General Discussion on any topic relating to CPAP and/or Sleep Apnea.
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ShelaghDB
- Posts: 233
- Joined: Mon Dec 23, 2013 8:30 pm
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by ShelaghDB » Sat Jul 19, 2014 6:58 pm
Hey OP, report back
Im not holding my breath......no news is likely good news. They tend not to come back ever if it worked out........until the next emergency
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Hang Fire
- Posts: 460
- Joined: Mon Nov 04, 2013 8:03 pm
- Location: Raleigh, NC
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by Hang Fire » Sat Jul 19, 2014 7:46 pm
ShelaghDB wrote: I'm from the city and not as nice as small town folk.
Bwaaaahaaahahahaaahaaa
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chunkyfrog
- Posts: 34390
- Joined: Mon Jul 12, 2010 5:10 pm
- Location: Nebraska--I am sworn to keep the secret of this paradise.
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by chunkyfrog » Sat Jul 19, 2014 8:53 pm
Bowf may still be waiting--sometimes "health professionals" can be slower than we like.
Insurance companies are even worse. If an HMO is involved--I shudder to think.
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hobbs
- Posts: 872
- Joined: Thu Jan 31, 2008 9:00 pm
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by hobbs » Sat Jul 19, 2014 11:30 pm
chunkyfrog wrote: If an HMO is involved--I shudder to think.
Six years ago my HMO took 3 months to finally pay for my S8 AutoSet II, last year and this it took my Blue Cross PPO 7 months to finally pay for the new S9 AutoSet. YMMV.
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cuyahogaguy
- Posts: 17
- Joined: Sun Jul 20, 2014 2:43 am
- Location: Cleveland
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by cuyahogaguy » Sun Jul 20, 2014 3:36 am
Take it back immediately. You dont want to be stuck with that piece of junk. The DME really tried to pull one on you. After you get the proper machine try to get them in trouble if it wasnt "just an honest mistake".
Greed.
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Sclark08
- Posts: 475
- Joined: Mon Feb 18, 2013 10:13 am
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by Sclark08 » Sun Jul 20, 2014 5:51 am
Take it back. Get what Dr ordered. DME can be in serious trouble for substituting on RX!
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Sheffey
- Posts: 428
- Joined: Sun Mar 10, 2013 3:07 pm
- Location: Wilmington Island
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by Sheffey » Sun Jul 20, 2014 2:53 pm
chunkyfrog wrote:Bowf may still be waiting--sometimes "health professionals" can be slower than we like.
Insurance companies are even worse. If an HMO is involved--I shudder to think.
Insurance company? WTH?
The DME filled the prescription incorrectly and possibly fraudulently. The DME has a big problem that they better fix quickly without concerning themselves about any insurance company.
Sheffey
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chunkyfrog
- Posts: 34390
- Joined: Mon Jul 12, 2010 5:10 pm
- Location: Nebraska--I am sworn to keep the secret of this paradise.
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by chunkyfrog » Sun Jul 20, 2014 5:44 pm
Typically an HMO may have only one provider--most likely a subsidiary of the HMO.
Other insurance companies use similar nasty tactics to "control costs".
{like BCBS and their in-house pharmacy}
If you do not know where this can go, you are indeed fortunate.
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Bwf
- Posts: 3
- Joined: Thu Aug 28, 2014 3:23 am
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by Bwf » Thu Aug 28, 2014 3:31 am
Update:
Company said my insurance would not cover an autoset.
Sleep dr said that's a lie. Dr calls company from the exam room and tells them I need autoset and that they need to exchange.
Company says they will make things right.
I didn't hear anything from company in over a week, so I call them. Company says they will not exchange the device.
Dr calls in rx at another medical supply company. As soon as I get the new autoset, I plan to drop the auto escape off.
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sawinglogz
- Posts: 400
- Joined: Mon Aug 27, 2012 12:53 pm
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by sawinglogz » Thu Aug 28, 2014 6:49 am
Wow. Make sure you keep your insurance company in the loop so that they don't pay the original DME, or make you pay for the "second" unit. Otherwise, given your experience with the first one, I can imagine them "refusing" the return (even if you physically leave it there) and continuing to bill your insurance company.
Sheesh.
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coolbranch
- Posts: 172
- Joined: Sat Jul 12, 2014 9:59 am
- Location: SE Alabama
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by coolbranch » Thu Aug 28, 2014 7:34 am
DME tried to pawn off a cheaper unit to you so they could make more profit from you and the insurance company.
I LOVE OSCAR
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Drowsy Dancer
- Posts: 1271
- Joined: Mon Feb 28, 2011 9:35 am
- Location: here
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by Drowsy Dancer » Thu Aug 28, 2014 8:15 am
Bwf wrote:Update:
Company said my insurance would not cover an autoset.
Sleep dr said that's a lie. Dr calls company from the exam room and tells them I need autoset and that they need to exchange.
Company says they will make things right.
I didn't hear anything from company in over a week, so I call them. Company says they will not exchange the device.
Dr calls in rx at another medical supply company. As soon as I get the new autoset, I plan to drop the auto escape off.
Hooray for your doctor! You must both be livid.
How we squander our hours of pain. -- Rilke
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luke1985
- Posts: 53
- Joined: Fri Sep 13, 2013 11:05 am
- Location: Athens, Ohio 45701
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by luke1985 » Thu Aug 28, 2014 3:41 pm
Good for you. Way back when I got set up for a brick and if it wasn't for peoples help on this forum I would still not know what do. Good job.
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LSAT
- Posts: 13232
- Joined: Sun Nov 16, 2008 10:11 am
- Location: SE Wisconsin
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by LSAT » Thu Aug 28, 2014 3:53 pm
coolbranch wrote:DME tried to pawn off a cheaper unit to you so they could make more profit from you and the insurance company.
NOT the insurance company...The insurance company pays the SAME AMOUT to the DME regardless of which CPAP/APAP they disburse to you. The DME obviously tries to give you a lower priced unit since they get the same reimbursement regardless .
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Janknitz
- Posts: 8412
- Joined: Sat Mar 20, 2010 1:05 pm
- Location: Northern California
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by Janknitz » Thu Aug 28, 2014 4:09 pm
Here's hoping your doctor makes it clear to them that s/he will no longer be referring any of his/her patients to them. That's the ONLY thing that gets their attention.