new to Medicare
new to Medicare
I will be going on Medicare next month and am wondering who folks are using for mail order supplies. Will I need to get a new Rx? I am hoping to avoid a new sleep study and will be looking to get a new machine next year as well. Any advice pros and cons and experiences are much appreciated. I have been getting my supplies from our host here on my own dime and will want to take advantage of Medicare to save some $$
thanks in advance
thanks in advance
_________________
Mask: AirFit™ P10 Nasal Pillow CPAP Mask with Headgear |
Additional Comments: range 7-10 titrated at 10, EPR 1, pad-a-cheeks hose cover, Laniosh cream |
Mary-Ellen
"Show a little faith, there's magic in the night
You ain't a beauty, but hey you're alright
Oh and that's alright with me"
"Show a little faith, there's magic in the night
You ain't a beauty, but hey you're alright
Oh and that's alright with me"
Re: new to Medicare
I get mine from Verus.brucelegs wrote: ↑Sun Jun 18, 2023 11:57 amI will be going on Medicare next month and am wondering who folks are using for mail order supplies. Will I need to get a new Rx? I am hoping to avoid a new sleep study and will be looking to get a new machine next year as well. Any advice pros and cons and experiences are much appreciated.
IF you have a sleep doc who has all your info they will just contact him to get what they need.
You should be able to get a new cpap as soon as you start on Medicare and have a copy of your last sleep study - best if you can get it to a doc for them to contact.
HTH
https://verushealthcare.com/medicare/
_________________
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Mask: AirFit™ P10 Nasal Pillow CPAP Mask with Headgear |
Humidifier: HC150 Heated Humidifier With Hose, 2 Chambers and Stand |
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zonkers + palerider aka GrumpyHere wrote: ↑What exactly do you think you're adding to this thread?
Re: new to Medicare
Thanks. I have not has a sleep study since 2010 and have been managing it all myself very well after a couple of follow up visits in 2011. I bought my earlier replacement machines from LSAT on this forum on my own dime. Looks like I will need to most likely have another sleep study scheduled
_________________
Mask: AirFit™ P10 Nasal Pillow CPAP Mask with Headgear |
Additional Comments: range 7-10 titrated at 10, EPR 1, pad-a-cheeks hose cover, Laniosh cream |
Mary-Ellen
"Show a little faith, there's magic in the night
You ain't a beauty, but hey you're alright
Oh and that's alright with me"
"Show a little faith, there's magic in the night
You ain't a beauty, but hey you're alright
Oh and that's alright with me"
Re: new to Medicare
You can't (or didn't) get a copy of your old sleep study?
If not, might be time to start over and get copies of everything this time.
If not, might be time to start over and get copies of everything this time.
_________________
Machine: AirCurve™ 10 VAuto BiLevel Machine with HumidAir™ Heated Humidifier |
Mask: AirFit™ P10 Nasal Pillow CPAP Mask with Headgear |
Humidifier: HC150 Heated Humidifier With Hose, 2 Chambers and Stand |
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zonkers + palerider aka GrumpyHere wrote: ↑What exactly do you think you're adding to this thread?
Re: new to Medicare
I have a copy of the study from 2010 and the Rx but I suspect my new primary will want to complete a new study to get a RX for a newer machine.
_________________
Mask: AirFit™ P10 Nasal Pillow CPAP Mask with Headgear |
Additional Comments: range 7-10 titrated at 10, EPR 1, pad-a-cheeks hose cover, Laniosh cream |
Mary-Ellen
"Show a little faith, there's magic in the night
You ain't a beauty, but hey you're alright
Oh and that's alright with me"
"Show a little faith, there's magic in the night
You ain't a beauty, but hey you're alright
Oh and that's alright with me"
- Sheriff Buford
- Posts: 4086
- Joined: Mon Aug 09, 2010 8:01 am
- Location: Kingwood, Texas
Re: new to Medicare
My original sleep study was from 2010, also. I have kept a copy so I was alright. You can get a new machine, but Medicare requires "doctors notes", stating that the patient is successfully using your cpap machine. Trust me, it's a nightmare. I ended up buying the machine out of my pocket, though Medicare finally purchased me one. Good luck!
Sheriff
Sheriff
_________________
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Re: new to Medicare
A new sleep study is not a bad thing but...
I found a pulmonologist and its works out fine. Thing is you will need a doc if you want insurance to pay.
For me it works because I have a co-pay that picks up what Medicare doesn't pay as long as Medicare approves it, no problem.
IF the doc requires one even tho insurance does NOT then I say its time to find a new doc.
I found a pulmonologist and its works out fine. Thing is you will need a doc if you want insurance to pay.
For me it works because I have a co-pay that picks up what Medicare doesn't pay as long as Medicare approves it, no problem.
_________________
Machine: AirCurve™ 10 VAuto BiLevel Machine with HumidAir™ Heated Humidifier |
Mask: AirFit™ P10 Nasal Pillow CPAP Mask with Headgear |
Humidifier: HC150 Heated Humidifier With Hose, 2 Chambers and Stand |
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zonkers + palerider aka GrumpyHere wrote: ↑What exactly do you think you're adding to this thread?
- loggerhead12
- Posts: 561
- Joined: Fri Sep 01, 2017 4:00 pm
Re: new to Medicare
Sleep studies are torture because you have to sleep without your CPAP for several hours.
