Is there anybody out there from Ontario? I would love to talk with others who are familiar with the procedures, and rules and regulations for CPAP in Ontario. Any help here would be appreciated.
LeeAnne in Niagara
cpap in Ontario
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LeeAnne in Niagara
- Posts: 7
- Joined: Thu Sep 29, 2005 4:36 pm
- Location: Niagara Falls Ontario
- Contact:
From Ontario
I'm from London Ontario and have been on CPAP for 3 years. Be glad to talk to you. I may not know what you would like to know but will try. I use a Respironics Remstar Pro. It is 3 years old. I have tried a number of masks and have several.
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CPAPopedia Keywords Contained In This Post (Click For Definition): respironics, CPAP
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CPAPopedia Keywords Contained In This Post (Click For Definition): respironics, CPAP
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| Machine: DreamStation Auto CPAP Machine |
| Mask: AirFit™ P10 Nasal Pillow CPAP Mask with Headgear |
| Humidifier: DreamStation Heated Humidifier |
| Additional Comments: Backups- FX Nano masks. Backup machine- Airmini auto travel cpap |
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Oh 2 breathe
- Posts: 59
- Joined: Sun Sep 18, 2005 5:04 pm
- Location: Ottawa, Ontario
Hi neighbour! I live near Ottawa, Ontario.
You can look up the Ontario government's Assistive Devices Program on the internet under the Ontario Ministry of Health. The government pays something like $780 toward your CPAP machine if you have a sleep specialist doctor's prescription. The staff at the sleep lab can also coach you through the system. The salesperson from the medical supply company that provided my equipment did all the paper work for me for both the government portion and my extended health insurance portion. All I had to do was sign some forms.
If you are still confounded by our complicated health bureaucracy , try calling your local Community Care Access Centre or talk to a social worker at your local hospital. They can probably refer you to the right service to answer your questions.
Take care, eh!
~ OTB
You can look up the Ontario government's Assistive Devices Program on the internet under the Ontario Ministry of Health. The government pays something like $780 toward your CPAP machine if you have a sleep specialist doctor's prescription. The staff at the sleep lab can also coach you through the system. The salesperson from the medical supply company that provided my equipment did all the paper work for me for both the government portion and my extended health insurance portion. All I had to do was sign some forms.
If you are still confounded by our complicated health bureaucracy , try calling your local Community Care Access Centre or talk to a social worker at your local hospital. They can probably refer you to the right service to answer your questions.
Take care, eh!
~ OTB
"The best things in life are nearest: Breath in your nostrils, light in your eyes, flowers at your feet..." ~ Robert Louis Stevenson
Even with the $780 from Ontario government's Assistive Devices Program (OADP) in Ontario, I figure that we have to pay much more compared to buying from the internet. The total cost for my CPAP is about CAN$2200. If it did not covered by my insurance company, it would cost me CAN$1400, compared to US$800 from some internet sites.
My DME provider is over charge the machine. I specifically asked for the PB420S instead of the PB420G which they offered me. I was very surprised to find out that they charged the same price for both machines. From the cpap.com, the 420S is US$120 more expensive than the 420G. One reason is that there is a cap for the CPAP machine that they can charge under OADP. Instead of adjusting the price for the cost of each machine, they charge all machines under the same price. If they can make some profit, they will sell it; otherwise, they don't carry it.
If you don't have any insurance to cover the CPAP and money is an issue, you may want to call around and check out whether the OADP is good for you. What you get from the OADP is the service from the DME provider, which let you try out different masks, giving you some educational information and 3 year warranty instead of 2 year from the manufacturer.
My DME provider is over charge the machine. I specifically asked for the PB420S instead of the PB420G which they offered me. I was very surprised to find out that they charged the same price for both machines. From the cpap.com, the 420S is US$120 more expensive than the 420G. One reason is that there is a cap for the CPAP machine that they can charge under OADP. Instead of adjusting the price for the cost of each machine, they charge all machines under the same price. If they can make some profit, they will sell it; otherwise, they don't carry it.
If you don't have any insurance to cover the CPAP and money is an issue, you may want to call around and check out whether the OADP is good for you. What you get from the OADP is the service from the DME provider, which let you try out different masks, giving you some educational information and 3 year warranty instead of 2 year from the manufacturer.
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WillSucceed
- Posts: 1031
- Joined: Sun Nov 07, 2004 7:52 am
- Location: Toronto, Ontario
Lee Anne:
I'm here in Ontario and have had lots of experience with several service providers. I'm happy to try to answer your questions as well.
