Cpap supplies covered with Wisconsin Insurance

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
DeannaPap
Posts: 28
Joined: Fri May 05, 2017 12:08 pm

Cpap supplies covered with Wisconsin Insurance

Post by DeannaPap » Fri May 05, 2017 12:12 pm

Does anyone happen to know what amount of cpap supplies are covered under forward health Wisconsin state insurance? One person is telling me you are allowed 3 nasal pillows a month for the p10 mask and another person is saying you get One nasal pillow every Three months. I've noticed the pillows start leaking a little after a month or so.

DeannaPap
Posts: 28
Joined: Fri May 05, 2017 12:08 pm

Re: Cpap supplies covered with Wisconsin Insurance

Post by DeannaPap » Fri May 05, 2017 12:42 pm

I forgot to mention that I was previously getting a nasal pillow every month for over 6 months before someone told me I was supposed to be getting them once every three months.. When I asked why they were sending me one a month if my insurance wasn't covering them the medical supply lady told me that the medical supply company was probably paying for them or something. Something isn't adding up.

User avatar
chunkyfrog
Posts: 34428
Joined: Mon Jul 12, 2010 5:10 pm
Location: Nebraska--I am sworn to keep the secret of this paradise.

Re: Cpap supplies covered with Wisconsin Insurance

Post by chunkyfrog » Fri May 05, 2017 4:46 pm

If you call the main office, you will know more than us.
As always, only your INSURANCE has the details of your coverage.
Do not trust the DME--they guess or lie, you pick which.

_________________
Mask: AirFit™ P10 For Her Nasal Pillow CPAP Mask with Headgear
Additional Comments: Airsense 10 Autoset for Her

User avatar
mike1953
Posts: 154
Joined: Sun Aug 31, 2014 7:15 pm
Location: Kansas

Re: Cpap supplies covered with Wisconsin Insurance

Post by mike1953 » Fri May 05, 2017 6:23 pm

chunkyfrog wrote:If you call the main office, you will know more than us.
As always, only your INSURANCE has the details of your coverage.
Do not trust the DME--they guess or lie, you pick which.
+++100 Only Your Insurance company knows for sure, and cpaptalk is not Your Insurance Company!

_________________
Mask: AirFit™ P10 Nasal Pillow CPAP Mask with Headgear
Humidifier: S9™ Series H5i™ Heated Humidifier with Climate Control
Additional Comments: Using a Buckwheat pillow its great

mwarn
Posts: 11
Joined: Wed Mar 22, 2017 10:24 am

Re: Cpap supplies covered with Wisconsin Insurance

Post by mwarn » Sat May 06, 2017 8:58 pm

Wisconsin Medicaid will only cover 1 set of nasal pillows every 3 months.

_________________
MachineMask

DeannaPap
Posts: 28
Joined: Fri May 05, 2017 12:08 pm

Re: Cpap supplies covered with Wisconsin Insurance

Post by DeannaPap » Wed May 17, 2017 5:45 am

mwarn wrote:Wisconsin Medicaid will only cover 1 set of nasal pillows every 3 months.
Thank you! Where did you find this information? My insurance company didn't even know the answer.

DeannaPap
Posts: 28
Joined: Fri May 05, 2017 12:08 pm

Re: Cpap supplies covered with Wisconsin Insurance

Post by DeannaPap » Sun May 21, 2017 11:19 am

Thank you! Where did you find this information? My insurance company didn't even know the answer. I'd like to know for future reference

mwarn
Posts: 11
Joined: Wed Mar 22, 2017 10:24 am

Re: Cpap supplies covered with Wisconsin Insurance

Post by mwarn » Sun May 21, 2017 11:50 am

DeannaPap wrote:Thank you! Where did you find this information? My insurance company didn't even know the answer. I'd like to know for future reference
You can use the below link. You'll need to know the HCPC code you're looking for. In this case it's A7033.

https://www.forwardhealth.wi.gov/WIPort ... .pdf.spage

_________________
MachineMask