Question about Kaiser Device Options
Question about Kaiser Device Options
I am a Kaiser patient with very good DME coverage. My plan gets me a new machine every 5 years at no co-pay as well as masks and supplies on a regular basis. This is a new plan for me as my previous plan with them did not have DME coverage. I have been on CPAP therapy for 10 years and have previously purchased my own equipment. I went in to the local sleep clinic to take advantage of my new coverage and they gave me a brand new Phillips Respronics Auto CPAP with humidifier. They had the machine in stock in their "closet" program and gave it to me on the spot without having to go through Apria. I have not used it yet as I really wanted the new ResMed AirSense 10. The tech told me that ResMed is not on their formulary and that Respronics are the only machines that they give out.
Looking to see if anyone has experience trying to change the machine through Kaiser or is this something that I would have to do on my own? Any input would be appreciated.
Looking to see if anyone has experience trying to change the machine through Kaiser or is this something that I would have to do on my own? Any input would be appreciated.
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Mask: AirFit™ P10 Nasal Pillow CPAP Mask with Headgear |
Humidifier: S9™ Series H5i™ Heated Humidifier with Climate Control |
Additional Comments: ClimateLine Heated Tube! |
Re: Question about Kaiser Device Options
What is the model or Ref# on the unit. The description Phillips Respronics Auto CPAP is vague... Assumption it is a 560 but it could be an older 550.
It will be on the bottom typically of the blower unit (not humidifier). If attached to Humidifier make sure you remove the water tank first.
BTW you are now listing a Resmed unit which is not a Phillips Respronics product.
It will be on the bottom typically of the blower unit (not humidifier). If attached to Humidifier make sure you remove the water tank first.
BTW you are now listing a Resmed unit which is not a Phillips Respronics product.
Current Settings PS 4.0 over 10.6-18.0 (cmH2O) - Resmed S9 VPAP Auto w/h5i Humidifier - Quattro Air FFM
TNET Sleep Resource Pages - CPAP Machine Database
Put your equip in your Signature - SleepyHead v1.0.0-beta-1
Kevin... alias Krelvin
TNET Sleep Resource Pages - CPAP Machine Database
Put your equip in your Signature - SleepyHead v1.0.0-beta-1
Kevin... alias Krelvin
Re: Question about Kaiser Device Options
Thanks for the reply. I will post the exact model # when I get home tonight. I have not used my new Respronics machine yet.
Sorry for any confusion. My sig shows the machine that I am currently using: S9 Auto w/ H5i humidifier and ClimateLine. I love the S9 but I am interested in upgrading to the new AirSense 10.
Sorry for any confusion. My sig shows the machine that I am currently using: S9 Auto w/ H5i humidifier and ClimateLine. I love the S9 but I am interested in upgrading to the new AirSense 10.
_________________
Mask: AirFit™ P10 Nasal Pillow CPAP Mask with Headgear |
Humidifier: S9™ Series H5i™ Heated Humidifier with Climate Control |
Additional Comments: ClimateLine Heated Tube! |
Re: Question about Kaiser Device Options
If you wanted the Airsence 10 you should never have walked out the door with the PRS One.
You loose most of your leverage once you walk out the door with a machine.
My brother in law is with Kaiser and he has a PRS 1 560. With a sample size of one that doesn't mean much.
Good luck with your quest. Hopefully you won't need to change your name to Don Quixoty.
You loose most of your leverage once you walk out the door with a machine.
My brother in law is with Kaiser and he has a PRS 1 560. With a sample size of one that doesn't mean much.
Good luck with your quest. Hopefully you won't need to change your name to Don Quixoty.
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Mask: SleepWeaver 3D Soft Cloth Nasal CPAP Mask with Headgear |
Additional Comments: AurCurve 10 ASV Also using Sleaplyhead 1.1, ResScan 6 and CMS50i |
Re: Question about Kaiser Device Options
I think with Kaiser you have zero choice in brand or model machine if you are wanting a machine from them.
There is no negotiation with them for something else.
There is no negotiation with them for something else.
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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.
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.
Re: Question about Kaiser Device Options
That is true. Kaiser is the DME for all of their patients and their formulary for the area (maybe all of California since its all PR up here in NorCal) is restricted to a single brand and only a few machines within that brand. I would guess the current formulary is restricted to the PRS1 560 (APAP), 760 (BiPAP Auto), and 960 (ASV) depending on medical necessity. If you want an Airsense S10, it's coming completely out of pocket if its not on the formulary. The PRS1 560, if that's what you got, is a perfectly fine machine and since it was $0 out of pocket, enjoy it!Pugsy wrote:I think with Kaiser you have zero choice in brand or model machine if you are wanting a machine from them.
