Ok, I just got the "Explanation of Benefits" from BCBS for my cpap equipment. I got a Resmed S8 Elite with HH and Activa mask along with 3 months' filters. Here is what the EOB shows:
charged - allowed - provider responsibility
325.00 - 210.85 - 114.15
1410.00- 671.54 - 738.46
16.50 - 11.22 - 5.28
40.00 - 27.92 - 12.08
totals
1791.50- 921.53 - 869.97
I'm guessing the first one is the humidifier, the second the flow generator, the third the 3 filters, and the last the mask - but just guessing.
The most important part is all the zeros in the parts titled "You Owe"! I'm so glad I got to use the 100% DME coverage on this insurance before I switch to Aetna on November 1!
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CPAPopedia Keywords Contained In This Post (Click For Definition): resmed, humidifier, activa, CPAP, DME
What my DME billed vs. what insurance paid...
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What my DME billed vs. what insurance paid...
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| Humidifier: S9™ Series H5i™ Heated Humidifier with Climate Control |
| Additional Comments: Haven't used humidifier in at least 5 years! On the hose since Sept 2007 with less than 10 missed nights |
Whew! So you really squeaked thru on that one, huh? Congratulations! Plus you got a GOOD machine w/plenty of data at your fingertips. Way to go!
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| Mask: Quattro™ FX Full Face CPAP Mask with Headgear |
| Additional Comments: PR SystemOne BPAP Auto w/Bi-Flex & Humidifier - EncorePro 2.2 Software - Contec CMS-50D+ Oximeter - Respironics EverFlo Q Concentrator |
Women are Angels. And when someone breaks our wings, we simply continue to fly.....on a broomstick. We are flexible like that.
My computer says I need to upgrade my brain to be compatible with its new software.
My computer says I need to upgrade my brain to be compatible with its new software.
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