I now have medical insurance!

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
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Cuda
Posts: 336
Joined: Sun Dec 19, 2010 12:42 pm

I now have medical insurance!

Post by Cuda » Wed Oct 19, 2011 2:55 pm

My one year pre-exist is up! Hip Hip Hooray! I am now covered for sleep apnea (and related illnesses).

Of course within that year I purchased everything I needed and self-diagnosed and treated myself but better late than never!

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Mask: Quattro™ FX Full Face CPAP Mask with Headgear
Humidifier: S9™ Series H5i™ Heated Humidifier with Climate Control
Additional Comments: Pad-a-Cheek mask liner. CPAP mode 13cm, EPR: 1 Tube: 75 Humidity: 1.5

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Slinky
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Joined: Wed Nov 01, 2006 3:43 pm
Location: Mid-Michigan

Re: I now have medical insurance!

Post by Slinky » Thu Oct 20, 2011 1:55 pm

Congratulations, Cuda. May you never need to use it. Except for CPAP supplies and accessories, of course.

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Additional Comments: PR SystemOne BPAP Auto w/Bi-Flex & Humidifier - EncorePro 2.2 Software - Contec CMS-50D+ Oximeter - Respironics EverFlo Q Concentrator
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Axxel
Posts: 76
Joined: Wed Sep 21, 2011 5:48 am

Re: I now have medical insurance!

Post by Axxel » Thu Oct 20, 2011 2:02 pm

Cuda wrote:My one year pre-exist is up! Hip Hip Hooray! I am now covered for sleep apnea (and related illnesses).

Of course within that year I purchased everything I needed and self-diagnosed and treated myself but better late than never!
Congrats!

If I may ask, how much did it cost you?

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Cuda
Posts: 336
Joined: Sun Dec 19, 2010 12:42 pm

Re: I now have medical insurance!

Post by Cuda » Sat Oct 22, 2011 1:23 pm

I had insurance before, here is what happened:

I own my own business and have for 15 years so insurance is all on me. I lived in another state and had Blue Cross. It was a PPO plan. It was about $200 bucks or so a month, $1000 deductible and 80/20 after that.

Then I moved....sigh...

So I got Blue Cross in a new state but despite it being Blue Cross its considered a different company. After my sleep study they dug into the records and decided to say it was a pre-exist. They said I had to have coverage the year before my new plan for them to cover it. I provided the proof so they changed it to "we are just not going to cover it". Not much I can do, now that I have OSA I can never get a new policy on my own, I would have to sell my company and find a regular job. So instead I just waited out the one year pre-exist clause. I became very ill waiting so I spent a few thousand bucks and bought all the gear anyway.

Now it has been a year. With deductibles and such I might not save much money on supplies but I now I can see a specialist without it costing $400 bucks a visit.

The new plan, like the old is around $200-$220 a month or so. For the wife, two kids and myself we pay about $1100 a month in premiums and that goes up 5-10% a year. Usually when we get sick we pay for it all anyway because of the deductibles.

It's primary function is to save family assets in the event of something like a heart attack or other medical issue that could wipe out everything we have worked for.

In a way I actually feel sorry for the insurance company. I was in intensive care for double pneumonia a few days after my policy started and they did cover most of that.

_________________
Mask: Quattro™ FX Full Face CPAP Mask with Headgear
Humidifier: S9™ Series H5i™ Heated Humidifier with Climate Control
Additional Comments: Pad-a-Cheek mask liner. CPAP mode 13cm, EPR: 1 Tube: 75 Humidity: 1.5

nichola
Posts: 50
Joined: Fri Oct 21, 2011 5:14 am

Re: I now have medical insurance!

Post by nichola » Sun Oct 23, 2011 3:03 am

O.o

Health insurance is $1100 a MONTH?!?!?!?!?!

Here in Australia if i spend that in a YEAR everything after that is free.

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Mask: Quattro™ FX For Her Full Face Mask with Headgear
Additional Comments: Currently the machine is a loaner... looking to buy my own