Thank you for the replies. It is becoming evident I'll have to do Kaiser's job for myself. So... where do I buy a machine? Is it possible to finance the purchase? Is there anyone or anything I should really avoid? Any protips for a good buying experience? I can't believe this is not covered by Kaise...

I'm confident this is the case. It's one thing that's not covered despite the fact this is a platinum plan. If this isn't covered in the platinum plan, then what plan is it covered under? Why don't they cover what is a fairly common item? And what should be my next step? Can I get coverage? Do I jus...

Utilization Management I see.

I guess they've denied me too perhaps? I don't know if this is an automatic appeal or what.

No idea what to do.

I got a rejection letter last night, so this is what started my search. I just found this: "Durable Medical Equipment. If your provider prescribes durable medical equipment such as a wheelchair, he or she will submit a written referral. If your coverage includes the item and it is listed on our dura...

Thank you for the replies.

Kaiser keeps mentioning their "formulary." However, I cannot find the "durable medical equipment formulary guidelines" anywhere.

This is very frustrating. I'm shocked that a top shelf plan would not cover this item. Of all things.

Neal

Hello everyone. I have Kaiser Platinum 90 HMO individual plan in Southern California. I have been diagnosed with sleep apnea and my doctor has prescribed a CPAP machine. However, according to Kaiser, CPAP is not covered under my platinum plan. There is no way I can add this coverage because it's not...