Going to War with DME again This Morning

[Cereal Killer]

Do you mean people that are poorer than me that never worked in their life and just lived off the government?

No, I mean,

as if you were leaving a debt for your grandchildren and people poorer than you. (You are.)

That would include all kinds of people.

If you are worried about the freeloaders, then that is why you need to,

2. Vote against all incumbents and for fiscally responsible public servants who make personal freedom a top priority.

[ems]

2. Vote against all incumbents and for fiscally responsible public servants who make personal freedom a top priority.

Get ready... get set... GO!

[DannyPh]

For those that have ben following this post I have a question for you ? If you were in this situation of being given a used s9 auto set because of a few more Dollars in My Slimey DME's Pocket would you return the Machine and purchase another s9 auto set out of Pocket ? I have the Funds to purchase out of pocket but I hate to spend my Money when I have Insurance ( Humana Medicare advantage) that pays 100 % for the machine . I am going to call Humana and see if they will reimburse me if I pay out of Pocket and then Make My Decision. It all depends on whether Humana has paid any on this Claim yet but I don't think they have from my conversation with them yesterday. They told me that they would find me another DME that was in my Network.

[Al N]

For those that have ben following this post I have a question for you ? If you were in this situation of being given a used s9 auto set because of a few more Dollars in My Slimey DME's Pocket would you return the Machine and purchase another s9 auto set out of Pocket ? I have the Funds to purchase out of pocket but I hate to spend my Money when I have Insurance ( Humana Medicare advantage) that pays 100 % for the machine . I am going to call Humana and see if they will reimburse me if I pay out of Pocket and then Make My Decision. It all depends on whether Humana has paid any on this Claim yet but I don't think they have from my conversation with them yesterday. They told me that they would find me another DME that was in my Network.

As has been stated you have a great machine there is no doubt. Whatever decision you make you will be ok. I'm not sure that I would pay that much money out of my own pocket( though in that situation I might just out of irritation). If your ins company is telling you there policy is that you get a new machine, and the main branch of the DME is telling you you should have gotten a new machine. In that situation I would hold the local office feet to the fire(which you have) and if at all possible go through the channels you are going through take the machine back and go through someone else. I wouldn't want to deal with a snake in the grass. If the are continuing to lie and tell a different story than everyone else IMO they can't be trusted later. If there was a spread of honesty it would be a different story.
From seeing your post it looks like you won't have to pay out of pocket at all. Just that you'll be put through a big hassle you shouldn't have. I bet the DME you are going through was banking on you rolling over and saying its not worth the effort. I for one am glad you should up to them. Take it back if possible and let someone else have your business.

[Kenwood]

For those that have ben following this post I have a question for you ? If you were in this situation of being given a used s9 auto set because of a few more Dollars in My Slimey DME's Pocket would you return the Machine and purchase another s9 auto set out of Pocket ? I have the Funds to purchase out of pocket but I hate to spend my Money when I have Insurance ( Humana Medicare advantage) that pays 100 % for the machine . I am going to call Humana and see if they will reimburse me if I pay out of Pocket and then Make My Decision. It all depends on whether Humana has paid any on this Claim yet but I don't think they have from my conversation with them yesterday. They told me that they would find me another DME that was in my Network.

I'd keep fighting this.....but then I'm fighting my own DME battle trying to get my DME to switch my BiPAP to an Auto BiPAP (per Dr RX). I pay 50% and I am about $450 out of pocket into it so far. Me and wifey talked about cons/pros of just buying the machine I need ourselves versus costs if we had to start over with new DME (new 13 month rental) or just buy the damn thing and give everyone the finger. Would warranty be any better buying versus rental. Cause if there is one thing that seems attracted to me....it's defective products.

[TheUglyTruth]

If you were in this situation of being given a used s9 auto set because of a few more Dollars in My Slimey DME's Pocket would you return the Machine and purchase another s9 auto set out of Pocket ?

I think you have let your righteous indignation cloud your judgment and get the best of you.

You have a machine that might work well for ten years. What does 80 days less matter to you personally?

On the other hand if you see yourself on a crusade to right perceived wrongs for the betterment of humanity, carry on. You probably won't do much harm except to yourself.

[Pugsy]

If you were in this situation of being given a used s9 auto set because of a few more Dollars in My Slimey DME's Pocket would you return the Machine and purchase another s9 auto set out of Pocket ?

Boy...this one is tough.
My first thought was...the SOBs had that slightly used S9 Autoset the whole time...why didn't they just tell you that instead of making you go through all this? Offer it up front and be honest about the hours. If they had would you have taken it?

Of course I have been known to cut off my nose to spite my face just over the principle of the deal. So I am probably not the best person to take advice from in that regards.

I think that if it were me I would still look for a new DME in network if at all possible just because I wouldn't want to ever have to deal with these yahoos again but that's me. I hold a grudge and don't like being lied to. Now if they had been up front with me right from the start...maybe a different story.

I know that Medicare doesn't care if a used machine is dispensed...but you have Humana Medicare Advantage Plan and not Medicare in the traditional sense so that means your insurance is in some ways a whole different animal. If they say that they expect a brand new zero hour machine then that is what you should have received because that's what the insurance expects to pay for.
You know there is the warranty time frame thing to think about. How long has the used machine been out there with the warranty period clock running?

Still a tough call.

[idamtnboy]

I'm with Pugsy on this one. Keep in mind if the machine craps out after the factory warranty runs out, and the machine has been paid for by the insurance company, and you have an active prescription in hand, the insurance company will get you a replacement machine. If you buy it on your own, and it craps out after the warranty period, you may be on your own to replace it. The insurance company quite possibly will say, "Sorry, we pay for a new machine after 5 years." Or, at best, you will go through this whole scenario again with insurance paying to get a replacement machine.

[StuUnderPressure]

Even though you did get a used machine, I believe the warranty period for you starts with the date "YOU" purchased it. So, you will not get a shorter warranty period just because someone else used it before you.

I personally would hold out for a new S9 AutoSet.

But, do keep in mind that you will have to start this process from scratch with another DME who may try to give you a lesser machine.

If the current DME is hesitant to switch your current machine with a new one, tell them you do not expect to continue buying supplies from them because of the way you were treated. The loss of that business may be enough to convince them to give you what you want.

[DannyPh]

I do have a two year warranty on this machine even though it is a used Machine. But like Pugsy said---Tough Call. I will give the Insurance a few days to see if they pressure the DME enough for a new Machine then I will decide what I will do.