New sleep study required?
New sleep study required?
Last study was January 2003. Used a DME for about (3) years. Because of high DME deductibles and the help of ResScan, I have been buying online the last (10) years. Went on Medicare in December and want to get supplies through my Part "B". Original doctor has retired and I need to see a new one. I have a (6) month Compliance Report from my Resmed S9 AutoSet that shows 100% compliance with an average AHI of 0.3 and I still need a new study? Seems like a waste of $$$ to me.
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Machine: ResMed AirSense™ 10 AutoSet™ CPAP Machine with HumidAir™ Heated Humidifier |
Mask: AirFit™ N10 Nasal CPAP Mask with Headgear |
Additional Comments: S8 Autoset II for travel |
- Wulfman...
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Re: New sleep study required?
I agree. That's why I stocked up (out-of-pocket) before I got on Medicare. For what little I'll need, I'll still be buying my supplies (whenever that may be) from the online sellers and still out-of-pocket.hobbs wrote:Last study was January 2003. Used a DME for about (3) years. Because of high DME deductibles and the help of ResScan, I have been buying online the last (10) years. Went on Medicare in December and want to get supplies through my Part "B". Original doctor has retired and I need to see a new one. I have a (6) month Compliance Report from my Resmed S9 AutoSet that shows 100% compliance with an average AHI of 0.3 and I still need a new study? Seems like a waste of $$$ to me.
However, there have been numerous posts and threads about this subject fairly recently. You might check the posts of "janknitz" and profiles of "chunk frog" and a few others........some folks have links to Medicare rules in their profiles.
Den
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(5) REMstar Autos w/C-Flex & (6) REMstar Pro 2 CPAPs w/C-Flex - Pressure Setting = 14 cm.
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User since 05/14/05
"Passover" Humidification - ResMed Ultra Mirage FF - Encore Pro w/Card Reader & MyEncore software - Chiroflow pillow
User since 05/14/05
Re: New sleep study required?
I'll be damned! They shipped a new S10 Auto with no sleep study required. They accepted the original sleep study and the confirmation from the new doctor of (6) months recent compliance. Happy dance!!!
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Machine: ResMed AirSense™ 10 AutoSet™ CPAP Machine with HumidAir™ Heated Humidifier |
Mask: AirFit™ N10 Nasal CPAP Mask with Headgear |
Additional Comments: S8 Autoset II for travel |
- chunkyfrog
- Posts: 34377
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Re: New sleep study required?
They took the deduction out of my check for years.
I will probably not live long enough to drain the udder that I filled.
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Mask: AirFit™ P10 For Her Nasal Pillow CPAP Mask with Headgear |
Additional Comments: Airsense 10 Autoset for Her |
Re: New sleep study required?
If you want Medicare to pay for it, you have to jump the hoops, just like you do for insurance companies. If you just want a script to buy it from an online retailer, ask your primary, showing the data sheets. Medicare WILL accept a prior sleep study and I didn't see any rule that limited the time period (we thought it was 10 years, but couldn't find any evidence of a number).
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Mask: AirFit™ P10 Nasal Pillow CPAP Mask with Headgear |
Additional Comments: Sleepyhead |
Last edited by SewTired on Thu Feb 04, 2016 7:59 pm, edited 1 time in total.
Diabetes 2, RLS & bradycardia
Airsense For Her; Settings: range 8-12, Airfit P10 (M)
Airsense For Her; Settings: range 8-12, Airfit P10 (M)
Re: New sleep study required?
I have zero clue about Medicare, however I did call my ENT to see if I could get my prescription and he said yes. He sees sleep apnea as a lifelong condition. I haven't seen this dr in a decade so that was a nice surprise. I bought my own equipment online because I didn't want to deal with insurance and DME.
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Mask: AirFit™ N10 Nasal CPAP Mask with Headgear |
Humidifier: S9™ Series H5i™ Heated Humidifier with Climate Control |
Additional Comments: Machine - S9 Autoset for Her |