airway pressure (CPAP) machine to help mitigate your symptoms.
It can take time to adjust to a CPAP machine, but some models are designed for different sleeping positions to help you stay comfortable. A mattress for sleep apnea may also help you rest more soundly. Our team of experts reviewed and researched several devices to find the best CPAP machines to help you sleep better.
Editor’s choice CPAP machine
Our selection for best CPAP machine overall is the ResMed AirSense™ 11 Autoset because of its user-friendly design and Bluetooth capabilities.
Our picks for the best CPAP machines
- Best overall: ResMed AirSense™ 11 AutoSet
- Best for travel: Transcend Micro™ Auto
- Best value: ResPlus Auto CPAP Machine
- Best for at home: Luna G3 BiLevel 25A
Compare best CPAP machines
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| ResMed ResMed AirSense™ 11 AutoSet | Transcend Transcend Micro™ Auto | OxyGo ResPlus Auto CPAP Machine | 3B Medical Luna G3 3B Luna CPAP MachineBiLevel 25A | |
| Rating | ||||
| Price | $1,299 | $779 | $799 | $2,049 |
| Weight (lbs) | 2.5 | .48 | 4.8 | 3.75 |
| Dimensions (L x W x H in.) | 10.2 x 3.7 x 5.5 | 3.6 x 3.6 x 2.4 | 11.02 x 7.87 x 4.41 | 10.4 x 5.7 x 4.5 |
| Noise level (dBA) | 27 | 27 | <30 | 26 |
| Warranty (yrs.) | Two | Two | Two | Two |
| FAA compliant | Yes | Yes | Yes | No |
Best CPAP machine overall: ResMed AirSense™ 11 Autoset
Key product features
What you should know
The ResMed AirSense™ 11 Autoset connects to Bluetooth. It includes the myAir app, which allows users to track their sleep patterns and share that data with their healthcare provider.
- We like this CPAP machine for tech-savvy users who want to track their breathing and sleeping patterns throughout the night while they are using it.
- At $1,299, this is the second most expensive model in our roundup.
- ResMed AirSense™ 11 Autoset is ideal for people who need varying CPAP therapy throughout the night or the flexibility to engage with a fixed pressure or a range of pressure settings.
Why we like ResMed AirSense™ 11 AutoSet as best overall
The ResMed AirSense™ 11 Autoset is our pick for the best overall CPAP machine because it has both CPAP and automatic positive airway pressure (APAP) functionality and automatically adjusts your required level of airway support with an internal algorithm. The LCD screen allows you to manage the machine’s comfort settings. This model comes with a heated humidifier, which can reduce the risk of dry mouth, sore throat, and nasal congestion. (3) The ResMed AirSense™ 11 Autoset is lighter and quieter than most other CPAP machines we evaluated, clocking in at 2.5 pounds and a whisper-quiet 27 dBA, similar to the rustling of leaves. (4) It has a two-year warranty and is compatible with most CPAP masks.
The ResMed AirSense™ 11 Autoset costs $1,299 without discounts or insurance coverage. Medicare and some insurers will cover part of the cost. Buyers can often use flexible spending accounts (FSA) or health savings accounts (HSA) to pay for the CPAP machine. Other payment options include American Express, Apple Pay, Mastercard, PayPal, and VISA. Shipping is free.
MyAir™ app
This CPAP machine works with the myAir™ app, which you can download to your Apple or Android device. The app’s voice-guided instructions help you set up your device and mask, and a test drive feature lets you try your CPAP machine at different air pressure levels. The app also has a library of videos and guides for additional support. Once you are up and running, you can view your daily therapy data and share it with your healthcare provider.
Customer service
You can reach ResMed by phone at (800-424-0737) Monday through Friday, 6 a.m. to 3 p.m. PST. ResMed also has a contact form on its website, or you can chat with Dawn, an AI-powered digital assistant.
What customers are saying
ResMed earned 4.5 out of five stars from an average of more than 1,000 reviews on Trustpilot. Since the ResMed AirSense™ 11 Autoset is a newer model, it’s only mentioned in a few reviews. One customer called the device “outstanding,” but others say it’s too noisy.
