Insurance changed my CPAP equipment (presumably without notifying my doctor)
Re: Insurance changed my CPAP equipment (presumably without notifying my doctor)
Considering the Autoset 11 is more expensive than the older 10 I would think the DME would love to give you the 10 if they had them in stock and would meet insurance compliance requirements.
Cpap.com was selling the Autoset 10 for as low as $399 during the Holidays and they are out of stock now.
Cpap.com was selling the Autoset 10 for as low as $399 during the Holidays and they are out of stock now.
- chunkyfrog
- Posts: 33224
- Joined: Mon Jul 12, 2010 5:10 pm
- Location: in a nice, moist, Nebraska bog
Re: Insurance changed my CPAP equipment (presumably without notifying my doctor)
My last two machines had ZERO hours; so ANY hours says "something".LizardBBQ wrote: ↑Fri Jan 20, 2023 1:46 amI do have another question now. I don’t remember where I saw this, but someone advised that a certain number of hours logged into a brand new machine is acceptable because it could be the provider turning it on and testing its functionality. But I don’t remember the specifics.
So my question is, what are the “acceptable” number of hours in usage for a brand new machine from a DME?
Anything over a couple hours tells me it has been "somewhere."
_________________
Mask: AirFit™ P10 For Her Nasal Pillow CPAP Mask with Headgear |
Additional Comments: second Airsense 10 Autoset for Her --sticking with a good thing. |
- Dog Slobber
- Posts: 3650
- Joined: Thu Feb 15, 2018 2:05 pm
- Location: Ontario, Canada
Re: Insurance changed my CPAP equipment (presumably without notifying my doctor)
If you are looking for a number of hours in a legal or consumer protection context, I don't think there is one. Though some might argue that a non-new item has to be identified as refurbished or something to indicate it isn't absolutely new. So in that context, the number or run-hours would be zero (maybe 1 or 2).LizardBBQ wrote: ↑Fri Jan 20, 2023 1:46 amI do have another question now. I don’t remember where I saw this, but someone advised that a certain number of hours logged into a brand new machine is acceptable because it could be the provider turning it on and testing its functionality. But I don’t remember the specifics.
So my question is, what are the “acceptable” number of hours in usage for a brand new machine from a DME?
If you're asking what the run-hours should be in a general sense of acceptability, there is no consensus. Some expect and insist on 0 run-hours for a new device. Other's are OK with a very small number. CPAP devices are not like cars though. Cars will have a few clicks on the odometer for test-drives and movement from factory to dealer.
I can't think of any reason why a brand new, unused CPAP, would have a a value greater than 0. I have had two new AirSense 10s, both came completely wrapped, with no signs of opening and run-hours of 0. Some DME's will open them to for initial configuration, and casual working observation. But I can't see this being being an hour of blower use.
_________________
Machine: AirCurve™ 10 VAuto BiLevel Machine with HumidAir™ Heated Humidifier |
Mask: AirFit™ P30i Nasal Pillow CPAP Mask with Headgear Starter Pack |
Additional Comments: Min EPAP: 8.2, Max IPAP: 25, PS:4 |
- loggerhead12
- Posts: 421
- Joined: Fri Sep 01, 2017 4:00 pm
Re: Insurance changed my CPAP equipment (presumably without notifying my doctor)
The tech at my DME opened the box right in front of me, took off the plastic, plugged it in and turned it on and showed me zero hours right on the menu. She configured it while I watched and we tested it together.
They were actually a pretty good DME before going out of business. Maybe it isn't profitable to be good.
_________________
Machine: AirCurve™ 10 VAuto BiLevel Machine with HumidAir™ Heated Humidifier |
Mask: Bleep DreamPort CPAP Mask Solution |
Re: Insurance changed my CPAP equipment (presumably without notifying my doctor)
GREAT strategy!I don’t trust the DME companies either. Sometimes when I find myself in the situation where the DME and insurance company tell me different stories (blame game), I say, well, let’s do a 3-way call to come to a correct understanding of the facts.
