Changing DME's
8 posts
• Page 1 of 1
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John from Brookston
- Posts: 248
- Joined: Sun Feb 24, 2013 10:07 pm
- Location: Brookston, Indiana
Changing DME's
I was informed today that because Cigna has Carecentrix handle their DME accounts that my DME is no longer "in network". So I gotta break a new one in... Hello Apria!
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| Mask: Swift™ FX Nasal Pillow CPAP Mask with Headgear |
| Additional Comments: BiPAP, running 19/13, no ramp. No meds, have a True-Blue nasal mask, too, and a Quattro for stuffy-nose nights. |
Big fat guy who's diabetic, on HRT, and now a heart attack survivor as well as having OSA (boy, I sure won the genetic rodeo, din't I?). Ham Radio operator and I have a black tomcat named "Bart" who looks like an old prize fighter.
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ChicagoGranny
- Posts: 15534
- Joined: Sun Jan 29, 2012 1:43 pm
- Location: USA
Re: Changing DME's
What's the big deal? You already have a good machine and Apria is good about getting replacement supplies on your insurance policy's schedule.
"It's not the number of breaths we take, it's the number of moments that take our breath away."
Cuando cuentes cuentos, cuenta cuántas cuentos cuentas.
Cuando cuentes cuentos, cuenta cuántas cuentos cuentas.
Re: Changing DME's
Tell them you are looking to change DME and need to find one who will waive the co-pay.
Many DMEs these days will go along. Don't worry, they won't starve!
Many DMEs these days will go along. Don't worry, they won't starve!
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| Machine | Mask | Humidifier | ||
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| Additional Comments: 11-14 cmH2O | ||||
The OSA patient died quietly in his sleep.
Unlike his passengers who died screaming as the car went over the cliff...
Unlike his passengers who died screaming as the car went over the cliff...
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John from Brookston
- Posts: 248
- Joined: Sun Feb 24, 2013 10:07 pm
- Location: Brookston, Indiana
Re: Changing DME's
ChicagoGranny wrote:What's the big deal? You already have a good machine and Apria is good about getting replacement supplies on your insurance policy's schedule.
If they're good, then no problem. I've just heard too many DME horror stories, I guess. I'll find out tomorrow when I call them for a new cushion. Now, Carecentrix, THEY might throw a wrench into the works. I go round and round with them 4X a year for my insulin pump supplies...
My plan pays 100% on Durable and supplies so I'm not worried about co-pays.
_________________
| Mask: Swift™ FX Nasal Pillow CPAP Mask with Headgear |
| Additional Comments: BiPAP, running 19/13, no ramp. No meds, have a True-Blue nasal mask, too, and a Quattro for stuffy-nose nights. |
Big fat guy who's diabetic, on HRT, and now a heart attack survivor as well as having OSA (boy, I sure won the genetic rodeo, din't I?). Ham Radio operator and I have a black tomcat named "Bart" who looks like an old prize fighter.
Re: Changing DME's
The biggest problem with Apria has been incorrect shipments and billing problems. If you watch this carefully you should be OK.John from Brookston wrote:ChicagoGranny wrote:What's the big deal? You already have a good machine and Apria is good about getting replacement supplies on your insurance policy's schedule.
If they're good, then no problem. I've just heard too many DME horror stories, I guess. I'll find out tomorrow when I call them for a new cushion. Now, Carecentrix, THEY might throw a wrench into the works. I go round and round with them 4X a year for my insulin pump supplies...
My plan pays 100% on Durable and supplies so I'm not worried about co-pays.
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| Machine: ResMed AirSense™ 10 AutoSet™ CPAP Machine with HumidAir™ Heated Humidifier |
| Mask: Fisher & Paykel Vitera Full Face Mask with Headgear (S, M, or L Cushion) |
| Additional Comments: Back up is a new AS10. |
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Denial Dave
- Posts: 1334
- Joined: Wed Sep 19, 2012 6:45 am
- Location: Connecticut
Re: Changing DME's
Apria has been excellent for me, you just need to keep an eye on their billing.... They "accidentally" double billed me once..
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| Mask: Mirage Quattro™ Full Face CPAP Mask with Headgear |
| Humidifier: S9™ Series H5i™ Heated Humidifier with Climate Control |
| Additional Comments: Started at VPAP pressure setting of 20/14.4. I've survived Stage 1 cancer and lost 80+ lbs. Pressure is now 14.5 / 11 |
if you don't know where you are going... any road will take you there.... George Harrison
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John from Brookston
- Posts: 248
- Joined: Sun Feb 24, 2013 10:07 pm
- Location: Brookston, Indiana
Re: Changing DME's
My "former" DME tried to get $19 out of me for the hose. I called their billing department and said they coded the hose wrong, there was no "home care" involved, and I was more than willing to show the Small Claims Court Judge a copy of my contract with Cigna that states "paid 100%".Denial Dave wrote:Apria has been excellent for me, you just need to keep an eye on their billing.... They "accidentally" double billed me once..
End of story.
_________________
| Mask: Swift™ FX Nasal Pillow CPAP Mask with Headgear |
| Additional Comments: BiPAP, running 19/13, no ramp. No meds, have a True-Blue nasal mask, too, and a Quattro for stuffy-nose nights. |
Big fat guy who's diabetic, on HRT, and now a heart attack survivor as well as having OSA (boy, I sure won the genetic rodeo, din't I?). Ham Radio operator and I have a black tomcat named "Bart" who looks like an old prize fighter.
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Sheriff Buford
- Posts: 4111
- Joined: Mon Aug 09, 2010 8:01 am
- Location: Kingwood, Texas
Re: Changing DME's
To me, the best DME are the one's that say "yes sir" and very seldom say "no sir".
Sheriff
Sheriff
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| Machine: AirSense 11 Autoset |
| Mask: Mirage Quattro™ Full Face CPAP Mask with Headgear |
8 posts
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