Because of rating I can not just comment.
But I have flown internationally and took my CPAP as carry on many times with out informing anyone or checking with airline and I have not had problems yet. I have never been asked by security what it is either when it goes through the security scanner.
You need to be aware that you have a risk of about 2 to 3 in 1000 of a bag being lost or delayed. If not having the medical equipment for a few days would be a serious problem, that may be an unacceptably high risk. If so, make arrangements with the airline to carry it on as essential medical equipment.
I quite often fly with a CPAP machine in my checked luggage (and less often as carry-on), and I’ve never had a problem with it. I will be doing so later today, and don’t anticipate any problems (unless the maple syrup in my luggage leaks everywhere, in which case I’m stuffed).
Johns-305’s answer is much the best option (+1 from me); when I have to fly with the CPAP as carry-on, I always make sure the airline allows it in addition to my normal cabin baggage allowance, and he’s also right that every airline has a different procedure for this. But you did ask if anyone has any experience flying with medical equipment in checked luggage, so I thought I’d say that I have. I can’t shed any light on insurance, though, as I don’t have any over and above my normal travel insurance cover.
First, if it fits in or as a carry-on and you can manage it, I highly recommend you keep it with you. Many airlines will offer a carry-on limit exemption for medical devices though you may have to contact them prior to note the record. This may even get you early boarding if you don’t otherwise qualify.
Second, if you must check it, insure it either with the airline or a 3rd party underwriter. You will have to contact you airline to learn with insurance options and procedures they offer.
For the nitpickers, airlines will have different procedures and requirements for transporting medical devices. It is not possible to exhaustively list all of them. Contacting the airlines directly is the only way to get accurate and specific information. This Answer is meant to give OP some general advice and point to some available options for further research.
+1 for having a local language description though it’s unlikely you will need it.
It’s good to take extra steps the first few times you fly with the device, but it may eventually become quite routine, as in MadHatter’s case, where you forego the complications and it becomes just something else you pack.
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