Heard of ResMed Airsense S10? (Any Good)

I got a call from my sleep center that my perception is being filled. I was surprised that I don't get to pick a machine they essentially tell the doctor what to write in the script based off my sleep results. Before I decided to raise holy hell about this, I asked what Iw as being assigned before I put up a fight.

I am not eligible for a APAP, I will receive a ResMed Airsense S10[
http://www.resmed.com/us/en/commercial- ... -cpap.html

It actually sounds not bad - the brand comes recommended by you all, incorporated humidifier, wireless connectivity (no SD cards), autoramp.

Thoughts?

I have the Aircurve 10 and use it in fixed mode. It's really nice, very quiet and stylish - looks like a modern alarm clock.

I'm not sure but, I think you'd want to have the "Elite" version for better data capabilities.

That is unfortunate. That model has no data available and no auto-adjusting ability.

If insurance is involved, the insurance company will pay the same amount whether you get this bottom-of-the-line machine or the top-of-the-line autoset. This model puts the most money in the DME's pocket. If the DME is telling you that you don't qualify for a better machine, that's why.

Who, exactly, is saying that you don't qualify for an apap? What were the results of your sleep test?

yaconsult wrote:That is unfortunate. That model has no data available and no auto-adjusting ability.

If insurance is involved, the insurance company will pay the same amount whether you get this bottom-of-the-line machine or the top-of-the-line autoset. This model puts the most money in the DME's pocket. If the DME is telling you that you don't qualify for a better machine, that's why.

Who, exactly, is saying that you don't qualify for an apap? What were the results of your sleep test?

One other point is, as far as I know, all current apap machines can also function in straight cpap mode. Options are nice to have and if your Doctor isn't concerned about your sleep stats that are provided by a better machine......you might need a better Doctor. Good luck !

Read this

https://maskarrayed.wordpress.com/

and this

https://maskarrayed.wordpress.com/what- ... me-part-i/

The list of machines hasn't been updated to include the latest AirSense 10 models but these are the choices

AirSense 10 CPAP.....extremely limited data that might be useful to you...while not a total brick...pretty darn close and it won't even show if leaks are a problem and having leaks under control is extremely important and people do sleep through big leaks all the time so don't think you can't.

AirSense 10 Elite.....full data, excellent machine...has fixed pressure (cpap mode) only
AirSense 10 AutoSet and the AutoSet for Her..full data, excellent machines...has both cpap mode and apap mode(s) available.

Having APAP mode (auto adjusting pressures) available is a nice bonus and often comes in handy people can and do get excellent therapy from cpap mode only.

The absolute minimum I would accept in terms of machine model would be the Elite...and if they won't do that then find someone who will.

Believe them! I love my Airsense 10 Autoset For Her.
All Auto machines can run in cpap mode, so there is no reason to get the "cpap" unless you really LIKE unnecessary sleep tests.

HA! Thank you for your feedback, I was able to call and clarify things with the provider. I am receiving a Resmed AirSense S10 Autoset, which looks to be second to top of the line (which is "for her" - whatever that means). So I feel much more comfortable with what I receive now.

From what I understand from both the sleep center and my doctor (they told me this independently of each other, unsolicited). Is that you qualify for a APAP if you score over a 20. Otherwise Insurance will fight you unless there are extenuating circumstances noted by your doctor such as fatigue so bad you can't function at all during the day, complications with your lungs, etc. My score was a mild 6.5 where I have very few apnea's but a lot of hypopnea's. So I qualify only for a CPAP.

I wouldn't have even pushed for a CPAP after finding out my score (I didn't think a score that low could cause my drowsiness) but even with my craptacularly bad sleeping during my titration I felt different the next day.

The AirSense 10 AutoSet and the AirSense 10 AutoSet for Her are both excellent machines.
the "For Her" AutoSet actually has an additional apap mode available that might come in handy for some people (male or female)....so it's like 3 machines in one.
The AirSense 10 AutoSet has 1 apap mode (the regular apap mode) and 1 cpap mode...so like 2 machines in 1.

I am wondering if when you say you only qualify for cpap that maybe you were thinking the other model that is used when higher than 20 cm pressure is needed.
CPAP/APAP machines only go to 20 cm
Bilevel machines will go to 25 cm.

At any rate the AirSense 10 AutoSet is a great machine and should serve you well..it's full data and you can use Sleepyhead or ResScan software to monitor your therapy if you wish.
See the links in my signature for more information on the software and this link has some specifics on SleepyHead
https://sleep.tnet.com/equipment

Why are you not eligible for an auto machine vs. a plain CPAP? Are you Canadian? On Medicare?

I would recommend talking with the MD about wanting an auto machine that has full data reporting. Anything less will cause issues later on because, as many have stated previously, any changes to settings would at minimum require detailed review of data on a non-auto machine, or, at worst, more sleep studies, if dealing with a machine with no data and no auto function (i.e., an old fashioned, straight CPAP brick machine). That will cost far, far more than upgrading to an auto cpap with full data.

(In the worst case scenario, if nothing else fails and you can afford to do so, either pay the extra money to get the better machine up front, or sell the new brick machine they give you (after your trial period ends and you own it), and use the money to buy and auto cpap with data.

If regular health insurance is paying for this machine, the billing codes are identical for auto cpaps vs. plain cpaps, as far as I know. So the DME gets paid the same for a machine regardless of whether its a top-of-the-line auto cpap with full data vs. a basic, straight cpap with no data. The only one who benefits from giving you a cheapo machine is the DME who can keep more of the profits from giving you a cheap unit. So its in your best interests to demand the better machine in that situation. Under Canada's health system, however, the payments are keyed to the type of machine so in that case you do need to justify wanting a better, more costly machine, etc.