very upset here

deedee · Post by **deedee** » Fri Feb 24, 2006 5:55 am

I was just informed yesterday , that medicare will not pay for my cpap unit
unless I go back in hospital and have a regular sleep study
I had a study back in 2001
then febuary 9th i had a ritritation, medicare claims I need another study without using the cpap , in order for them to see if they will pay for this machine
if I do not meet the requirements then they still will not pay for the machine.
the place my doctor was going to get the machine from wants 850.00 for it and I have no money
I told them the machine I am using now is not doing me any good anymore
has anyone ever had this problem?
I need help here
Dee

MartiniLover · Post by **MartiniLover** » Fri Feb 24, 2006 7:59 am

I understand you to say:

You just don't want a new test.

Is your machine still working, just not doing you any good?

If it is working, it is adjustable. Try playing with the output.

You may not need a new machine, just an adjustment in pressure.

What does your doctor say? He should be working with you.

deedee · Post by **deedee** » Fri Feb 24, 2006 8:11 am

my doctor is not saying nothing he did not even explain the study results to me
his nurse called the other and said she faxed all the papers to anthem medical services
in return anthem called me
the machine i have here I purchased back in 2001
it is set low at a 5
I need it set now to 9
there is no smart card in it
I have no idea what to do
I had study done febuary 9th 2006 retitration with cpap
but medicare wants a study done again without cpap.
I see online the machine they told me would cost 850.00 it I buy it myself
is way cheaper online
the machine I have here if it adjustable I have no idea how to do it

sleepylady · Post by **sleepylady** » Fri Feb 24, 2006 9:00 am

Deedee,

If your old machine is still in working order, your DME should be able to adjust the pressure to the 9 you now need. All your DME will need is your doctors ok/prescription. The DME should be able to check your machine while you are there. If there is something wrong with the machine then you'll have a problem.

$850 for what type of machine? Remstar CPAP???

Melinda

wading thru the muck! · Post by **wading thru the muck!** » Fri Feb 24, 2006 9:25 am

DeeDee,

Sounds like you DON'T need a new machine... just a pressure adjustment on the machine you have. Sleepylady is right, if you take your machine and your prescription to a local DME (Durable Medical Equipment supplier) they will be able to set the machine to 9cm very easily. You may need to call around to find one that will do it cheaply. You may even find a good DME that will do it for free.

Your circumstance is not as bad as you seem to be thinking. Many of us folks are left feeling un-helped as you are feeling. Keep your chin up and make a few phone calls. I bet you can be back on track in a day or two.

deedee · Post by **deedee** » Fri Feb 24, 2006 9:36 am

Ok thank you I will call and see if I find someone to adjust the settings
also yes 850 for Remstar plus CPAP.
I do have appointment for another sleep study on march 1st
if I do not get the present machine fixed
before then I will go have the study done
Dee

rested gal · Post by **rested gal** » Fri Feb 24, 2006 11:15 am

deedee, check your private messages.

deedee · Post by **deedee** » Fri Feb 24, 2006 11:27 am

Hi thank you I trying to do what you said but lol not working out here
I need to do it again
maybe I am doing it wrong
Dee

meister · Post by **meister** » Fri Feb 24, 2006 1:31 pm

Sometimes those thick Southern accents make it difficult to
understand. I can help translate the steps, if need be. (lol)

very upset here

very upset here

Maybe a translation is needed