“I have been using the ResMed 11 for a few weeks and have adjusted to it surprisingly well…The order process was hassle-free. They prompted me to ensure I had the prescription loaded properly so there would be no delay in shipping. Overall, it was a great experience, and I look forward to ordering supplies through their site in the future,” says verified Trustpilot reviewer Mark O.
“The product was noisy, hearing but not feeling moving at the machine. It became worse as it ramped up. A replacement machine had the same issue. The humidifier was in, and the hoses and masks were good. AirSense™ 10 did not have this problem,” says verified TrustPilot reviewer Chris N.
The myAir™ app has 70,182 reviews on the Apple store, earning 4.7 out of five stars. It has 4.3 out of five stars from an average of nearly 29,000 reviews on Google Play. Users say the app is easy to use and helpful for managing their sleep apnea.
“Great app for new CPAP users. Very helpful hints to assist with acclimating to sleep therapy and care for the equipment,” says Robert S. on Google Play.
However, others say myAir™ is glitchy and doesn’t accurately record their time using the CPAP.
“Setup and use have been fine thus far. However, there was a problem recently, and my CPAP usage data was not recorded for five consecutive days. I tried everything in the data sync instructions with no success. Those five days of no data may cause some issues with my insurance coverage,” says Richard W. on Google Play. ResMed responded to this review, advising the customer to reset the device and contact support if the data doesn’t display within 24 hours.
Specs
| Price | $1,299 |
| Dimensions (L x W x H in.) | 10.2 x 3.7 x 5.5 |
| Noise level | 27 |
| Connectivity | Bluetooth and cellular |
| App | Yes |
Best CPAP machine for travel: Transcend Micro™ Auto
Key product features
What you should know
The Transcend Micro™ Auto is small enough to fit in a bag and is not considered an additional flight carry-on.
- We like this CPAP machine for people who are on the go and want a device that fits discreetly in a small bag.
- At $779, this is the second-least expensive model in this roundup.
- The Transcend Micro™ Auto is FAA-approved, so you can take it on an airplane. It auto-adjusts up to 8,000 feet.
Why we like Transcend Micro™ Auto as best CPAP for travel
Needing a CPAP machine shouldn’t stop you from traveling to your dream destination, and the Transcend Micro™ Auto is the perfect companion. It’s our pick for the best CPAP machine for travel because it is one of the smallest devices on the market at less than half a pound and just 3.6 inches wide. This portable CPAP machine looks like a baseball with the top sliced off, with a panel to control the device’s power, Bluetooth, and airflow. At 27 dBA, it’s as quiet as a library, so it won’t disturb you or your travel partners. The Transcend Micro™ Auto is FAA-compliant, so you can use it mid-air for long flights when you want to doze peacefully.
A prescription is required to make a purchase. Before discounts, the Transcend Micro™ Auto costs $779. Apria Direct sells this model. However, if Medicaid/Managed Medicaid covers you, you can’t buy through Apria Direct’s website. You can call Apria at (888) 492-7742 to order. Buyers can use flexible spending accounts (FSA) or health savings accounts (HSA) to pay for the CPAP machine. It’s battery-powered and can last up to 17 hours. For an extra $250, you can buy a solar-powered battery charger. It will charge in approximately six hours.
Travel machines are often limited in the following ways: upper limit on the prescribed pressure setting (and don’t deliver BiPAP), no humidification, and not durable enough to be used daily for the long term (smaller motor). Often, insurance plans won’t cover a travel device, and the expense is out-of-pocket.
Apria accepts American Express, VISA, MasterCard, Discover, and PayPal, or you can pay over time with Affirm. Shipping is free, and orders will arrive via FedEx within three to five business days. It offers a one, two, or three-year warranty for $74.99, $119, or $159 respectively.
Specs
| Price | $779 |
| Dimensions (L x W x H in.) | 3.6 in x 3.6 x 2.4 |
| Noise level | 27 |
| Connectivity | No Bluetooth or cellular |
| App | No |
Best value CPAP machine: OxyGo ResPlus Auto CPAP Machine
Key product features
What you should know
The OxyGo ResPlus Auto CPAP Machine offers both CPAP and APAP support for people with varying oxygen needs. It is the least expensive model we reviewed. It offers both CPAP and APAP support and has a heated humidifier to protect your throat and nose from drying out and getting sore.
- We like this CPAP machine because it has a heated humidifier and is lightweight.
