Is this an outdated machine?

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
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Jeannh
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Is this an outdated machine?

Post by Jeannh » Fri Aug 23, 2013 3:30 pm

My doctor's "recommendation" on the Sleep Study:
A CPAP machine with pressure of 10 and C-Flex of 3 with data collection feature such as the Respironics Pro is preferable.
Hardly specific! I need an Rx to go to Apria, right?
Thanks- trying to get my ducks in a row.

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Machine: AirCurve™ 10 VAuto BiLevel Machine with HumidAir™ Heated Humidifier
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Additional Comments: EPAP 8, IPAP 14, PS 3.6

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Pugsy
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Re: Is this an outdated machine?

Post by Pugsy » Fri Aug 23, 2013 3:33 pm

Are you thinking that a straight cpap machine is an outdated machine when compared to an APAP machine that has both cpap and apap modes available? If so that's not the case at all.

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Jeannh
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Re: Is this an outdated machine?

Post by Jeannh » Fri Aug 23, 2013 4:38 pm

No, I'm just worried that with this, Apria can give me anything they like!

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Machine: AirCurve™ 10 VAuto BiLevel Machine with HumidAir™ Heated Humidifier
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STL Mark
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Re: Is this an outdated machine?

Post by STL Mark » Fri Aug 23, 2013 5:14 pm

I would assume that this was a problem and address it before taking it to a DME. Your options are to address it with the original sleep doctor or your PCP and tell them you want a machine that will provide full diagnostic information on your therapy so that you can have more than compliance information available. Ask that they make the prescription for either a Respironics DS560TS or a S9 Elite with heated humidifier and heated hose and mask of patients choice. Once I had that script I would begin my discussions with the DME.

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Pugsy
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Re: Is this an outdated machine?

Post by Pugsy » Fri Aug 23, 2013 5:40 pm

It's unlikely that the supplier would supply an outdated machines as in older discontinued model with the script worded as you presented it mainly because the new Respironics PR System One machines have been out in the market place for quite some time now. Even the 60 series machines have been out in the market place since the spring of last year.
Now if we were in the middle of a new model release then yeah I suppose a supplier might try to get rid of existing shelf inventory with a discontinued model but that's not the case right now.

Get specifics as to model name and/or number (especially numbers for the Respironics machines) and know which one does what and don't accept a machine that is not what you want.

There are lots of brand spanking new latest technology bricks out there and I think that is what you are worrying about and not so much older technology...is that right? Want to make sure they don't try to give you a machine that doesn't collect any useful data?
Outdated usually means older technology and not necessarily related to the amount of data it collects or doesn't collect.
From you other comments in other threads I got to wondering if you thought cpap was outdated compared to apap...it's not.

_________________
Machine: AirCurve™ 10 VAuto BiLevel Machine with HumidAir™ Heated Humidifier
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Jeannh
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Re: Is this an outdated machine?

Post by Jeannh » Fri Aug 23, 2013 8:57 pm

I got to wondering if you thought cpap was outdated compared to apap...it's not.

Not sure I would have put it that way, but your comment is close. Here is my logic - please tell me where it goes astray:
  • If a CPAP always lives inside an APAP, and the cost difference is fairly small, why would I not want an APAP that can handle future changes? My insurance (UHC) only purchases, contracts with Apria, and has an annual DME cap, so I expect to have whatever machine I start with for awhile. While my AHI is only 12, I'm desperate to deal with my fatigue, and hopeful this will be the ticket.
Trying to set myself up for success out of the gate. Input gratefully accepted. Thanks

_________________
Machine: AirCurve™ 10 VAuto BiLevel Machine with HumidAir™ Heated Humidifier
Mask: DreamWear Nasal CPAP Mask with Headgear
Additional Comments: EPAP 8, IPAP 14, PS 3.6

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Pugsy
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Re: Is this an outdated machine?

Post by Pugsy » Fri Aug 23, 2013 9:25 pm

Okay, now I understand...I think.
CPAP is a current mode of therapy available....so is APAP mode.

Your thoughts about having a machine that would do both should the need or want arise is why most of us here suggest to people that they get the APAP machine if at all possible. Better to have it and not need it than need it and not have it.

Some doctor's won't help...some DMEs like to play hardball and not dispense the APAP machine for any number of reasons but the biggest reason is bottom line for profit.

If you want a machine that has both cpap and apap modes available then you may need to be more specific with the DME and be prepared to go to a different DME if they play hardball and/or your doctor won't help by being specific with the model of machine.

This is where you have to understand the model names and/or model numbers and put your foot down about what you want and tell them if they won't dispense what you want then you will go find someone who will.

BTW...check with your insurance company about what their procedure is for any machine. Is it a rent to own? This is common and sometimes that rent to own time may take people into January of next year...new calendar year deductible for most insurance.
Do the math. With your co pay and/or deductible what is the overall out of pocket cost going to be? Compare that to taking your current cpap script and buying online the apap machine you want. That cpap RX is enough to buy an APAP machine because the APAP machine is really nothing more than a cpap machine with a mode for auto adjusting pressures as well as cpap mode.
You can still use a brick and mortar DME for masks and other supplies.

At cpap.com you can buy the PR System One 60 series Auto CPAP machine model 560 for around $675....this is machine, humidifier, travel case, SD card, heated hose... I don't remember the exact cost but you can call them and ask them. What you see shown is the MSRP...there is a discounted price. This machine.
https://www.cpap.com/productpage/pr-sys ... -tube.html

If you want the S9 AutoSet...the price is a little more because ResMed doesn't allow discounting off the MSRP but it still isn't a bad price. $923 for machine, humidifier, travel case, SD card and Climateline heated hose.
https://www.cpap.com/cpap-machine/resme ... chine.html

Both are excellent machines. Minor pros and cons with either brand but none are deal breakers.
So do the math...in the long run private purchase might cost you less depending on co pays and deductibles...plus some peace of mine not having to deal with the hassle...if your pocketbook permits.

_________________
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.

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Jeannh
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Re: Is this an outdated machine?

Post by Jeannh » Fri Aug 23, 2013 9:41 pm

in the long run private purchase might cost you less depending on co pays and deductibles...plus some peace of mine not having to deal with the hassle...if your pocketbook permits.
Bingo! Many, many thanks!

_________________
Machine: AirCurve™ 10 VAuto BiLevel Machine with HumidAir™ Heated Humidifier
Mask: DreamWear Nasal CPAP Mask with Headgear
Additional Comments: EPAP 8, IPAP 14, PS 3.6

123.Shawn T.W.
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Re: Is this an outdated machine?

Post by 123.Shawn T.W. » Sat Aug 24, 2013 7:37 am

My new ins would allow me to get a new machine ... But I had to rent for ten months ... $63.?? A month = $630.?? Total ... I bought/ordered one from second wind ... If ups is on schedule it will be delivered on Monday ... There sometimes brand new "open box" specials there, just didn't have what I wanted ... Sometimes there are new machines listed here by members ...

My Rx was just changed to straight cpap mode, but I like the option of having auto a available!

I had to "sell" my Dr on it originally ... Pressure needs change through the night ... Depending on position and possibly even how relaxed you are, I also told him they are the same price to the ins co, and me, so why should I not have the best features for my future health needs?
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