I have been on a variety of MA Plans for the past 13 years. I have seen many times where I chose to pay out of pocket rather than fight the system. This applies to small items like CPAP masks and larger items like oxygen concentrators and my Resmed Airsense ASV. I have learned to advocate for what I...

I'm not concerned with going a few nights without it. Have you ever gone a night without it? I wouldn't want you to get a miserable surprise. My apnea as tested was mild, only 83.2 AHI. :lol: :roll: :wink: I have occasionally gone a day without PAP, usually when we experienced a power failure. It i...

I was diagnosed with apnea and afib at my welcome to Medicare exam. I have worn a Holter Monitor several times to verify I have constant, silent afib. I only notice it on rare occasions. I do now recognize that I had apnea for years before I was diagnosed, and afib for at least a year or 2 before I ...

I have received more help on this forum than I have from half a dozen sleep doctors over the past 13 years.
It helps if you ask specific questions.
I happen to be in Southern California.

All you guys sure are brave. I got some vaccines a wile back, maybe around 77 years ago.I think it was called DPT. I think I need to space them out. Maybe one every 99 years. I just heard of the RSV 2 days ago from the young gal that fixes my Medicare Advantage problems. She said she got it from her...

Scois67 The information you have received so far all sounds plausible. Things you MUST insist on include receiving a complete detailed copy of all sleep study reports, you already have your prescription. You may need all of the above for years to come and for situations you may be totally unaware of...

If they were only one-third of what your Medigap premiums would have been, why do you consider them significant? Maybe the significance was the nice amount of money you saved with Advantage vs. Medigap? The total is over $9,000. I consider that significant. I agree the premium savings was MORE signi...

I have been on Advantage plans for 13 years and have had several significant out of pocket expenses, Totaling close to one third of what my Medigap premiums likely would have been.

Pugsy there is an easy solution, Just get up at the crack of noon. No more morning sluggishness or morning stress.

As for sleep inertia, mine seldom lasts for more than 2 weeks.

I do know that with the Kaiser Medicare Advantage plan, they have a 20% copay for CPAP machines. And if we make a simplifying assumption just for the sake of this discussion that the CPAP machine is $1,000 (the price Medicare has agreed with the DME), that suggests I'm on the hook for $200. Given w...

Traditional Medicare pays 80% of the price they have set, the user (or their supplemental insurer) pays only the remaining 20% (there are some variations if you're not using a DME that accepts Medicare assignment). I don't know how Advantage plans determine co-payments. Perhaps someone smarter than ...

I am a little late to this party, but decided to add my $0.02. I have used both 1 Resperonics and 2 Resmed over the past 13 years. I will be receiving my third Resmed Aircurve 10 ASV on Tuesday. I plan to finally submit my recall request for my Respironics machine this week. I hope I can talk Respir...

I must just be a troublemaker. 5 years ago I came across a used Aircurve 10 ASV here, At a reasonable price so I bought it and it is still working. However I am a belt and suspenders kind of guy. So I came across another used Aircurve 10 ASV here at a reasonable price so I bought it as a replacement...

Beware of Advantage plans. Less choice of where to go, and you may pay forever on a simple cpap machine. After 13 years on Advantage plans I am well aware of the pitfalls. I paid put of pocket for my current ASV machine and I am currently weighing my choices for my next machine which is due by Chri...

Steerpike58 First make sure you get hard copies of ALL of your sleep study results. That should be all you will need for a prescription from most PCPs/ medical services. My original sleep study 13 years ago showed Mild sleep apnea with an AHI of 83.5. So far no one has questioned weather I need a PA...