_________________
Machine: ResMed AirSense™ 10 AutoSet™ CPAP Machine with HumidAir™ Heated Humidifier |
Mask: DreamWear Nasal CPAP Mask with Headgear |
What you need to know before you meet your DME http://tinyurl.com/2arffqx
Taming the Mirage Quattro http://tinyurl.com/2ft3lh8
Swift FX Fitting Guide http://tinyurl.com/22ur9ts
Don't Pay that Upcharge! http://tinyurl.com/2ck48rm
Taming the Mirage Quattro http://tinyurl.com/2ft3lh8
Swift FX Fitting Guide http://tinyurl.com/22ur9ts
Don't Pay that Upcharge! http://tinyurl.com/2ck48rm
Re: Insurance changed my CPAP equipment (presumably without notifying my doctor)
chunkyfrog wrote: ↑Fri Jan 20, 2023 6:42 amMy last two machines had ZERO hours; so ANY hours says "something".
Anything over a couple hours tells me it has been "somewhere."
Thanks for the input. I checked and it seems to have 0 hours, so I'm good in that department. The DME has mostly good reviews, so now I just wait to see if they pull anything in the future.Dog Slobber wrote: ↑Fri Jan 20, 2023 7:56 am
If you are looking for a number of hours in a legal or consumer protection context, I don't think there is one. Though some might argue that a non-new item has to be identified as refurbished or something to indicate it isn't absolutely new. So in that context, the number or run-hours would be zero (maybe 1 or 2).
If you're asking what the run-hours should be in a general sense of acceptability, there is no consensus. Some expect and insist on 0 run-hours for a new device. Other's are OK with a very small number. CPAP devices are not like cars though. Cars will have a few clicks on the odometer for test-drives and movement from factory to dealer.
I can't think of any reason why a brand new, unused CPAP, would have a a value greater than 0. I have had two new AirSense 10s, both came completely wrapped, with no signs of opening and run-hours of 0. Some DME's will open them to for initial configuration, and casual working observation. But I can't see this being being an hour of blower use.
- chunkyfrog
- Posts: 33224
- Joined: Mon Jul 12, 2010 5:10 pm
- Location: in a nice, moist, Nebraska bog
Re: Insurance changed my CPAP equipment (presumably without notifying my doctor)
Yeah, always good to keep an eye on things.
There are a few stinkers out there; and we never know where . . .
There are a few stinkers out there; and we never know where . . .
_________________
Mask: AirFit™ P10 For Her Nasal Pillow CPAP Mask with Headgear |
Additional Comments: second Airsense 10 Autoset for Her --sticking with a good thing. |
Re: Insurance changed my CPAP equipment (presumably without notifying my doctor)
I have a 10, and I NEVER use that swivel at all. The one on the mask gets used a lot, but the other end of the hose never moves, unless I'm removing it to clean or replace.
_________________
Machine: ResMed AirSense™ 10 AutoSet™ CPAP Machine with HumidAir™ Heated Humidifier |
Mask: AirTouch™ F20 Full Face CPAP Mask with Headgear |
Airsense 10 Autoset
AirTouch and AirFit F10 masks

AirTouch and AirFit F10 masks

Re: Insurance changed my CPAP equipment (presumably without notifying my doctor)
I wonder the reason why they changed it to the AS11 is for the convenience of having the modem. From my understanding, while there are some AS10s with 4G modems, it appears all AS10s being sold now are Card-to-Cloud units. With the current chip shortage, ResMed is saving their modems for the AS11 and since it is a newer unit, they can charge more for those.
- Dog Slobber
- Posts: 3650
- Joined: Thu Feb 15, 2018 2:05 pm
- Location: Ontario, Canada
Re: Insurance changed my CPAP equipment (presumably without notifying my doctor)
The 4G modem on the Air10 is very different than the Air11.
On the Air11 it's soldered onto the motherboard, on the Air10 it's removable. The Air10s can't be saved for the Air11s.
I think the ResMed's Air10 4G modem inventory is exhausted, and they're just not entering into a manufacturing contract to resupply a model line that has a limited lifespan.
On the Air11 it's soldered onto the motherboard, on the Air10 it's removable. The Air10s can't be saved for the Air11s.
I think the ResMed's Air10 4G modem inventory is exhausted, and they're just not entering into a manufacturing contract to resupply a model line that has a limited lifespan.
_________________
Machine: AirCurve™ 10 VAuto BiLevel Machine with HumidAir™ Heated Humidifier |
Mask: AirFit™ P30i Nasal Pillow CPAP Mask with Headgear Starter Pack |
Additional Comments: Min EPAP: 8.2, Max IPAP: 25, PS:4 |