Got my first cpap today - what a scam

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
SewTired
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Joined: Thu Apr 16, 2015 8:33 am
Location: Minneapolis area

Re: Got my first cpap today - what a scam

Post by SewTired » Sat May 02, 2015 7:05 pm

FranckDG wrote:I just got my cpap machine today. It's a REMSTAR SE 220P with humidifier. . . . (cut)
Is it possible to negotiate directly with your insurance to buy a machine and have them cover some of the cost?
It's not a total scam. Believe me, insurance companies know the costs. Part of what you are paying for is customer service and assistance. You may not require a lot of assistance, but other customers do. How many masks are you going to go through before you get the one that works for you? I don't know if they can sell used masks, so that's a cost they have to eat.

You have to check with your insurance company. The online stores WILL NOT DEAL with your insurance company, but will provide an invoice to you to present to your insurance company for reimbursement to you. I would call your insurance company in advance and tell them that you are returning this unit and would like to buy your own and then file for reimbursement. Anyway, I agree with you that it is a great price from the link you provided, but all the advice I've had on here says you are better off with a more expensive, auto machine. The data on this machine only gives compliance information, not what you need to monitor your therapy. In addition, as your condition improves, having the machine adjust to YOUR breathing is generally going to be more effective for most people.

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Pugsy
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Re: Got my first cpap today - what a scam

Post by Pugsy » Sat May 02, 2015 10:38 pm

Hopefullady wrote:Pugsy, If I want a machine that has the exhale relief, would a regular script be that same HCPCS code?
Pretty much all the cpap/apap machines have some form of exhale relief and that really doesn't have to be included on the RX.

What is your prescribed pressure setting?

While most brands/models have some form of exhale relief they don't all perform that relief in the same manner.
At pressures in the teens I think that the ResMed form of exhale relief called EPR might be a definite advantage for someone with double digit pressures and difficulty exhaling.
It's not that the Respironics form of exhale relief is sub par but it is different and it's based more on how forcefully one breathes and the most you can get is 2 cm relief while ResMed EPR offers up to 3 cm relief.

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palerider
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Re: Got my first cpap today - what a scam

Post by palerider » Sat May 02, 2015 10:40 pm

Pugsy wrote: Pretty much all the cpap/apap machines have some form of exhale relief and that really doesn't have to be included on the RX.
sorry, just as an aside:
Pugsy Posts: 29999

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