Second mask? Replacing parts out of pocket?

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
wireless
Posts: 52
Joined: Wed Jul 09, 2008 11:13 am

Second mask? Replacing parts out of pocket?

Post by wireless » Sat Mar 14, 2009 11:05 am

One tiny part fell off my mask (valve+clip) and I haven't located it. My DME said my insurance company won't cover the replacement part. Buying it online out of pocket would be maybe $14 shipped, not a big deal. But there is another part of the mask ($12) which seems to come loose and it would be nice to have a spare on hand. Even more so, it'd be nice to have a spare valve+clip.

I'm pretty sure insurance would cover an entire new/second mask for me. Every 3 months or 6 months, so it's been long enough. That is crazy because it's making me feel like I should spring for the entire second mask. Seems like on here most users do get the second mask and other replacement parts as often as allowed? Even with insurance coverage, I'd pay 20% of the allowable prices, which is more than I would like to spend right now, but it seems a waste to not get the entire mask replacement since I can. And I'd have the valve+clip and spare other part for now.

And hoses to have spares, but I feel more inclined to wait on those. The problem with those 2 mask parts is that the whole system is unusable with the tiny parts. Any input would be appreciated, I am still very new to this... kind of confused.
Need to restart BiPAP therapy, never got adjusted enough. ResMed VPAP Auto with H3i humidifier, Mirage Quattro Full Face mask, ResScan 3.5. On paper, my Dx is OSAS, but it's probably UARS. Reduced amount of REM. Titrated at very low I/E pressures.

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gasparama
Posts: 464
Joined: Fri Jun 22, 2007 9:21 am

Re: Second mask? Replacing parts out of pocket?

Post by gasparama » Sat Mar 14, 2009 12:20 pm

wireless wrote:One tiny part fell off my mask (valve+clip) and I haven't located it. My DME said my insurance company won't cover the replacement part. Buying it online out of pocket would be maybe $14 shipped, not a big deal. But there is another part of the mask ($12) which seems to come loose and it would be nice to have a spare on hand. Even more so, it'd be nice to have a spare valve+clip.

I'm pretty sure insurance would cover an entire new/second mask for me. Every 3 months or 6 months, so it's been long enough. That is crazy because it's making me feel like I should spring for the entire second mask. Seems like on here most users do get the second mask and other replacement parts as often as allowed? Even with insurance coverage, I'd pay 20% of the allowable prices, which is more than I would like to spend right now, but it seems a waste to not get the entire mask replacement since I can. And I'd have the valve+clip and spare other part for now.

And hoses to have spares, but I feel more inclined to wait on those. The problem with those 2 mask parts is that the whole system is unusable with the tiny parts. Any input would be appreciated, I am still very new to this... kind of confused.

There are going to be malfunctions with our equipment. It might be wise to have an extra mask or two available so that you won't have to forgo your therapy when the clips do break. If you want to just pay for extra clips, they are available on http://www.cpaptalk.com.

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builta
Posts: 365
Joined: Wed Feb 18, 2009 6:13 pm
Location: Michigan

Re: Second mask? Replacing parts out of pocket?

Post by builta » Sat Mar 14, 2009 1:20 pm

gasparama wrote:
wireless wrote:One tiny part fell off my mask (valve+clip) and I haven't located it. My DME said my insurance company won't cover the replacement part. Buying it online out of pocket would be maybe $14 shipped, not a big deal. But there is another part of the mask ($12) which seems to come loose and it would be nice to have a spare on hand. Even more so, it'd be nice to have a spare valve+clip.

I'm pretty sure insurance would cover an entire new/second mask for me. Every 3 months or 6 months, so it's been long enough. That is crazy because it's making me feel like I should spring for the entire second mask. Seems like on here most users do get the second mask and other replacement parts as often as allowed? Even with insurance coverage, I'd pay 20% of the allowable prices, which is more than I would like to spend right now, but it seems a waste to not get the entire mask replacement since I can. And I'd have the valve+clip and spare other part for now.

And hoses to have spares, but I feel more inclined to wait on those. The problem with those 2 mask parts is that the whole system is unusable with the tiny parts. Any input would be appreciated, I am still very new to this... kind of confused.

There are going to be malfunctions with our equipment. It might be wise to have an extra mask or two available so that you won't have to forgo your therapy when the clips do break. If you want to just pay for extra clips, they are available on http://www.cpaptalk.com.
I agree. But maybe you mean https://www.cpap.com?

_________________
Mask: Quattro™ FX Full Face CPAP Mask with Headgear
Additional Comments: Encore Pro, Backup-M Series BiPAP Auto. Set as ABiPAP 15I/9E AHI 0.2. Normally operates @ 12I/9E 1987 OSA diagnosis
If your never go off on a tangent, you are doomed to live your life going around in circles.

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junie
Posts: 385
Joined: Wed Dec 17, 2008 8:44 pm
Location: Ocean View Delaware

Re: Second mask? Replacing parts out of pocket?

Post by junie » Sat Mar 14, 2009 4:18 pm

What type of mask are you looking at you never said, you should always have more then one,
Judy