Thanks for the responses. Pardon my ignorance, but if I'm diagnosed positive (and given the numbers I should meet the criteria) and the insurance will pay up to x dollars for a unit, then why would it matter what I bought or where I bought it if I pay the difference? What if the recommendation doesn't have auto or data recording? I guess I'm putting the cart in front of the horse, but I don't want to invest any money in something substandard - especially with the rate of people that don't stick with the therapy.
I know I have life changes to make - obesity is a snowball rolling downhill. The heavier you get the harder it is to do something about it. Not being exhausted all the time would help.
WELCOME! to the forum.!
CPAP therapy can take some getting used to but just hang with it.
Much success to you as you start your journey.
Hey Jump! Welcome t the club! Don't stress to much over this. It sounds to me like your doc and DME are doing right by you! That last night of study with the mask on and pressures was your titration; where they figure how much pressure is needed to last through the apnea at various sleep stages. If there is a big enough difference then an autoset will definitely be prescribed.
You raise good questions though about insurance and type of machine. Communicate with them. Talk to the doc and the DME and find out what you need fr your apnea. Most will wan data-capable machine anyways. Then talk to your insurer and find out what they will pay for. If you want more than they will pay for,then ask about covering the extra. However, wait until the doc sees the report from the titration study. You could need a bipap or ASV ($$$) for all you know right now.
Talk to your DME and see if you can get loaner trial masks for the first few months to see what works for you. Faces come in different shapes and sizes, and so do the masks. There is a small cult on here of those who like the P10 nasal pillows. (Don't ask R_G, or you will never get a word in edgewise) Seriously though, even nasal masks come in various size ranges to accommodate size of nose and face structure. If the Wisp L didn't work, then try something else. Your DME can help you there with suggestions.
Don't fret about the energy levels. You will feel better, but it will take about 6 weeks at least. Your body has been deprived of good sleep and good O2 for a long time. It will take at least 3 weeks to get used to the machine and hose and mask. This is not a fast fix, but it will help. Your journey is just beginning!
(05-03-2015, 05:55 PM)OpalRose Wrote: Hi jumpinminnow,
The first thing you should do is call your insurance to see what exactly they cover, and what your share of the cost will be, then find out from your insurance the names of the in-network providers they work with.
Do your research on the newest machines, and ask for a fully data capable auto machine.
Make sure you get a thirty day trial on a mask.
jumpinminnow Hope you have better luck than I on that front. Getting a straight answer from cigna and it's subcontractors as to what is this going to cost me was impossible. Rather than try to repeat myself if you want to see why I gave up and just bought my machine outright you can look at my threads on this subject. Am I advocating my path to you? Absolutely not. We each must walk our own path.
I use my PAP machine nightly and I feel great!
Updated: Philips Respironics System One (60 Series)
RemStar BiPAP Auto with Bi-FlexModel 760P -
Rise Time x3 Fixed Bi-Level EPAP 9.0 IPAP 11.5 (cmH2O)