Why insurance costs are high

General Discussion on any topic relating to CPAP and/or Sleep Apnea.

User avatar
MrsRinPDX
Posts: 246
Joined: Tue Nov 21, 2017 9:53 am
Location: Portland, OR USA

Re: Why insurance costs are high

Post by MrsRinPDX » Sun Mar 04, 2018 12:11 pm

I agree. I'm not opposed to having a spare part should your machine or mask go down, but stockpiling for profit is wrong. Does anyone know if it is illegal?

_________________
Machine: DreamStation BiPAP® Auto Machine
Mask: ResMed AirFit™ F20 Full Face CPAP Mask with Headgear
Humidifier: DreamStation Heated Humidifier
Additional Comments: Pressures: IPAP 18/ EPAP 14; Secondary mask - Nuance Pro Nasal Pillow

User avatar
Goofproof
Posts: 16082
Joined: Mon Dec 05, 2005 3:16 pm
Location: Central Indiana, USA

Re: Why insurance costs are high

Post by Goofproof » Sun Mar 04, 2018 2:25 pm

It isn't illegal, It isn't fraud. It is Stupid, greed caused by INS Companies paying for excessive replacement items, and not monitoring the real needs of customers. (They allow it) After all the more they pay out the more they can charge, the consumer. (US, The Gov (US) or the Company that carries your INS. (US) ) The People that pay for your corruption and graft in hoarding, in higher prices for what they sell!

We all pay for what Stupid People do every day, that will not change, because we too are the stupid people that allow it! :roll: Jim
Use data to optimize your xPAP treatment!

"The art of medicine consists in amusing the patient while nature cures the disease." Voltaire

Lucyhere
Posts: 1949
Joined: Sun Oct 18, 2015 2:45 pm

Re: Why insurance costs are high

Post by Lucyhere » Sun Mar 04, 2018 2:44 pm

MrsRinPDX wrote: ↑
Sun Mar 04, 2018 12:11 pm
I agree. I'm not opposed to having a spare part should your machine or mask go down, but stockpiling for profit is wrong. Does anyone know if it is illegal?
I guess everyone's idea of stockpiling is different. People sell things on the forum all the time -- things that don't work for them for one reason or another. It's not illegal.

Maybe we shouldn't allow the selling of cpap equipment on the forum... only donating???
Resmed AirSense 10 Autoset for her w/humid air/heated Humidifier
Bleep/P10

User avatar
palerider
Posts: 32308
Joined: Wed Dec 16, 2009 5:43 pm
Location: Dallas(ish).

Re: Why insurance costs are high

Post by palerider » Sun Mar 04, 2018 3:20 pm

MrsRinPDX wrote: ↑
Sun Mar 04, 2018 12:11 pm
I agree. I'm not opposed to having a spare part should your machine or mask go down, but stockpiling for profit is wrong. Does anyone know if it is illegal?
You *absolutely* need to have a spare of everything, otherwise, you're waiting to go get replacements, or have them shipped to you.

_________________
Mask: Bleep DreamPort CPAP Mask Solution
Additional Comments: S9 VPAP Auto
Get OSCAR

Accounts to put on the foe list: dataq1, clownbell, gearchange, lynninnj, mper!?, DreamDiver, Geer1, almostadoctor, sleepgeek, ajack, stom, mogy, D.H., They often post misleading, timewasting stuff.

User avatar
LSAT
Posts: 13412
Joined: Sun Nov 16, 2008 10:11 am
Location: SE Wisconsin

Re: Why insurance costs are high

Post by LSAT » Sun Mar 04, 2018 4:37 pm

Lucyhere wrote: ↑
Sun Mar 04, 2018 2:44 pm
MrsRinPDX wrote: ↑
Sun Mar 04, 2018 12:11 pm
I agree. I'm not opposed to having a spare part should your machine or mask go down, but stockpiling for profit is wrong. Does anyone know if it is illegal?
I guess everyone's idea of stockpiling is different. People sell things on the forum all the time -- things that don't work for them for one reason or another. It's not illegal.

Maybe we shouldn't allow the selling of cpap equipment on the forum... only donating???
Lucy...Did you read the ad carefully? There were 16 Swift FX Masks...15 Swift FX Pillows...3 Water Chambers...3 Hoses....etc

User avatar
greatunclebill
Posts: 1503
Joined: Mon Feb 20, 2012 7:48 pm
Location: L.A. (lower alabama)

Re: Why insurance costs are high

Post by greatunclebill » Sun Mar 04, 2018 6:40 pm

It could be the patient defrauding the insurance company. It could be the dme defrauding the insurance company. If a government insurance was involved, it would be one of them defrauding the government.

It could also be someone selling a very high hour machine and repackaged used supplies. Never say never.

_________________
Mask: Quattro™ FX Full Face CPAP Mask with Headgear
Additional Comments: myAir, OSCAR. cms-50D+. airsense 10 auto & (2009) remstar plus m series backups
First diagnosed 1990
please don't ask me to try nasal. i'm a full face person.
the avatar is Rocco, my Lhasa Apso. Number one "Bama fan. 18 championships and counting.
Life member VFW Post 4328 Alabama
MSgt USAF (E-7) medic Retired 1968-1990

User avatar
DxRxTx
Posts: 41
Joined: Thu Jun 04, 2015 9:46 am
Location: California

Re: Why insurance costs are high

Post by DxRxTx » Mon Mar 05, 2018 3:07 pm

I've had insurance when I had to pay 20% copay, had insurance with no copay, had insurance with no CPAP coverage, and now back to 20% copay. The no CPAP coverage was tough. No job and no CPAP coverage. Out of pocket, masks and mask parts are expensive. I learned to find those items at less than retail.

To wit, since being back to 20% copay, I am quite frankly scared of losing coverage again. So I stockpiled in the eventuality. I was not looking to profit, just h ave the supplies for the rainy day. Now, I've changed mask sizes. I have a stockpile of masks, which I'll sell as "assembly kits," (which is legal) and cushions. Because of eBay, PapPal, and shipping (mostly shipping), I have to charge a little more than I paid for them. I need to get back my original copay. But if I can get them sold on Craigslist with local pickup, I can charge less.

_________________
Mask: Ultra Mirage™ Full Face CPAP Mask with Headgear
Additional Comments: My BiPAP is so old it's not listed: PR System One 50 BiPAP Auto

User avatar
DxRxTx
Posts: 41
Joined: Thu Jun 04, 2015 9:46 am
Location: California

Re: Why insurance costs are high

Post by DxRxTx » Mon Mar 05, 2018 3:44 pm

What the guy is offering seems to be a reasonable price to get his money back. It just seems that over the past few years, he's tried a bunch of different masks and has a lot of them leftover, mostly from changeover. If he's getting a new machine, it seems that the masks should stay.

_________________
Mask: Ultra Mirage™ Full Face CPAP Mask with Headgear
Additional Comments: My BiPAP is so old it's not listed: PR System One 50 BiPAP Auto

User avatar
LSAT
Posts: 13412
Joined: Sun Nov 16, 2008 10:11 am
Location: SE Wisconsin

Re: Why insurance costs are high

Post by LSAT » Mon Mar 05, 2018 6:10 pm

DxRxTx wrote: ↑
Mon Mar 05, 2018 3:44 pm
What the guy is offering seems to be a reasonable price to get his money back. It just seems that over the past few years, he's tried a bunch of different masks and has a lot of them leftover, mostly from changeover. If he's getting a new machine, it seems that the masks should stay.
They are ALL from the same mask. He most likely got these through insurance with paying little,