Comfortably Numb wrote:My plan now is to wait on the call.
Don't wait too long. They don't need weeks to verify Medicare coverage. 2 or 3 days is more than enough...actually 2 or 3 hours is more than enough. Don't get me started on why DMEs take so long to do anything and blame it on "your insurance" when it is their laziness that is the culprit.
Comfortably Numb wrote:Apparently all of the DME's are going to get the required info directly from the doctor even if you carry it in with you.
Yes...there is more needed to get Medicare (or other insurance for that matter) to verify they will pay than just the RX.
There's diagnosis codes and sleep study results that are also needed but having the RX makes it easy for the DME to know who to contact for the other stuff that is needed.
Plus if you ever want to buy something online like from cpap.com that requires RX...the RX is all that you need because insurance isn't involved.
That other stuff is only for when the DME is billing the insurance in lieu of payment.
I have Medicare and I can only get a new complete mask once per 6 months because the 3 month Medicare allowance for a new mask doesn't include headgear...and my DME won't just let the headgear cost slide. Some DMEs will let it slide but mine doesn't.
So sometimes I have wanted to try a different mask that cpap.com has...usually brand new to the market and the DME doesn't have it anyway. So I use my RX to try a new mask....happy to pay for it myself and not involve insurance because sometimes I just don't want to wait.
I may have to RISE but I refuse to SHINE.