- This model is $799 before discounts, but it is currently on sale for $649, which makes it more budget-friendly than the other models we reviewed.
- The ResPlus Auto CPAP Machine is good for people who don’t want to break the bank when buying a CPAP machine.
Why we like the OxyGo ResPlus Auto CPAP Machine
The OxyGo ResPlus Auto is the least expensive CPAP machine in our review, at $799, but it’s currently on sale for $649. It’s our pick for the best value CPAP machine because it’s budget-friendly, offers both CPAP and APAP support, and is whisper-quiet at 30 dBA. Its built-in heated humidifier detaches for easy cleaning, and the water chamber holds enough water for one to two nights.
This budget CPAP machine is compatible with most CPAP sleep masks. It features a 3.5-inch color LCD screen that provides settings and alarms for power failure, low voltage, and airway block. At 4.8 pounds, it’s slightly heavier than some of the other CPAP machines we reviewed.
You can pay with most credit cards, your Amazon account, or PayPal, or pay in monthly installments with Affirm. Shipping is free unless you want it sooner via UPS. UPS ground is $16.25, second-day air is $61.82, and next-day air is $125. Buyers can get a two-year warranty and same-day shipping. It has a two-year warranty.
Customer service
The OxygenConcentratorStore sells this model. If you have questions, you can call customer service at (855) 730-2584, email sales@amsrco.com, or live chat with an oxygen specialist at the OxygenConcentratorStore. This may be necessary if you want to get insurance coverage for this machine.
What customers are saying
There are no reviews on Trustpilot or the BBB for this CPAP machine. That said, TheOxygenConcentrator store has good reviews on Trustpilot. Of the 7,944 reviews, 87% are five stars, and many customers praise the company’s support team.
“Everyone was friendly and, more importantly, responsive. And they did what they said they would– whether it was the people who answered your phone, like Tammy or Nav, to get the repair started or the service folks, like Elie, who took care of fixing the machine and getting it back to me sooner than anticipated and definitely before I needed,” says verified buyer Carol, TrustPilot.
However, not everyone is pleased with customer service. “You have not called me back to confirm repair nor confirmed shipment back,” says verified buyer Steve H., TrustPilot.
Specs
| Price | $799 |
| Dimensions(L x W x H in.) | 11.02 x 7.87 x 4.41 |
| Noise level | <30 dBA |
| Connectivity | No Bluetooth or cellular |
| App | No |
Best at home CPAP machine: Luna G3 BiLevel 25A
Key product features
What you should know
The Luna G3 BiLevel 25A is a multi-purpose CPAP machine that offers the capability of delivering bilevel (inhale and exhale) pressures according to your PAP prescription. This machine is also capable of CPAP and AutoPAP modes.
- We like this CPAP machine for people who need a bilevel PAP (or BPAP) machine prescribed by their sleep medicine doctor.
- This model costs $2,049, which is more expensive than the other models in this roundup.
- The Luna G3 BiLevel 25A is a great at-home CPAP machine treatment for sleep apnea for people who need bilevel CPAP therapy and an app to track breathing and sleep data.
- It has a heated humidifier to help prevent a sore throat and dry nasal passages.
Why we like the Luna G3 BiLevel 25A as best for home
The Luna G3 BiLevel 25A has bilevel positive airway pressure (BiPAP) designed for people with sleep apnea who have different pressure needs for inhaling and exhaling or relatively high PAP pressures to resolve sleep apnea. This determination is made by a sleep medicine physician since the pressure mode and settings are part of the prescription. Features like a pre-heater to warm the humidifier’s water, built-in heated tubing, and automated humidity control make the Luna G3 our pick for the best at-home CPAP machine. It also may be more comfortable for people who cannot tolerate high-pressure CPAP machines. Despite being an at-home device, this CPAP machine is smaller and quieter than some others we reviewed at 3.75 pounds and 26 dBA.
React Health Plus app
You can download the free manufacturer’s app, React Health Plus, to your Apple or Android device to track your sleeping and breathing patterns. Use the QR code feature and take a picture of your Luna G3 screen to submit your usage data to your healthcare provider between appointments.
