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Advice on CPAP Suppliers
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pkelly251 Offline

New Members

Posts: 3
Joined: Nov 2012

Machine: ResMed S9 AutoSetâ„¢
Mask Type: Nasal mask
Mask Make & Model: ResMed Quattro FX
Humidifier: ResMed H5i
CPAP Pressure: 12
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location:

Post: #1
Advice on CPAP Suppliers
I am having to switch CPAP suppliers as the one I got my ResMed S9 Auto from went out of business. I called two local DMEs and they seemed less than helpful. They only seemed concerned about source of payment.

I called three internet suppliers from the list and they were all self pay and I would have to submit the claim. Are all the internet suppliers that way? Any advise you have would be great. I live near Minneapolis, MN.

Thanks

Pat
08-12-2013 10:48 AM
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oak Offline

Members

Posts: 70
Joined: Jul 2013

Machine: ResMed S9 Autoset
Mask Type: Nasal pillows
Mask Make & Model: Resmed Swift FX for her
Humidifier: S9 Hi5
CPAP Pressure: 9
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Female
Location: Western WI

Post: #2
RE: Advice on CPAP Suppliers
I live near Mpls and called my insurance company for names of DMEs. I was given Corner Medical in Woodbury, Merwin Home Medical in Arden Hills, Health Partners Home Medical in Arden Hills, Lincare, and Apria. Hope these names help and let us know which DME you go with.

Internet suppliers, from what I understand, dont submit ins claims.
08-12-2013 11:47 AM
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trish6hundred Offline

Advisory Members

Posts: 6,450
Joined: May 2012

Machine: Resmed S9 AutoSet for Her
Mask Type: Full face mask
Mask Make & Model: Fisher & Paykel Simplus
Humidifier: H5i Heated Humidifier
CPAP Pressure: 10 - 7-20 Cm H2O
CPAP Software: Not using software

Other Comments: I started CPAP in 2008. Totally blind since birth.

Sex: Female
Location: Missouri, USA

Post: #3
RE: Advice on CPAP Suppliers
Hi pkelly251,
I think the on line suppliers send you a form foryou to fill out to send to your insurance.

trish6hundred
08-12-2013 02:45 PM
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OMyMyOHellYes Offline

Advisory Members

Posts: 915
Joined: Mar 2013

Machine: Respironics 560 Auto
Mask Type: Nasal mask
Mask Make & Model: Resmed Mirage FX
Humidifier: Respironics System One (no heated hose)
CPAP Pressure: 08.0-15.0 cm/H2O
CPAP Software: EncoreBasic

Other Comments:

Sex: Male
Location: Texas

Post: #4
RE: Advice on CPAP Suppliers
Supplier 2 is local for you (within about a hundred miles) and has good prices.

Many DMEs get in the business not to help people (some generally DO and those that find them are lucky), but because once they figure out the medical insurance billing game, payment is reasonably well assured.

OMyMy
(This post was last modified: 08-15-2013 05:47 AM by OMyMyOHellYes.)
08-15-2013 05:45 AM
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bwexler Offline

Advisory Members

Posts: 563
Joined: Mar 2012

Machine: PRS 1 BiPAP autoSV Advanced, with Heated Tube humidifier
Mask Type: Nasal mask
Mask Make & Model: Sleepweaver Élan
Humidifier: Resperonics Heated Tube humidifier
CPAP Pressure: Max pressure 25.0 cm H20, Max
CPAP Software: SleepyHead EncorePro

Other Comments: CMS 50i with Software for SpO2

Sex: Male
Location: San Marcos, CA, USA

Post: #5
RE: Advice on CPAP Suppliers
I had an doctor explain it to me this way.
To accept insurance he would need a full time person to fill out, submit, and argue each claim.
He would also be required to accept the copay and payment dictated by the insurance company. in my case a $35 copay and a $1.35 payment from the insurance company for a visit he charges $95 for, with his cash patients. My numbers came from the monthly reconciliation statement from the insurance company. I called Apria the in network DME for my insurance. I asked the price they would charge me as a cash buyer for a specific mask, Sleepweaver Elan. it was $179, at Supplier #1 it was $89.
It becomes easy to see why on line DMEs do not want to be involved with insurance companies.
09-05-2013 07:44 PM
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