perscriptions

[grizzlybearclark]

when your doctor sends a perscription to your medical supplier who decides what brand of cpap machine you recieve.

[jtravel]

The DME will decide. You can tell them what you want and see if they will give you that.
The other option is to have your DR specify on the prescription the exact machine you want.

[chunkyfrog]

YOU!
If they try to give you static, tell them to FOAD.

[Wulfman...]

when your doctor sends a perscription to your medical supplier who decides what brand of cpap machine you recieve.

You can/do/will. If your insurance provider is paying, they pay by an insurance billing code. The code for ANY CPAP (from the cheapest to the highest-end models) is exactly the same.......E0601.

If the DME decides, they may (as often has happened) try to give you the cheapest, non-data-capable model they can, to maximize their profits.
You definitely want the best and most flexible, data-capable machine you can get.......which should be an APAP.
Be sure you study what makes and models are available and which ones provide the most data. You're the one who is going to be using it every night and you will want to be able to see how well your therapy is working.


Den

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[Okie bipap]

My prescription called out the brand of machine I was to get. It said "Resmed S10 auto bi-level (HCPC E0470)" If you want to ensure you get what you want, have the doctor write the prescription for the machine you want. When I got my machine, I didn't know enough to ask for a certain machine. I did not stumble across this site until I was in my third or fourth month of treatment.

[ChicagoGranny]

when your doctor sends a perscription to your medical supplier who decides what brand of cpap machine you recieve.

Take control. Decide what you want and refuse to take delivery of anything else.

The DME will decide.

Sheep!

[jtravel]

when your doctor sends a perscription to your medical supplier who decides what brand of cpap machine you recieve.

The DME will decide.

Sheep!

I agree, The sheep or those who just don't know how the system works will allow the DME, not knowing any better to select the machine for them.
If you were name calling me and my post then I think you may have taken my post totally out of Context.
Maybe I just didn't give the right details.

My actual post:
"The DME will decide. You can tell them what you want and see if they will give you that.
The other option is to have your DR specify on the prescription the exact machine you want"

we know The DME will at first try and push the cheapest Cpap/Apap on the patient that is to their benefit.
That's why I said the DME will decide. I also however said to ask for the specific equipment you want and see what they say.
Again you know they may say they don't have that or can't get it.
That's why I also added to have the DR specify on the prescription the exact equipment you want.

[ChicagoGranny]

jtravel

Sorry, jtravel, if I see someone telling a newbie "DME will decide", I strike.

GC, You know The DME will at first try and push the cheapest Cpap/Apap on the patient that is to their benefit.

No, I don't know that. The two brick-and-mortar DMEs I have used did not do that.

Or Are you one of those people on this board that I have read about recently?

Probably.

[jtravel]

jtravel

Sorry, jtravel, if I see someone telling a newbie "DME will decide", I strike.

GC, You know The DME will at first try and push the cheapest Cpap/Apap on the patient that is to their benefit.

No, I don't know that. The two brick-and-mortar DMEs I have used did not do that.

Or Are you one of those people on this board that I have read about recently?

probably.

I understand your point and I was just being too sensitive, please accept my apology.
My experience with DME recently in Tucson,AZ is they just wanted to ship me Equipment that they selected based on the order my PCP submitted to them
Apreia was one of the DME and I can't remember the other that called me.
They Both were ready to provide equipment to me and just wanted a credit card number. Of course I did not accept that.

[LSAT]

I understand your point and I was just being too sensitive, please accept my apology.
My experience with DME recently in Tucson,AZ is they just wanted to ship me Equipment that they selected based on the order my PCP submitted to them
Apreia was one of the DME and I can't remember the other that called me.
They Both were ready to provide equipment to me and just wanted a credit card number. Of course I did not accept that.

Since you are in Tucson, why didn't you go to the DME and pick out the machine that you wanted. The DME is following your doctors prescription. If he didn't specify a specific machine, they fill what they have available. You were right to NOT give them your CC...especially Apria.

[Wulfman...]

when your doctor sends a perscription to your medical supplier who decides what brand of cpap machine you recieve.

One other thing.......
Don't let your doctor send the prescription to a medical supplier.
Make the doctor put it in YOUR hand.
YOU need to keep it in YOUR possession.
Do some shopping around at some of your insurance "in-network" DMEs in your area before deciding who you want to be your supplier and who will give you the equipment you want.
If you find a local DME you wish to do business with, they can make a copy of the prescription. But don't give it up.


Den

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[ChicagoGranny]

They Both were ready to provide equipment to me and just wanted a credit card number. Of course I did not accept that.

Now THAT is good to tell newbies.

[ChicagoGranny]

when your doctor sends a perscription to your medical supplier who decides what brand of cpap machine you recieve.

You would do well to read this - https://maskarrayed.wordpress.com/what- ... me-part-i/

[jtravel]

My experience with DME recently in Tucson,AZ is they just wanted to ship me Equipment that they selected based on the order my PCP submitted to them
Apreia was one of the DME and I can't remember the other that called me.
They Both were ready to provide equipment to me and just wanted a credit card number. Of course I did not accept that.

Since you are in Tucson, why didn't you go to the DME and pick out the machine that you wanted. The DME is following your doctors prescription. If he didn't specify a specific machine, they fill what they have available. You were right to NOT give them your CC...especially Apria.

In my case The DR wrote the Script for an Apap Machine but not a specific one.
Cigna uses carecentrix and they must approve each and every step in the Process.
The DR put in the order and sent the script to Carecentrix. They approved and sent authorization to the DME they selected and then that DME contacted me.
The DME then wanted Credit card and they would send my the Apap machine and Mask. once received a healthcare tech would come and show me how to use the equipment and mask fit me for the correct size. This would be a Three month rental machine to evaluate my need and compliance. I would have to buy the Humidifier If I wanted one upfront and Mask. They wouldn't guarantee a specific model of Apap but would note my preference on the order. I thanked them but refused to continue with them at that time.
I would need to have the DR write a script for a specific machine and also contact Carecentrix and choose a different approved DME to provide the Equipment. This would take more time for the new order and approval process. My insurance Year starts in October and All the delays had the effect of pushing me into a New insurance plan year and new deductible.
My insurance also changed from Cigna to UMR so now I have to start over with their approval process.

[SewTired]

It also helps to call the DME and find out what they carry amongst your preferences. I found out that my DME carried the Resmed Airsense For Her but that they didn't stock it - it was special order AND they don't order it until all your paperwork is in. It took about 2 weeks for my machine to come in.