Newbie - DME not covered question

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
User avatar
Pugsy
Posts: 64012
Joined: Thu May 14, 2009 9:31 am
Location: Missouri, USA

Re: Newbie - DME not covered question

Post by Pugsy » Fri Jan 19, 2018 1:38 pm

Berks wrote:cool - I called CPAP.com who said they have a "medical device distributor license" - I just sent an email to my union to confirm that counts - I'd be shocked if it didn't...
I would be shocked too if there was a problem.

Get the AirSense 10 AutoSet for Her...the difference in copay out of your pocket after the union reimbursement is small and I really think that in the long run you would be happier with the AutoSet for Her.
I can't imagine anything with that machine that you wouldn't like and while you may or may not need or want that extra algorithm...always better to have something and not need it than need it and not have it.

_________________
Machine: AirCurve™ 10 VAuto BiLevel Machine with HumidAir™ Heated Humidifier
Additional Comments: Mask Bleep Eclipse https://bleepsleep.com/the-eclipse/
I may have to RISE but I refuse to SHINE.

If you want to try the Eclipse mask and want a special promo code to get a little off the price...send me a private message.

User avatar
ChicagoGranny
Posts: 14463
Joined: Sun Jan 29, 2012 1:43 pm
Location: USA

Re: Newbie - DME not covered question

Post by ChicagoGranny » Fri Jan 19, 2018 1:40 pm

Berks wrote:cool - I called CPAP.com who said they have a "medical device distributor license" - I just sent an email to my union to confirm that counts - I'd be shocked if it didn't...
That is the state of Texas (and many other states) term for DME provider.

User avatar
Pugsy
Posts: 64012
Joined: Thu May 14, 2009 9:31 am
Location: Missouri, USA

Re: Newbie - DME not covered question

Post by Pugsy » Fri Jan 19, 2018 1:43 pm

ChicagoGranny wrote: That is the state of Texas (and many other states) term for DME provider.
Doesn't cpap.com have a brick and mortar store down in Stafford? If I remember correctly they also have a walk in store where people can go just like any other brick and mortar store. Don't know about insurance filing in lieu of up front payment though.

_________________
Machine: AirCurve™ 10 VAuto BiLevel Machine with HumidAir™ Heated Humidifier
Additional Comments: Mask Bleep Eclipse https://bleepsleep.com/the-eclipse/
I may have to RISE but I refuse to SHINE.

If you want to try the Eclipse mask and want a special promo code to get a little off the price...send me a private message.

Berks
Posts: 95
Joined: Tue Jan 16, 2018 7:30 pm
Location: Bay Area, California

Re: Newbie - DME not covered question

Post by Berks » Fri Jan 19, 2018 1:45 pm

Pugsy wrote:
Berks wrote:cool - I called CPAP.com who said they have a "medical device distributor license" - I just sent an email to my union to confirm that counts - I'd be shocked if it didn't...
I would be shocked too if there was a problem.

Get the AirSense 10 AutoSet for Her...the difference in copay out of your pocket after the union reimbursement is small and I really think that in the long run you would be happier with the AutoSet for Her.
I can't imagine anything with that machine that you wouldn't like and while you may or may not need or want that extra algorithm...always better to have something and not need it than need it and not have it.
Confirmed! I'll get reimbursed 80%! I know it's a lot of hoops to jump through but considering I started the day thinking it was going to be 100% out of pocket, I'm super happy! Feels like the first good news I've gotten in the last few days.

I've been leaning towards the airsense autoset for her - pretty positive that's what i'm going to order as soon as I get my prescription next week when I bring the trial one back. Now onto masks comparisons...

User avatar
ChicagoGranny
Posts: 14463
Joined: Sun Jan 29, 2012 1:43 pm
Location: USA

Re: Newbie - DME not covered question

Post by ChicagoGranny » Fri Jan 19, 2018 2:23 pm

Pugsy wrote:Doesn't cpap.com have a brick and mortar store down in Stafford? If I remember correctly they also have a walk in store where people can go just like any other brick and mortar store. Don't know about insurance filing in lieu of up front payment though.
It' still listed on their website - https://www.cpap.com/contact.php#store-location

From what I have heard in the past, they won't bill your insurance, but will give you forms to apply for reimbursement.