Need CPAP badly, am Confused, Please Help

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
User avatar
Pugsy
Posts: 65112
Joined: Thu May 14, 2009 9:31 am
Location: Missouri, USA

Re: Need CPAP badly, am Confused, Please Help

Post by Pugsy » Mon Oct 06, 2014 9:55 pm

I don't know which model you are interested in from papman but if it's the S9....here's the clinical manual for it and it explains how to set the pressures...super easy.
http://www.apneuvereniging.nl/forum/pdf ... manual.pdf
If it's the AirSense model you can request that manual here
http://www.apneaboard.com/adjust-cpap-p ... tup-manual

He may be including that provider manual...but just in case not or it gets lost...these manuals show how easy it is to set things up yourself.

_________________
Machine: AirCurve™ 10 VAuto BiLevel Machine with HumidAir™ Heated Humidifier
Additional Comments: Mask Bleep Eclipse https://bleepsleep.com/the-eclipse/
I may have to RISE but I refuse to SHINE.

User avatar
archangle
Posts: 9293
Joined: Sun Mar 27, 2011 11:55 am

Re: Need CPAP badly, am Confused, Please Help

Post by archangle » Tue Oct 07, 2014 5:22 am

Check with your insurance and find out who are your local "in-network" DME's (CPAP sellers). Feel free to try another DME.

The two copays (if correct) may be the way your insurance works. It sounds a little screwy, though. I'd expect you to pay a one-time x% copay on the first month, and then pay your yearly deductible in January. The DME shouldn't bill more in January than in December, but you may have to pay the full bill the first month because it goes towards your deductible.

If you meet your insurance deductible during the year, paying the deductible in January doesn't make any long term cost difference because whatever money you pay extra in January makes your deductible run out earlier and you will save it back on later medical bills.

_________________
Mask: Swift™ FX Nasal Pillow CPAP Mask with Headgear
Humidifier: S9™ Series H5i™ Heated Humidifier with Climate Control
Additional Comments: Also SleepyHead, PRS1 Auto, Respironics Auto M series, Legacy Auto, and Legacy Plus
Please enter your equipment in your profile so we can help you.
Click here for information on the most common alternative to CPAP.
If it's midnight and a DME tells you it's dark outside, go and check for yourself.

Useful Links.

User avatar
archangle
Posts: 9293
Joined: Sun Mar 27, 2011 11:55 am

Re: Need CPAP badly, am Confused, Please Help

Post by archangle » Tue Oct 07, 2014 5:24 am

Do be sure to get a good data capable CPAP machine. There are links in my signature line about what machine to get.

Don't trust the DME about what machine is data capable. If it's midnight and a DME tells you it's dark outside, go look for yourself.

_________________
Mask: Swift™ FX Nasal Pillow CPAP Mask with Headgear
Humidifier: S9™ Series H5i™ Heated Humidifier with Climate Control
Additional Comments: Also SleepyHead, PRS1 Auto, Respironics Auto M series, Legacy Auto, and Legacy Plus
Please enter your equipment in your profile so we can help you.
Click here for information on the most common alternative to CPAP.
If it's midnight and a DME tells you it's dark outside, go and check for yourself.

Useful Links.

HusbandHasApnea
Posts: 11
Joined: Mon Oct 06, 2014 3:51 pm

Re: Need CPAP badly, am Confused, Please Help

Post by HusbandHasApnea » Tue Oct 07, 2014 8:41 am

Thank you pugsy and archangle. We are decided on the S9 but are still waiting for the prescription to make sure.

Our insurance said they will only to rent to own, they won't cover an outright purchase. So the two deductibles would apply - one for 2014 and one for 2015. Better to buy it, we actually pay less. What a scam. Sorry, all this research is making me bitter about how tough the doctors and CMEs make this.

_________________
Mask: Quattro™ FX Full Face CPAP Mask with Headgear
Humidifier: S9™ Series H5i™ Heated Humidifier with Climate Control
Additional Comments: My husband has Severe Obstructive Sleep Apnea

User avatar
Drowsy Dancer
Posts: 1271
Joined: Mon Feb 28, 2011 9:35 am
Location: here

Re: Need CPAP badly, am Confused, Please Help

Post by Drowsy Dancer » Tue Oct 07, 2014 10:08 am

HusbandHasApnea wrote:Better to buy it, we actually pay less. What a scam. Sorry, all this research is making me bitter about how tough the doctors and CMEs make this.
+1

And insurance companies. Don't forget them.

_________________
Machine: PR System One REMStar 60 Series Auto CPAP Machine
Mask: Swift™ FX Bella Nasal Pillow CPAP Mask with Headgears
Additional Comments: Software: SleepyHead. Pressure: APAP 9.5 min/11 max, A-Flex x2
How we squander our hours of pain. -- Rilke