Search found 212 matches

by darthlucy
Wed Sep 19, 2007 8:28 pm
Forum: CPAP and Sleep Apnea Message Board
Topic: Zero AHI the goal?
Replies: 14
Views: 4357

Why it continues to be classified as a "Syndrome" when the cause is KNOWN is beyond me. It's because the term "syndrome" doesn't mean unknown cause. A syndrome is not one disease or condition, but a collection of several clinically recognizable features, signs, symptoms, phenomena or characteristic...
by darthlucy
Sun Sep 16, 2007 6:30 pm
Forum: CPAP and Sleep Apnea Message Board
Topic: Final word on sleep aids and drugs.
Replies: 28
Views: 3933

BTW, just as an aside to the topic, my sleep Dr says that Rozerem is, a proprietary blend of…melatonin. How is that for being a money hungry pharmaceutical company! I don't believe that is correct. This is what I found: "Rozerem acts on 2 of the melatonin receptors (MT1 and MT2) while sparing the p...
by darthlucy
Fri Sep 07, 2007 9:30 pm
Forum: CPAP and Sleep Apnea Message Board
Topic: Question for the insurance savy
Replies: 11
Views: 1575

[quote="jaybee72"]I'm not sure what Anthem is; never heard of it. When I say BCBS I'm referring to Blue Cross Blue Shield, and it is an HMO. But luckily it is one of the best covering HMO's available at least in Georgia. I guess I'll just have to wait and see what the doctor thinks. I hope that what...
by darthlucy
Thu Sep 06, 2007 7:32 pm
Forum: CPAP and Sleep Apnea Message Board
Topic: Question for the insurance savy
Replies: 11
Views: 1575

By BCBS, do you mean Anthem? If so, is your plan Century Preferred or Blue Care? If Century Preferred, you're golden...they pay for everything. If Blue Care, they will pay for the machine but not any supplies (including the mask). Anthem does not go by the rental period thing, they buy outright. Giv...
by darthlucy
Wed Sep 05, 2007 4:44 pm
Forum: CPAP and Sleep Apnea Message Board
Topic: A couple of questions
Replies: 17
Views: 2060

First step definitely is to check with your insurance to see what and how often supplies are covered. My policy doesn't cover supplies at all (even though they paid 100% for the machine). I think we all pretty much agree you won't be needing a hose a month. I'm not sure what the replacement interval...
by darthlucy
Sun Sep 02, 2007 12:54 pm
Forum: CPAP and Sleep Apnea Message Board
Topic: confused about prescription requirements - help
Replies: 6
Views: 1512

Definitely check with the insurance on mask coverage. My insurance paid the full cost of the cpap machine and humidifier (outright purchase, not rental as some require), but my particular policy considers the mask to be "supplies," and they do not pay for supplies.

by darthlucy
Sat Sep 01, 2007 8:04 am
Forum: CPAP and Sleep Apnea Message Board
Topic: Leaks - HELP
Replies: 12
Views: 2657

My darling husband thinks someone should invent a zipper for us mouth-breathing hoseheads to have permanently installed: "Just think," he says, "you get to sleep better, I get to zip you whenever I want. Everybody wins!" Of course this is also the man who gets a sick sort of pleasure out of trying t...
by darthlucy
Sat Sep 01, 2007 7:55 am
Forum: CPAP and Sleep Apnea Message Board
Topic: Did you have breathing problems when you were little?
Replies: 6
Views: 1228

Totally agree with all said above. In my family, and I'm sure this will hold true for many others of the baby boomer age range, the problem is that our parents didn't ask questions. If the doctor said Darthlucy needs these pills, Darthlucy got those pills, no questions asked. MD = GOD. So if I try t...
by darthlucy
Thu Aug 30, 2007 7:55 pm
Forum: CPAP and Sleep Apnea Message Board
Topic: opposite sex and cpap
Replies: 185
Views: 25334

Here's a question... You knew eventually I'd have to come right out and ask it... Anyone had sex with their mask on? I don't know that I'd PLAN to do that, but maybe if I was approached the right way in the middle of the night or early in the morning, I might just leave it on... I dunno. Hasn't hap...
by darthlucy
Thu Aug 30, 2007 4:46 pm
Forum: CPAP and Sleep Apnea Message Board
Topic: opposite sex and cpap
Replies: 185
Views: 25334

echo wrote:Now you have the best pick up line in the world man!

...saunters up to cute looking girl at a bar: Hi there cutie, ya ever done it with a MACHINE MAN before? It'll BLOW you AWAY
Not to mention, "Hey, baby, wanna see my hose?"

by darthlucy
Thu Aug 30, 2007 6:31 am
Forum: CPAP and Sleep Apnea Message Board
Topic: Insurance approval
Replies: 13
Views: 1903

Re: Insurance approval

Just remember......all of these people are supposed to be working for YOU. If they're deducting group insurance premiums from your paycheck, they are DEFINITELY working for your benefits. I have to disagree with this statement. As far as the insurance company is concerned, their client is your empl...
by darthlucy
Sat Aug 25, 2007 1:29 pm
Forum: CPAP and Sleep Apnea Message Board
Topic: Medicare info
Replies: 13
Views: 3305

Wow, sorry you're getting such a run around! I had hoped this was helpful info, but apparently it just confused matters. Sorry about that! It seems kind of odd, though, that what I posted was dated January 2006 and the Medicare lady said that the policy she cited was effective January 2006. Grrrrr.
by darthlucy
Sat Aug 25, 2007 1:17 pm
Forum: CPAP and Sleep Apnea Message Board
Topic: Flexifit HC431 Full face mask?
Replies: 11
Views: 2494

I got a 432 last week, and the first thing I noticed is that the foam insert was squishing my nose. I removed the foam insert, and from what I understand, that made the mask virtually identical to a 431. I had some leaking issues at the cheeks (about 1.5" from the bottom of the mask, on both sides),...
by darthlucy
Fri Aug 24, 2007 1:32 pm
Forum: CPAP and Sleep Apnea Message Board
Topic: Covering anti-asphyxiation port -- Hybrid ?
Replies: 6
Views: 1412

If you bought your Hybrid more than 90 days ago, your due for a new one. the code is K0553 It's better to get a new one than mess with it. It's less than 90 days and my insurance doesn't pay for my treatment and I don't have $150 to spare right now. Anyway, I thought it was 6 months for a mask, onl...
by darthlucy
Fri Aug 24, 2007 5:35 am
Forum: CPAP and Sleep Apnea Message Board
Topic: Thinking of trying the PILLAR PROCEDURE. Anyone tried it?
Replies: 4
Views: 2968

Anthem BCBS coverage policy is basically the same as what Snoredog posted for Aetna.