Switching my DME - help

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
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Jason S.
Posts: 482
Joined: Mon Jan 26, 2009 6:40 pm
Location: Nevada

Switching my DME - help

Post by Jason S. » Fri Feb 20, 2009 11:04 am

My plan BC-BS allows for replacement masks every three months. My original DME, the one I bought the CPAP machine from, was out of plan. The difference is: in-plan only charges me 15%, out of plan charges me 30% plus the hefty coinsurance fee.

Now my question is: what will I need to provide the new, in-plan DME in order to get replacement parts? Do I have to go back to the doctor and get a new prescription?

_________________
Machine: DreamStation Auto CPAP Machine
Mask: AirFit™ F20 For Her Full Face CPAP Mask with Headgear
Humidifier: DreamStation Heated Humidifier
Additional Comments: Max pressure set at 15cm

jules
Posts: 3304
Joined: Mon Nov 27, 2006 10:51 pm

Re: Switching my DME - help

Post by jules » Fri Feb 20, 2009 11:19 am

You have to ask the DME what they want.

It might be they will do the legwork and get the information, or they might be able to get the other DME to fax it, but it might be that you have to get all the paperwork yourself.

I don't think there is any one fixed rule on this.

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OldLincoln
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Joined: Wed Mar 26, 2008 7:01 pm
Location: West Coast

Re: Switching my DME - help

Post by OldLincoln » Fri Feb 20, 2009 11:53 am

jules wrote:It might be they will do the legwork and get the information, or they might be able to get the other DME to fax it, but it might be that you have to get all the paperwork yourself.
I agree and in fact take that as a "test" of new DME's. Not that I have a lot of experience, but when I did switch, the new DME went out of their way to make it easy for me. I like that a lot!
ResMed AirSense 10 AutoSet / F&P Simplex / DME: VA
It's going to be okay in the end; if it's not okay, it's not the end.