I'm here in Ontario and have had lots of experience with several service providers. I'm happy to try to answer your questions as well.
Buy a new hat, drink a good wine, treat yourself, and someone you love, to a new bauble, live while you are alive... you never know when the mid-town bus is going to have your name written across its front bumper!
What kinds of rules and regulations do you mean? Getting a CPAP prescription, cost coverage, purchasing...?
1. In Ottawa, I saw my doctor who referred me to do a sleep study.
2. She sent the referral to the sleep lab.
3. The sleep lab called me to set up an evaluation appt.
4. Went in, saw the sleep lab doctor, who essentially conducted an interview to determine if a sleep study was warranted. (It was.)
5. Went in for sleep study. (In at 9pm, out before 7am.) Made appt for follow up visit with doctor to go over results.
6. Saw doctor who determined CPAP was probably necessary. Made appointment for second sleep study with CPAP.
7. Went in for sleep study. Issued prescription for CPAP.
8. Next day went to DME to get a CPAP trial. Got CPAP. Paid deposit. Must go to an approved DME. There were five in Ottawa.
9. Saw doctor for CPAP follow up. (This appointment is necessary for ADP funding for your CPAP!)
10. Purchased CPAP, mask, and chin strap. DME handled paperwork for ADP funding.
It took about 3.5 months go from steps 1 through 7.
ADP funding was $780. Everywhere I called, the CPAP was $1040.
My bill was:
$1040 CPAP
$250 Mask
$14.50 Pack of 3 filters
$24.50 Chin strap, universal
$150 Therapeutic CPAP package (just BS, IMO)
<$780> Less ADP
Total: $699.00 out of pocket.
For sure I'm buying my mask and other supplies online in the future. ADP only covers the CPAP machine, so if I can find one cheaper than the going Ontario DME rate less the ADP coverage, I'm buying that on my own as well.
1. In Ottawa, I saw my doctor who referred me to do a sleep study.
2. She sent the referral to the sleep lab.
3. The sleep lab called me to set up an evaluation appt.
4. Went in, saw the sleep lab doctor, who essentially conducted an interview to determine if a sleep study was warranted. (It was.)
5. Went in for sleep study. (In at 9pm, out before 7am.) Made appt for follow up visit with doctor to go over results.
6. Saw doctor who determined CPAP was probably necessary. Made appointment for second sleep study with CPAP.
7. Went in for sleep study. Issued prescription for CPAP.
8. Next day went to DME to get a CPAP trial. Got CPAP. Paid deposit. Must go to an approved DME. There were five in Ottawa.
9. Saw doctor for CPAP follow up. (This appointment is necessary for ADP funding for your CPAP!)
10. Purchased CPAP, mask, and chin strap. DME handled paperwork for ADP funding.
It took about 3.5 months go from steps 1 through 7.
ADP funding was $780. Everywhere I called, the CPAP was $1040.
My bill was:
$1040 CPAP
$250 Mask
$14.50 Pack of 3 filters
$24.50 Chin strap, universal
$150 Therapeutic CPAP package (just BS, IMO)
<$780> Less ADP
Total: $699.00 out of pocket.
For sure I'm buying my mask and other supplies online in the future. ADP only covers the CPAP machine, so if I can find one cheaper than the going Ontario DME rate less the ADP coverage, I'm buying that on my own as well.
Gained lasting notoriety for snoring at age four. Finally went to a sleep lab on June 23, 2005. Using CPAP since August 18, 2005.
What, is there something in the water up there in Ontario?
My, there seems to be a lot of you sleep apneacs there.
I think that's great! You should start a club!
Seriously, I think it's wonderful there are enough of you here from there that can be a positive support system for each other. That's important. It helps to know the way around the local scene. May I move to there and join in the friendship?
Linda
My, there seems to be a lot of you sleep apneacs there.
I think that's great! You should start a club!
Seriously, I think it's wonderful there are enough of you here from there that can be a positive support system for each other. That's important. It helps to know the way around the local scene. May I move to there and join in the friendship?
Linda
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Oh 2 breathe
- Posts: 59
- Joined: Sun Sep 18, 2005 5:04 pm
- Location: Ottawa, Ontario
I went through the same 1 through 7 steps that Scotty went through. Except that before step one I went through 8 months of testing to try to figure out what was causing my fatigue. I ended up diagnosing myself from a questionnaire on a sleep disorders site on the internet and presenting my doctor with the results.
After step number 7, I did not have to pay a deposit or anything out of pocket because it was covered by my extended health insurance plan.
