Supplies

alpha1340 · Post by **alpha1340** » Thu Mar 15, 2007 3:46 pm

I got the skinny from my insurance on replacements

New Hose Every Month
New Mask Every 3 Months
New Headgear Every 6 Months
New Filters Every Month
New White Filter Every 3 Months

Does this sound about right for anyone going through insurance?

Goofproof · Post by **Goofproof** » Thu Mar 15, 2007 3:55 pm

Each one is different, that sounds like a plan you can live with. I'll bet that even between their coustomers, you can get many different answers,
I hope they signed that paper for you. Jim

alpha1340 · Post by **alpha1340** » Thu Mar 15, 2007 4:01 pm

Okay, I'm stupid what papers?

ces44 · Post by **ces44** » Thu Mar 15, 2007 4:41 pm

If you have BCBS of Oklahoma, there is no schedule. It's all "medically necessary" Even the DMS's can't tell you if anything will be covered. I do have that in writing.
ces44

alpha1340 · Post by **alpha1340** » Thu Mar 15, 2007 4:57 pm

I have Mountain State BCBS and I called them today and that is the schedule they gave me.

arteecat · Post by **arteecat** » Thu Mar 15, 2007 5:01 pm

most insurance payors fall back on medicare policy if they don't set thier own

mask every three
headgear every six
tubing every month
water chamber every six
non disp filter every six
disposable ultra fine filter two every month

Guest · Post by **Guest** » Thu Mar 15, 2007 5:45 pm

Actrually if you look at your policy, which you can probably do online it will what is covered. I have BCBS (of CA), and my policy clearly shows a limit of $1,000 annually on DME. Doesn't show limitations on how often an item is purchased but have never had a problem with reimbursement. I don't go overboard and order multiple masks every month, but di order two mask sets at one time for convenience and they had no problem with it.

alpha1340 · Post by **alpha1340** » Thu Mar 15, 2007 5:49 pm

While I was talking with them. There is not a cap on DME expense per year like you said. But they pay 90/10 on everything and I don't have to have met my deductible for them to pay 90/10