Re: new to Medicare
Only for the dx part (120 min) - not for the titration.loggerhead12 wrote: ↑Mon Jun 19, 2023 8:37 amSleep studies are torture because you have to sleep without your CPAP for several hours.
You may find out you don't need cpap or that you need a diff pressure.
Not all things in life are bad. Well it depends on your attitude.
OR find a new doc.
_________________
Machine: AirCurve™ 10 VAuto BiLevel Machine with HumidAir™ Heated Humidifier |
Mask: AirFit™ P10 Nasal Pillow CPAP Mask with Headgear |
Humidifier: HC150 Heated Humidifier With Hose, 2 Chambers and Stand |
Happiness is being on Dog Slobber pr & zonkers foe list
CrankyGranny is Whale Road + many other ids
They are here to help.
CrankyGranny is Whale Road + many other ids
They are here to help.
zonkers + palerider aka GrumpyHere wrote: ↑What exactly do you think you're adding to this thread?
Re: new to Medicare
My husband went on Medicare in March. He saw his PCP, not a sleep doc, who sent visit notes and an Rx to our local DME (who participates in Medicare) and hubby got his new CPAP. He did not need a new sleep study, just notes confirming that he had been using his machine nightly and benefiting from it. DME downloaded compliance data from the new machine and he does need a follow up visit and notes from PCP. Actually very easy.
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- ChicagoGranny
- Posts: 14547
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Re: new to Medicare
That's the way to do it. This getting a new sleep study is not required by Medicare, and it is a stupid waste of taxpayers' money. Not to mention,booksfan wrote: ↑Mon Jun 19, 2023 9:35 amMy husband went on Medicare in March. He saw his PCP, not a sleep doc, who sent visit notes and an Rx to our local DME (who participates in Medicare) and hubby got his new CPAP. He did not need a new sleep study, just notes confirming that he had been using his machine nightly and benefiting from it. DME downloaded compliance data from the new machine and he does need a follow up visit and notes from PCP. Actually very easy.
Exactly.loggerhead12 wrote: ↑Mon Jun 19, 2023 8:37 amSleep studies are torture because you have to sleep without your CPAP for several hours.
- chunkyfrog
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Re: new to Medicare
Since I am within driving distance, I refuse all offers to mail my supplies.
I have several times been able to reject "substitutions" that I would have otherwise been stuck with.
People tend to get "careless" when no one is watching--at least around here.
But you do what works for you; but don't be bashful about demanding corrections.
I have several times been able to reject "substitutions" that I would have otherwise been stuck with.
People tend to get "careless" when no one is watching--at least around here.
But you do what works for you; but don't be bashful about demanding corrections.
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Re: new to Medicare
i have no advice for you. just wanted to say i LOVE your signature!
_________________
Machine: AirCurve™ 10 VAuto BiLevel Machine with HumidAir™ Heated Humidifier |
Mask: AirFit™ P10 Nasal Pillow CPAP Mask with Headgear |
people say i'm self absorbed.
but that's enough about them.
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https://www.apneaboard.com/OSCAR/OSCAR-1.5.1-Win64.exe
Oscar-Mac
https://www.apneaboard.com/OSCAR/OSCAR-1.5.1.dmg
but that's enough about them.
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Re: new to Medicare
To clarify - IMHO any doc who refers you for a sleep study when your insurance (Medicare in this case) does NOT require one - prob has a financial interest in the sleep center.
Likewise if the doc won't send your equipment order to the supplier (DME) you want or will only order a certain brand of equipment.
Stop feeding the monster and find another doc who will do what you want. They work for you.
_________________
Machine: AirCurve™ 10 VAuto BiLevel Machine with HumidAir™ Heated Humidifier |
Mask: AirFit™ P10 Nasal Pillow CPAP Mask with Headgear |
Humidifier: HC150 Heated Humidifier With Hose, 2 Chambers and Stand |
Happiness is being on Dog Slobber pr & zonkers foe list
CrankyGranny is Whale Road + many other ids
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zonkers + palerider aka GrumpyHere wrote: ↑What exactly do you think you're adding to this thread?
Re: new to Medicare
I've had 4 in-lab sleep studies - before In-Home studies were approved.
IF yours was done at home chances are an in-lab with a live person watching over you will find things the at Home study doesn't even look for.
It wasn't until my 4th that it was noted I had bruxism. I seriously doubt that is came on suddenly - oddly enuff my dentist never mentioned it either. Turns out my dad had it too.
If you are sleeping well, don't feel tired, and don't feel the need for another opinion then don't bother. But if things aren't where you'd like them now is the perfect time to get another opinion.
Just make sure a split-nite study is ordered and beware that Medicare requires a minimum of 120 minute diagnostic (so they don't short change you and make you come back one more time).
And when done make sure this doc will order you an auto cpap/bipap of the brand you want - MUST be in writing so there is no wiggle room.
_________________
Machine: AirCurve™ 10 VAuto BiLevel Machine with HumidAir™ Heated Humidifier |
Mask: AirFit™ P10 Nasal Pillow CPAP Mask with Headgear |
Humidifier: HC150 Heated Humidifier With Hose, 2 Chambers and Stand |
Happiness is being on Dog Slobber pr & zonkers foe list
CrankyGranny is Whale Road + many other ids
They are here to help.
CrankyGranny is Whale Road + many other ids
They are here to help.
zonkers + palerider aka GrumpyHere wrote: ↑What exactly do you think you're adding to this thread?