My total bill came to $2700. The ADP program paid $780 of that, and the rest was paid by the insurance company. I have a one machine per lifetime limit with my private insurance but can get new masks each year as long as I have a doctor's note that I still need the CPAP therapy. I can also get the ADP funding again if I need another CPAP machine down the road.
I bet there are a lot of Canadians viewing this site. It's very helpful to have the information we all exchange here.
~ OTB
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CPAPopedia Keywords Contained In This Post (Click For Definition): CPAP
After step number 7, I did not have to pay a deposit or anything out of pocket because it was covered by my extended health insurance plan.
My total bill came to $2700. The ADP program paid $780 of that, and the rest was paid by the insurance company. I have a one machine per lifetime limit with my private insurance but can get new masks each year as long as I have a doctor's note that I still need the CPAP therapy. I can also get the ADP funding again if I need another CPAP machine down the road.
I bet there are a lot of Canadians viewing this site. It's very helpful to have the information we all exchange here.
~ OTB
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CPAPopedia Keywords Contained In This Post (Click For Definition): CPAP
"The best things in life are nearest: Breath in your nostrils, light in your eyes, flowers at your feet..." ~ Robert Louis Stevenson
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WillSucceed
- Posts: 1031
- Joined: Sun Nov 07, 2004 7:52 am
- Location: Toronto, Ontario
Ontario's Assistive Devices Program will contribute to a CPAP machine once every 5 years for any Ontario resident with OHIP coverage. If the patient needs bi-level, a machine can be obtained from the ventilator pool in Kingston.
Most employer insurance plans will pay for something, with some sort of cap or limits. Some plans are quite generous whereas others have fairly rigid limits.
Most employer insurance plans will pay for something, with some sort of cap or limits. Some plans are quite generous whereas others have fairly rigid limits.
Buy a new hat, drink a good wine, treat yourself, and someone you love, to a new bauble, live while you are alive... you never know when the mid-town bus is going to have your name written across its front bumper!
There's so many we're being exported to the US! There's me and LoneRider, at a minimum .LDuyer wrote:What, is there something in the water up there in Ontario?
My, there seems to be a lot of you sleep apneacs there.
I think that's great! You should start a club!
The CPAPer formerly known as WAFlowers
[quote="WillSucceed"]Ontario's Assistive Devices Program will contribute to a CPAP machine once every 5 years for any Ontario resident with OHIP coverage. If the patient needs bi-level, a machine can be obtained from the ventilator pool in Kingston.
Most employer insurance plans will pay for something, with some sort of cap or limits. Some plans are quite generous whereas others have fairly rigid limits.=quote]
Will Succeed, I'm getting a bi-level from the VEP. Right now I have a rented loaner. My question is - do you know why the machines from the VEP are free? I was told after both sleep studies that I would get the VEP machine at no charge, but no one explained why. My AHI is 128 and I need a back-up rate of 8. Is it because of the severity or just the type of machine?
Bella
Most employer insurance plans will pay for something, with some sort of cap or limits. Some plans are quite generous whereas others have fairly rigid limits.=quote]
Will Succeed, I'm getting a bi-level from the VEP. Right now I have a rented loaner. My question is - do you know why the machines from the VEP are free? I was told after both sleep studies that I would get the VEP machine at no charge, but no one explained why. My AHI is 128 and I need a back-up rate of 8. Is it because of the severity or just the type of machine?
Bella
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| Mask: FlexiFit HC432 Full Face CPAP Mask with Headgear |
| Additional Comments: Started bipap Nov. 2005 |
Central Sleep Apnea
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Darth Vader Look
- Posts: 411
- Joined: Fri Dec 30, 2005 3:15 am
I have the Cambridge, Ontario area covered and let me tell you there are a lot of us hose heads just in this area. I started my treatment November 24, 2005 and I am getting my APAP Monday . We are all coming out of the wood work here in Ontario. Any questions we are here in force.
Someone mentioned about something in the water here in Ontario. Could be because we have enough of it. I believe that Texas is your largest state. If you take the surface area of Texas (water and land in square miles) and compare just to the surface area of water we have here in Ontario (again in square miles) you would see that we well, wash them out. Ahhh but you gotta love them Texans . Don't sic George on us, please.
Someone mentioned about something in the water here in Ontario. Could be because we have enough of it. I believe that Texas is your largest state. If you take the surface area of Texas (water and land in square miles) and compare just to the surface area of water we have here in Ontario (again in square miles) you would see that we well, wash them out. Ahhh but you gotta love them Texans . Don't sic George on us, please.