The original price of the Luna G3 is $2,049 with free shipping. Lofta.com sells this model and also offers a free 60-day return policy. Loft accepts ShopPay, PayPal, Google Pay, and Venmo, as well as popular credit cards like VISA, MasterCard, and American Express, among others. Lofta offers a 25% discount to active duty and retired military personnel, veterans, first responders, and nurses. This model comes with a two-year warranty.
Customer service
If you have questions about your order, call Lofta at (800) 698-8000. You can also chat with a customer service representative on the Lofta website via chat. If you haven’t been diagnosed with sleep apnea but have questions, schedule a 10-minute call with a Lofta sleep coach to see if the at-home Loft Sleep Apnea Test is right for you.
What customers are saying
The Luna G3 BiLevel 25A CPAP machine doesn’t have reviews on TrustPilot. The manufacturer, React Health, has a handful of reviews on BBB, but the profile isn’t accredited. Only one review is positive.
“Amazing customer service. They were able to assist me with an issue I had with my CPAP machine. They truly care about helping their customers,” says verified TrustPilot reviewer Gary.
Several unhappy customers complained to the BBB, saying they were confused about who to contact when they had a problem with their machine.
“Last night, my G3 device stopped working, giving an error code. I am completely unable to contact React Health through normal means and am using this as a last resort. I reached out to Apria, the provider of my equipment, and they were unwilling to repair the device as they stated my account is past due,” from an anonymous BBB verified buyer.
The manufacturer, React Health, responded. “We cannot work directly with patients due to HIPAA violations. A CPAP is a prescription-only medical device. Warranty support must be initiated by your provider.”
Specs
| Price | $2,049 |
| Dimensions (L x W x H in.) | 10.4 x 5.7 x 4.5 |
| Noise level | 26 dBA |
| Connectivity | Bluetooth, cellular |
| App | Yes |
Types of CPAP machines
CPAP machines provide continuous pressurized air support to keep your airways open while you sleep. Most devices include features like heated, humidified air to keep you from getting a sore throat, a digital screen to control the airflow, and a smartphone app to help you track your usage and sleep patterns.
Travel CPAP machines
Using a CPAP machine shouldn’t slow down your desire to travel. Travel CPAP machines weigh less than at-home models, and some can fit into a purse or small bag. When looking for a portable CPAP machine, make sure the device is approved by the Federal Aviation Administration (FAA) so you can use it on flights. (18)
CPAP accessories
CPAP masks
Most CPAP masks have straps that go around your head to conduct the pressurized air, as prescribed by your doctor, to your mouth and nose through a mask while you sleep. Mask choices include those that direct air into your nose or both your nose and mouth. The mask choice is typically at the discretion of the user and is not prescribed. It is known that comfort and use of CPAP are better when a nasal mask is used. Some masks are designed for back sleepers, while others are better suited for side sleepers.
Related post: Best mattress for back sleepers
Tubing and hoses
CPAP accessories include tubing and hoses that come in different lengths and temperatures, diameters, and comfort feature capabilities (such as the capability to deliver warmed air). Heated tubing helps to moisturize and condition the pressurized air, which is gentler on the tissues in your nose and throat. (3)
Air filters
Most models have air filters to remove particles like pet dander and hair. These filters need to be replaced regularly to keep your airflow clean and preserve the warranty on your PAP machine.
Other types of pressurized air devices
CPAP isn’t the only breathing therapy available. Depending on your condition and preferences, you may try one of these options:
Expiratory positive airway pressure (EPAP)
EPAP therapy is pulsed directly through the nostrils and works as you exhale. It doesn’t require a mask. Patients with mild to moderate OSA may be candidates for EPAP when CPAP isn’t well tolerated. (5)
Automatic positive airway pressure (APAP)
Unlike most CPAP and EPAP machines which deliver a specified amount of oxygen, APAP therapy adjusts throughout the night, responding to changes in your breathing patterns, such as snoring. (6)
Bilevel positive airway pressure (BiPAP)
With BiPAP machines, oxygen pressure is higher when you inhale and lower when you exhale. BiPAP is indicated for people with OSA or chronic obstructive pulmonary disease (COPD). (7, 8)
Does Medicare cover CPAP machines?