There is no negotiation with them for something else.
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Mask: AirFit™ F10 Full Face Mask with Headgear |
Additional Comments: Now using a ResMed S9 VPAP Adapt (36037) with H5i...SleepyHead software |
I am a doctor...just not that kind of doctor.
Re: Question about Kaiser Device Options
Yep, there was no leverage to begin with, if you don't want what Kaiser provides then you're on your own. On the bright side I've never heard of Kaiser giving out bricks.
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Machine: AirSense 10 AutoSet with Heated Humidifer + Aifit N30i Nasal Mask Bundle |
Mask: Aloha Nasal Pillow CPAP Mask with Headgear |
Additional Comments: SleepyHead-now-OSCAR software on Mac OSX Ventura |
Re: Question about Kaiser Device Options
Yes, with Kaiser you get a choice of PR or PR. Nothing but. No use arguing as they are both your doctor and DME. If you want another brand you're on your own. It's part of what you agree to when you sign up for Kaiser.
The good news is that they do all data capable machines because they actually use the efficacy data to adjust your treatment if needed. PR machines are not bad except there's a known issue with the humidifier connections crapping out after a few years (past the warranty, of course). And you have to deal with Crapria for supplies. They ALWAYSscrew up the billing and the order and fixing it is a time suck.
If you want a different mask your RX needs to be changed and it has to be on their formulary.
Fun.
The good news is that they do all data capable machines because they actually use the efficacy data to adjust your treatment if needed. PR machines are not bad except there's a known issue with the humidifier connections crapping out after a few years (past the warranty, of course). And you have to deal with Crapria for supplies. They ALWAYSscrew up the billing and the order and fixing it is a time suck.
If you want a different mask your RX needs to be changed and it has to be on their formulary.
Fun.
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Machine: ResMed AirSense™ 10 AutoSet™ CPAP Machine with HumidAir™ Heated Humidifier |
Mask: DreamWear Nasal CPAP Mask with Headgear |
What you need to know before you meet your DME http://tinyurl.com/2arffqx
Taming the Mirage Quattro http://tinyurl.com/2ft3lh8
Swift FX Fitting Guide http://tinyurl.com/22ur9ts
Don't Pay that Upcharge! http://tinyurl.com/2ck48rm
Taming the Mirage Quattro http://tinyurl.com/2ft3lh8
Swift FX Fitting Guide http://tinyurl.com/22ur9ts
Don't Pay that Upcharge! http://tinyurl.com/2ck48rm
Re: Question about Kaiser Device Options
Yes, I can confirm that my PR is a REMstar Auto 560P (2014-11-21). The humidifier says System One Htd Humid
I have no complaints on my current ResMed S9 setup so I'll continue to use it. Luckily, they gave me a new ResMed Airfit P10 mask. I love it! It's the one that I wanted and is a nice upgrade to the Swift FX that I had been using.
I have no complaints on my current ResMed S9 setup so I'll continue to use it. Luckily, they gave me a new ResMed Airfit P10 mask. I love it! It's the one that I wanted and is a nice upgrade to the Swift FX that I had been using.
_________________
Mask: AirFit™ P10 Nasal Pillow CPAP Mask with Headgear |
Humidifier: S9™ Series H5i™ Heated Humidifier with Climate Control |
Additional Comments: ClimateLine Heated Tube! |
Re: Question about Kaiser Device Options
Thanks for all the feedback!
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Mask: AirFit™ P10 Nasal Pillow CPAP Mask with Headgear |
Humidifier: S9™ Series H5i™ Heated Humidifier with Climate Control |
Additional Comments: ClimateLine Heated Tube! |
Re: Question about Kaiser Device Options
Just an idea: if your S9 is getting up there in hours of usage, you may want to consider making that your back-up machine and use your new PRS1 560 as your daily machine. This way you can have a reliable back-up if anything ever happens to your new machine. Also, since Kaiser provides the PRS1 560, the respiratory therapist you see may only want to read (or be able to read) data from that machine so that it can go into Encore Pro, which they use to track their patients. If you never plan on going in to see your RT and do everything on your own, then this really isn't an issue.Roup1 wrote:I have no complaints on my current ResMed S9 setup so I'll continue to use it.
_________________
Mask: AirFit™ F10 Full Face Mask with Headgear |
Additional Comments: Now using a ResMed S9 VPAP Adapt (36037) with H5i...SleepyHead software |
I am a doctor...just not that kind of doctor.