APAP question

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
rejlaw
Posts: 3
Joined: Sun May 14, 2006 7:07 pm

APAP question

Post by rejlaw » Tue Jun 06, 2006 7:32 pm

I have prescription for cpap only. Can I use that RX to purchase an APAP out of my own pocket from CPAP.COM, or do I need a new RX specifically written for an APAP?


Guest

Post by Guest » Tue Jun 06, 2006 8:02 pm

Yes, you can buy any machine you want. However, I'm not sure about the heated humidifier, they have a separate Medicad number (E0562, I think).
Why not just give them a call..


Guest

Post by Guest » Tue Jun 06, 2006 8:39 pm

You don't need a prescription for the heated humidifier just the main CPAP or APAP machine.


Guest

Post by Guest » Tue Jun 06, 2006 8:41 pm

Medicaid numbers mean nothing when you are purchasing out of pocket.

Just need a CPAP prescription which can be used for CPAP or APAP, or an APAP prescription. Doesn't matter.


User avatar
Ric
Posts: 612
Joined: Sat Oct 22, 2005 5:41 pm
Location: Left Coast

Re: APAP question

Post by Ric » Tue Jun 06, 2006 11:47 pm

rejlaw wrote:I have prescription for cpap only. Can I use that RX to purchase an APAP out of my own pocket
Chances are you can use the CPAP prescription to buy an APAP and still get your insurance to pay at least what they would otherwise pay for a CPAP applied to an APAP. Some people offer to pay only the difference out-of-pocket. You shouldn't have to spring for the whole potato. My DME said the APAP cost them $300 more than the CPAP, I offered to split the difference, and they agreed. I really doubt the wholesale prices to them are really that much different, but I was quite alright with letting insurance do their part. (And it is satisfying to watch the moral and ethical arguments dissolve when the profitability is assured).

And yes you CAN use a CPAP prescription to by an APAP for at least one very important reason, an APAP IS A CPAP (with some incredibly useful added functionality).

(And depending on the meaning of "IS").

He who dies with the most masks wins.