Yes, Medicare covers a three-month trial of CPAP machines for people with an OSA diagnosis. After three months, you need to return to your doctor to document if the machine is helping and if you should continue to use it for better sleep. If you have an existing CPAP machine and need replacement parts, Medicare may cover those too. Your doctors and medical suppliers must also be enrolled in Medicare for coverage. (9)
You must pay the Medicare Part B deductible and pay 20% of the machine rental and purchase of masks and tubing. Medicare pays the medical supplier a rental fee for 13 months if you use it regularly, after which you will own the machine. (9)
What CPAP alternatives are available?
CPAP machines are not for everyone, but alternatives are available.
Mouth guards
You can buy a mouthguard that fits in your mouth like a retainer. Some devices are custom-made based on the shape of your mouth, and others are available at local pharmacies and online. This device holds your jaw forward to keep your airway open. (10)
Weight loss and exercise
Obesity is a risk factor for OSA, and research shows that weight loss can lessen the severity of sleep apnea. (11) Losing at least 5-10% of your body weight with a combination of a well-balanced diet and increased exercise can reduce symptoms, according to the American Thoracic Society. (12)
Related post: Best weight loss programs
Surgery
Surgery is an option for people who do not respond well to CPAP machines or other alternatives. One mask-free solution is called Inspire. It involves a doctor surgically implanting the device under the skin near your collarbone to send gentle pulses stimulating the muscles to keep your airway open. It comes with a remote and an app to download to your smartphone. This procedure is covered by many types of insurance. Early studies demonstrate a high success rate with Inspire. (13)
Research shows that a tonsillectomy with adenoidectomy, where the tonsils and adenoids are removed, is an effective treatment for children with sleep apnea. (14) OSA is more prevalent in kids with neurodegenerative disorders, syndromes, and craniofacial abnormalities, like a cleft palate.
Mouth tape
You may see social media influencers touting mouth tape to stop snoring, but it is not recommended for sleep apnea and can pose health risks because it prevents you from taking deep breaths. (15) A small study with 20 participants who used the ApneaLink® Air at-home sleep apnea test with mouth tape concluded some efficacy for people with mild OSA. However, larger studies are needed before recognizing this as an acceptable alternative to medically proven OSA treatments. (16)
Positional therapy
One technique, called positional therapy, aims to keep the sleeper on their side rather than their back to cut down on snoring-related OSA. This involves tools like a vest with a tennis ball attached to the sleeper’s back or special pillows as a gentle reminder to stay sleeping on their side. (17)
FAQs
Does insurance cover CPAP machines?
Yes, most insurance companies cover CPAP machines and CPAP equipment such as tubing and filters. You can call your insurance provider to check if you need to meet a deductible before the company covers the rest of the cost or if it covers the cost in full.
Who should use a CPAP machine?
People who snore loudly or gasp between breaths while sleeping should see a sleep specialist to see if they have sleep apnea or another sleep-related breathing condition. You need a prescription to buy a sleep apnea machine and a specific prescription for your device’s pressure settings, so it’s important to see a medical professional for a diagnosis.
How loud are CPAP machines?
The CPAP machines we reviewed range between 27 dBA and 30 dBA, which is no louder than a whisper (4), so they shouldn’t disturb you or your sleeping partner when in use. The noise level of a CPAP machine should be listed in the specifications of each make and model.
These statements have not been evaluated by the Food and Drug Administration (FDA). These products are not intended to diagnose, treat, cure, or prevent any diseases.
Our experts
Dr. Audrey Wells
Dr. Wells is board-certified in sleep medicine and obesity medicine. She is the founder of Super Sleep MD, an online platform for education, support, and group coaching experiences specifically for people struggling with obstructive sleep apnea and insomnia. Through Super Sleep MD, she offers a comprehensive library of self-directed courses, a group coaching program, and a private Facebook community.
Krista Manning
Krista Manning is an accomplished medical copy editor and fact-checker who stands out in the pharmaceutical, health, and wellness domains. With a meticulous eye for detail and a command of medical language, Krista ensures the accuracy and clarity of content. Beyond her professional expertise, Krista is an advocate for mental health awareness. Recognizing the crucial intersection of psychological and physical well-being, she actively contributes to projects that promote mental health awareness within the healthcare narrative. Krista’s commitment extends beyond the pages she edits, emphasizing the holistic nature of health communication.
Lauren Davis
Fortune Recommends Writer
About Author
Sources
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