Insurance Question: in the Great White North

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
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mtncpapblue
Posts: 33
Joined: Thu Sep 13, 2012 3:11 pm
Location: Calgary, AB

Insurance Question: in the Great White North

Post by mtncpapblue » Wed Oct 03, 2012 8:42 pm

Reasonable and customary - is the term used to describe insurance coverage for CPAP equipment replacement parts.
Any experience what that interval is for a mask replacement?
It seems to be the easiest path, to simply buy a whole new mask, then one has spare parts on hand.
I read that the silicone face cushion should be replaced at least every 6 months.
Apparently, the silicone absorbs 'thingys', that grow over time. Cannot be washed out. Not healthy.

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greatunclebill
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Joined: Mon Feb 20, 2012 7:48 pm
Location: L.A. (lower alabama)

Re: Insurance Question: in the Great White North

Post by greatunclebill » Wed Oct 03, 2012 8:53 pm

this is an individual thing based on many factors. if your mask is working well, keep using it. if its starting to lose its seal, replace it. they do not need to be replaced on a pre-determined schedule. you determine the schedule as you go. in most cases you only need replace the pillows or cushion, not the entire mask.

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archangle
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Joined: Sun Mar 27, 2011 11:55 am

Re: Insurance Question: in the Great White North

Post by archangle » Wed Oct 03, 2012 9:04 pm

mtncpapblue wrote:Reasonable and customary - is the term used to describe insurance coverage for CPAP equipment replacement parts.
Any experience what that interval is for a mask replacement?
It seems to be the easiest path, to simply buy a whole new mask, then one has spare parts on hand.
I read that the silicone face cushion should be replaced at least every 6 months.
Apparently, the silicone absorbs 'thingys', that grow over time. Cannot be washed out. Not healthy.
I don't think it gets "unhealthy," but it will tend to get stiff or something and start to leak. Or crack. Or just look yucky.

In the USA, you usually can get cushions replaced a lot more often, often two times a month.

I recommend to get a spare or two of everything as soon as your insurance will allow, and then only order as one of your old ones gets yucky or damaged. Keep all the old parts. You never know when you might need some piece off of that old broken mask to fix your current mask.

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Mask: Swift™ FX Nasal Pillow CPAP Mask with Headgear
Humidifier: S9™ Series H5i™ Heated Humidifier with Climate Control
Additional Comments: Also SleepyHead, PRS1 Auto, Respironics Auto M series, Legacy Auto, and Legacy Plus
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