Search found 19 matches

by Gia
Sat Sep 18, 2010 4:51 am
Forum: CPAP and Sleep Apnea Message Board
Topic: insurance / medical supplier question
Replies: 4
Views: 942

Re: insurance / medical supplier question

If the DME has your RX on file, they may not require a new prescription. A lot of DME supplies will honor an RX for the life of the RX (if you doctor wrote it for 99 months it is considered lifetime). BUT you must file the original RX within one year of the data it was written. And this usually only...
by Gia
Sat Sep 18, 2010 4:43 am
Forum: CPAP and Sleep Apnea Message Board
Topic: prescriptions
Replies: 17
Views: 3979

Re: prescriptions

For DME - the RX status doesn't really have anything to do with coverage (normally anyway). Example would be mobility aids like crutches and canes etc. You can buy them OTC, but most companies will pay for them as DME. Having said that most insurance companies require you to have a doctor's prescrip...
by Gia
Tue Aug 31, 2010 7:09 am
Forum: CPAP and Sleep Apnea Message Board
Topic: Is this out of line?
Replies: 24
Views: 5734

Re: Is this out of line?

I got my bill yesterday. This is after paying $300 up front because I had not meet my $500 deductible. Total Charges: $4,119.30 Payments Adjustments: $4,110.35 Balance Due: $8.95 I can't believe my insurance paid that much. I doubt if your insurance paid that much. Most providers wil use the term '...
by Gia
Thu Aug 19, 2010 7:55 am
Forum: CPAP and Sleep Apnea Message Board
Topic: Snoozing vs. getting up early: different effects?
Replies: 2
Views: 799

Re: Snoozing vs. getting up early: different effects?

Same here - in fact I specifically put my alarm clock across the room so I cannot hit the snooze - my problem is compounded with the fact that once I wake up - I cannot get back to sleep if I've add 3 or 4 hours. I use generic ambien to actually get to sleep - but if I wake up for some reason with a...
by Gia
Thu Aug 19, 2010 6:21 am
Forum: CPAP and Sleep Apnea Message Board
Topic: Need some advice on working with a DME
Replies: 20
Views: 2875

Re: Need some advice on working with a DME

Call your insurance company FIRST. Here are the questions you want to ask: Sometimes it is better to order online and pay out of pocket (it is the RARE insurance company that will reimburse you for an online purchase) or you may want to do it if you can afford to just to avoid the hassle. BUT, if y...
by Gia
Thu Aug 19, 2010 6:13 am
Forum: CPAP and Sleep Apnea Message Board
Topic: Questions about mask purchase as Out of Network Ins.
Replies: 22
Views: 2923

Re: Questions about mask purchase as Out of Network Ins.

At the risk of putting a bulls-eye on my back - I will admit that I actually work for one of the evil empires (Insurance companies) and have a couple of thoughts: Sometimes instead of EOC you will hear the phrase SPD. This stands for Summary Plan Description. Both are basically your benefit booklets...
by Gia
Tue Aug 10, 2010 6:22 am
Forum: CPAP and Sleep Apnea Message Board
Topic: OT: Vitamin D Testing
Replies: 65
Views: 10665

Re: OT: Inexpensive Vitamin D Testing

Snuginarug, every time I get tested I'm low...always between 13 and 16. I take the three months of prescription D and then don't go back and test again (dumb!). This time I'm going to stick with it, take OTC D, test every couple of months or so, and keep taking it until it's up where it should be. ...
by Gia
Tue Aug 10, 2010 5:53 am
Forum: CPAP and Sleep Apnea Message Board
Topic: OT: Vitamin D Testing
Replies: 65
Views: 10665

Re: OT: Inexpensive Vitamin D Testing

I wonder, given HIPAA is in effect now (it wasn't the last time Quest and I butted heads quite a few years ago now), whether they would have to provide the results to me if I requested them??? IF I thought I could win that battle I would be tested to have one more (and definitely last) blood draw d...
by Gia
Tue Aug 10, 2010 5:42 am
Forum: CPAP and Sleep Apnea Message Board
Topic: Charges to obtain my own medical records
Replies: 31
Views: 4012

Re: Charges to obtain my own medical records

I wonder if they would be allowed to email you a copy? I asked my current sleep doctor if they could do that. The answer was, no, HIPAA rules prevent it. I don't know if HIPAA does or not, but that was the story. Actually HIPAA doesn't prevent them from sending it via email - it is considered PHI s...
by Gia
Sat Aug 07, 2010 6:09 am
Forum: CPAP and Sleep Apnea Message Board
Topic: OT: seen any good movies lately?
Replies: 6
Views: 1045

Re: OT: seen any good movies lately?

They actually make good movies anymore? That was evil to say wasn't it? Last movie I saw at the movie theater was HP and the Prisoner of Askaban (June 2004). I was so unhappy I haven't paid to see any of the other HP movies at the theater (although I did buy the DVD for #4 and #5). I have yet to act...
by Gia
Thu Jul 22, 2010 4:57 am
Forum: CPAP and Sleep Apnea Message Board
Topic: Question for S9 owners
Replies: 7
Views: 1542

Re: Question for S9 owners

Actually what the insurance companies usually do is set the *fee schedule* lower for the Code E0601 to include only the machine itself. Yes i work at a DME and that is how it works, the insurance requires the DME to bill in parts to make it easier for them to process replacement parts. It does come ...
by Gia
Wed Jul 14, 2010 7:47 am
Forum: CPAP and Sleep Apnea Message Board
Topic: Pets and cpap
Replies: 25
Views: 5624

Re: Pets and cpap

All 4 of my cats sleep with me - aside from fighting over who gets the pillow that gets hit by the air from the vent on my mask, they do not bother it. I have woke up with 3 of the 4 on the same pillow Although they shed like crazy - I haven't had filter issues.
by Gia
Sat May 08, 2010 6:34 am
Forum: CPAP and Sleep Apnea Message Board
Topic: Is my DME fibbing?
Replies: 19
Views: 3573

Re: Is my DME fibbing?

I think I will comment and then duck Your DME may be telling the truth. Both items share the same HCPC code (E0601), but they are different devices. Some insurance carriers have different medical policies for CPAP versus APAP, so they are telling the truth - if your insurance carrier has separate me...
by Gia
Tue May 04, 2010 11:50 am
Forum: CPAP and Sleep Apnea Message Board
Topic: Your sleep position - who are you?
Replies: 34
Views: 9882

Re: Your sleep position - who are you?

None really apply


But


http://www.shopsleepsolutions.com/produ ... n_E_711624 sort of nails it on the head.

Although I just put one pillow under my arm, and 2 on top of it - I may actually give in and try this one.
by Gia
Mon May 03, 2010 7:35 am
Forum: CPAP and Sleep Apnea Message Board
Topic: Vitamin D Deficiency and Respiratory Infections
Replies: 18
Views: 3270

Re: Vitamin D Deficiency and Respiratory Infections

I use a 50,000 supplement once a week - and I can only get my D3 level up to 40 Doctors are still fighting over what is an optimum level. Some say 30-80, but others want 80-100. I will hopefully be getting retested later this month to see if I should increase to 2X week. FYI - if your doctor gives y...