Replacements and misinformation

I called the DME yesterday about getting a replacement gasket for my Quattro. The first guy said I had to wait 6 months for medicare to pay. He had someone call back to say they had some gaskets laying around and would send me one. Then I get a call from another guy saying that masks are paid for every three months and they will have one to me by Monday. Of course, I had already checked and knew that medicare paid for masks every three months, I just wasn't in the mood to argue with them, so I had let what the first two guys said go by. It is frustrating being on this end of the hose.

I have run into the same problem. My supplier also said that I shouldn't need the hoses or replacement cushions as often as insurance allows. What does it matter to them they are being paid for them and I need them.

My DME told me the same thing. I wouldn't be surprised if they try to get you to take them less often so they can bill the insurance for a mask that they sell to someone else. Or who knows what other schemes they've dreamed up to make money while not providing any benefit.

Gerryk wrote:I have run into the same problem. My supplier also said that I shouldn't need the hoses or replacement cushions as often as insurance allows. What does it matter to them they are being paid for them and I need them.

same issues here. Cigna wasn't too helpful either. They basically told me - get what you need when you need it. But Apria was all over the place - never got the same answer twice.