Medicare Rules or Ripoffs

I have been on pap therapy since 5/14. In 5/15 I was moved from a ResMed S9 VPAP to an Aircurve 10 ST. A month later increased pressures were added and my apnea is now under control. However Medicare is now claiming this machine is not covered for Sleep Apnea therapy and they will not pay for the machine or any supplies. Anyone else using this equipment? And is Medicare or any insurance covering? Your feedback is appreciated.

Medicare does indeed pay for those machines for sleep apnea but there are specific requirements that need to be met.

If Medicare is denying coverage then someone hasn't done the correct paperwork or is missing some documentation or diagnosis.

I think your machine HCPCS code is E0471 with back up rate
https://www.cms.gov/Outreach-and-Educat ... 905064.pdf

The older S9 VPAP may have used code E0470.

Medicare pays for these machines (all 3 types E0601,E0470 and E0471) all the time but certain documentation must be obtained.
https://www.cms.gov/Outreach-and-Educat ... 905064.pdf

Medicare has very specific procedures and documentation requirements that must be followed in the proper sequence. As a result, I ended up having two sleep studies and two titration studies, two different sleep doctors, and two different DMEs in eight months trying to meet their requirements. Everything must be done exactly as they specify.