My thanks to all of you

Guest · Post by **Guest** » Fri Apr 21, 2006 8:54 am

Last December I had my first sleep study, which confirmed that I had OSP.

The solution offered was CPAP, but I was not enamored with the idea of becoming a lifelong hosehead.

So, I did the research on the various surgical options - and quickly learned that surgery for this condition is not appropriate (i.e., the chance of a positive outcome is not high).

Therefore, back to CPAP research...which led me here a couple of months ago.

Well, I learned a ton, and had a titration study done last Friday. The follow-up with my sleep doctor was yesterday afternoon, and I was glad that I had soaked-up everything that I had read here.

He wanted to prescribe standard CPAP - I wanted APAP. After a short debate, he ended-up agreeing to prescribe exactly what I wanted (RemStar Auto with C-Flex).

Prescription faxed to DME late yesterday. I've also read all of the horror stories about DME's, so I'm ready if they try to give me any grief.

I am sitting here debating whether or not to also contact billmyinsurance and seeing what the deal is that way. I have BCBS, and they say that no internet DME is on the preferred provider list.

Anywho, a BIG THANK-YOU to all of you who post here. I am very grateful for the information that you have shared - it helped me immensely!

pj

NightHawkeye · Post by **NightHawkeye** » Fri Apr 21, 2006 9:39 am

Anonymous wrote:I am sitting here debating whether or not to also contact billmyinsurance and seeing what the deal is that way. I have BCBS, and they say that no internet DME is on the preferred provider list.

I received a similar response from BC/BS but when I bought from cpap.com they paid 100%, although they'd earlier said they would only pay 60%. As I understand things, if you submit the bill yourself, then you are the provider and get in-network rates. Of course, there are bad stories the other way also, so I think it really just depends on how the person handling the claim happens to feel the day your claim shows up.

Regards,
Bill

johnnygoodman · Post by **johnnygoodman** » Fri Apr 21, 2006 9:45 am

If you call BillMyInsurance they can find out if they are considered "in network" for your version of BCBS. This is a free service and takes a day or less to determine so you've got nothing to lose and a lot to gain.

Johnny

sleepylady · Post by **sleepylady** » Fri Apr 21, 2006 9:58 am

PJ,

Give billmyinsurance a call. I called them when I was switching to an APAP. They knew right away that my insurance wouldn't work with them and let me know. It was so nice having a person who was so honest and above-board.

Melinda

pj1016 · Post by **pj1016** » Fri Apr 21, 2006 1:51 pm

First, now that I have my log-in problem solved, the OP is me.

I also contacted billmyinsurance.com; they contacted BCBS, and have now just emailed me to tell me that I'm fully covered. Excellent <rubs hands gleefully>.

Now, why is it when I call BCBS, they tell me there is no in-network DME?
Maybe billmyinsurance.com has another "brick-and-mortar" name that is an in-network provider?

pj

My thanks to all of you

My thanks to all of you

Re: My thanks to all of you