Insurance took my CPap machine
-
Macado
Insurance took my CPap machine
My insurance, Anthem took away my c pap machine after sevral months of trying to et use to the machine and finally was getting the hang of sleeping with it most nights. They say 70% use is required. I was using 67%. Have others experience this problem? What recourse is there for me?
Re: Insurance took my CPap machine
I guess you could purchase your machine out of pocket...there are many available used. OR...You could also get your doctor to intercede on your behalf with the insurance company.
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| Machine: ResMed AirSense™ 10 AutoSet™ CPAP Machine with HumidAir™ Heated Humidifier |
| Mask: Fisher & Paykel Vitera Full Face Mask with Headgear (S, M, or L Cushion) |
| Additional Comments: Back up is a new AS10. |
- chunkyfrog
- Posts: 34544
- Joined: Mon Jul 12, 2010 5:10 pm
- Location: Nowhere special--this year in particular.
Re: Insurance took my CPap machine
Agreed! Do not give up! It is harder for some than others, and when you succeed, it inspires the rest of us.LSAT wrote:I guess you could purchase your machine out of pocket...there are many available used. OR...You could also get your doctor to intercede on your behalf with the insurance company.
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| Mask: AirFit™ P10 For Her Nasal Pillow CPAP Mask with Headgear |
| Additional Comments: Airsense 10 Autoset for Her |
Re: Insurance took my CPap machine
What have you tried so far? My first step would be a detailed letter mailed certified to their medical director citing sources on the risks of untreated sleep apnea, and discussing your personal journey with CPAP and what steps you've taken to ensure success and how you've improved "compliance." CC your physician on this letter, and if you feel okay with it, the benefits director for your company (particularly powerful if it's a large company). In this letter specifically request a written response within 5 business days. I've found this approach very powerful.
Aircurve 10 Vauto, Dreamwear mask, Vauto mode: EPAP min 5, IPAP max 20, PS 6
Usually ~EPAP 6, IPAP 12
Loving Sleepyhead!
Usually ~EPAP 6, IPAP 12
Loving Sleepyhead!
- chunkyfrog
- Posts: 34544
- Joined: Mon Jul 12, 2010 5:10 pm
- Location: Nowhere special--this year in particular.
Re: Insurance took my CPap machine
A letter from the doctor, specifying the need for extended time for acclimatization is often recognized by insurers.
A doctor's order often overrides the whims of OCD bean counters.
A doctor's order often overrides the whims of OCD bean counters.
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| Mask: AirFit™ P10 For Her Nasal Pillow CPAP Mask with Headgear |
| Additional Comments: Airsense 10 Autoset for Her |


