Replacement Schedule
Replacement Schedule
I just checked with my Insurance which is Hometown Health in Reno Nevada and they told me they don't have a standard replacement schedule for masks, hoses, filters etc. They told me I need to have my doctor send my DME a prescription when i need replacements. Is this manner of replacement very common?
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Mask: Zest Nasal CPAP Mask with Headgear |
Humidifier: S9™ Series H5i™ Heated Humidifier with Climate Control |
- chunkyfrog
- Posts: 34545
- Joined: Mon Jul 12, 2010 5:10 pm
- Location: Nowhere special--this year in particular.
Re: Replacement Schedule
BCBSNE in my office just pitched their schedule--or so they say.
The thought is too frequent replacement or too much variety would be considered abuse, and you would get shut off.
They apparently believe that a schedule encourages 'stocking up'--and they couldn't allow that.
The thought is too frequent replacement or too much variety would be considered abuse, and you would get shut off.
They apparently believe that a schedule encourages 'stocking up'--and they couldn't allow that.
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Mask: AirFit™ P10 For Her Nasal Pillow CPAP Mask with Headgear |
Additional Comments: Airsense 10 Autoset for Her |
Re: Replacement Schedule
My insurance changed this year. In the past they allowed the following
one mask every three months,
two replacement cushions a month
one hose a month
one white fine filter a month
one gray filter every six months
one headgear every six months
They recenly changed to one hose every three months and one cushion a month.
one mask every three months,
two replacement cushions a month
one hose a month
one white fine filter a month
one gray filter every six months
one headgear every six months
They recenly changed to one hose every three months and one cushion a month.
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Machine: ResMed AirSense™ 10 AutoSet™ CPAP Machine with HumidAir™ Heated Humidifier |
Mask: ResMed AirFit™ F30 Full Face CPAP Mask with Headgear |
- VikingGnome
- Posts: 591
- Joined: Fri Feb 03, 2012 6:46 pm
- Location: Mississippi
Re: Replacement Schedule
Here's a link to 2012 Medicare Reimbursement costs and Replacement Schedule from ResMed's Wesite:
http://www.resmed.com/us/documents/1013 ... sories.pdf
http://www.resmed.com/us/documents/1013 ... sories.pdf
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Mask: AirFit™ F10 For Her Full Face Mask with Headgear |
Humidifier: S9™ Series H5i™ Heated Humidifier with Climate Control |
Additional Comments: Pressure Setting 22/18; Pregnancy pillow to keep me sleeping on side |
Re: Replacement Schedule
Replacement parts..not the full mask..don't require RX anyway.
Like my nasal pillow mask...each part to my mask can be bought separately without a RX.
To require a new RX for each replacement part is overkill and not common. Some DMEs may want a new RX annually depending on your insurance and DMEs in house policies.
My DME still sells me masks and whatever supplies I need after 3 years now and only has the first original RX.
Like my nasal pillow mask...each part to my mask can be bought separately without a RX.
To require a new RX for each replacement part is overkill and not common. Some DMEs may want a new RX annually depending on your insurance and DMEs in house policies.
My DME still sells me masks and whatever supplies I need after 3 years now and only has the first original RX.
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Machine: AirCurve™ 10 VAuto BiLevel Machine with HumidAir™ Heated Humidifier |
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