OK - what do I do next?!?

Newbie here - I've been lurking (a lot!) for a couple of months as I've worked my way through the 1st sleep study and then the titration test. Got titration results today from sleep doc. Had zero episodes (down from around 22), my oxygen was "perfect", and the tech told me I had the fewest leaks of anyone he had seen! also happy to report I felt good the following morning,even though I had only slept maybe 4 hours.

Learning from all of you, I put in a request shortly after the titration study for a resmed s9 autoset and S9 H5i heated humidifier with climate control. The mask that worked well for me that night was the Mirage FX for her nasal CPAP mask with headgear.

Now I am waiting for the DME to call me so I can get the machine. What should I be prepared to do/ask/etc when that happens? also, I checked in with my insurance early on, they pay 80% of cost of machine over a 10 mo "rental" and then I own it. Same with supplies, they pay 80%. What should I be asking them? I'm coming to the end of the deductible year and I have a high deductible plan. When January 1 rolls around, will my monthly fee for the machine shoot through the roof?

I'm trying to not make any missteps here and end up with huge bills I can't pay and a therapy that doesn't work! What are my next steps, please?!?!? Thank you!

toryg51 wrote: I'm coming to the end of the deductible year and I have a high deductible plan. When January 1 rolls around, will my monthly fee for the machine shoot through the roof?

Probably you will see a significant increase in the amount you will be paying after the first of the month because of the new deductible that needs to be met. It's a definite drawback when getting machines that do the rent to own thing during the later months of the year.

You have probably already read this
http://maskarrayed.wordpress.com/what-y ... me-part-i/

You might want to do the math. Find out exactly what your portion of the copay is going to be from now to the end of the year and then figure out what you will be responsible for at the beginning of the year when the new deductible rolls around. Ask for specific numbers...the DME may not know what your insurance company ends up allowing but your insurance company will know
Do the math....for total out of pocket if you use your insurance or if you just bite the bullet and buy the machine out right.
You can get the S9 AutoSet with humidifier from cpap.com for $883
https://www.cpap.com/productpage/resmed ... chine.html
that's machine, humidifier, slimline hose, travel case, SD card. Add another $40 if you want the Climateline heated hose (I do recommend it).

For masks you can still use your current DME if you want to and I would want to make use of insurance paying their portion along with the mask swapping that should be allowed during the first 30 days or so (be sure to find out exactly what the mask swapping policy is...while the mask manufacturers offer 30 days per mask often the DME makes their own in house rules).

There's no law that says you have to buy the machine from the DME that is supplying the masks.

So do the match and if your out of pocket costs are dramatically higher for the machine using your insurance...it might be worth it to just buy from cpap.com and save some money and hassle in the long run.

Now if you typically eventually meet your deductible or have health conditions where meeting that deductible might mean a savings down the line..then it may not be that big of a deal but if you routine rarely meet the deductible you may be much better off money wise if you buy out of pocket.