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Apria Advice
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parkerdt Offline

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Posts: 256
Joined: May 2015

Machine: ResMed A10 AutoSet
Mask Type: Other
Mask Make & Model: WISP, Nuance
Humidifier: Climate Hose and included humidifier
CPAP Pressure: 9
CPAP Software: SleepyHead

Other Comments: I alternate between WISP and fabric Nuance - like both!

Sex: Male
Location: Mebane, NC

Post: #1
Apria Advice
The dreaded moment is upon me - our Company was purchased last year, and as of Jan 1 2016, I'll have Apria as a DME with BCBS as insurer. Gonna be quite a hit to my diabetes testing supplies, but that is a topic for a different forum!

For those of you who have been down this road, any advice and counsel would be appreciated. If you don't want to go public, PM is fine.

Right now, I'm looking at 20% copay vs. my current 0% on CPAP and related items, and doing math....

Thanks,
Dave
11-18-2015 09:10 PM
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Pugman Offline

Members

Posts: 6
Joined: Jun 2015

Machine: resmed autoset 10
Mask Type: Nasal pillows
Mask Make & Model: unsure
Humidifier: unsure
CPAP Pressure: 8
CPAP Software: Other Software

Other Comments:

Sex: Male
Location:

Post: #2
RE: Apria Advice
Do not give them your credit card info. Let them bill you and then pay that. I hit my out of pocket back in May and they charge my card every month even though my insurance covers 100% of my charges. I finally got them to delete my card and for some reason they dont understand what my insurance pays 100% means.
11-18-2015 10:20 PM
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Sleeprider Online
Wiki Editor
Advisory Members

Posts: 3,335
Joined: Dec 2014

Machine: Resmed Aircurve 10 Vauto
Mask Type: Nasal pillows
Mask Make & Model: Resmed Airfit P10
Humidifier: Resmed Climateline
CPAP Pressure: Auto Bilevel 18/9, PS 3
CPAP Software: ResScan SleepyHead EncoreBasic

Other Comments:

Sex: Male
Location: Where they make Respironics

Post: #3
RE: Apria Advice
Dave, you probably know the ropes well enough it shouldn't be a big problem. Apria has a CPAP call center that handles everything related to supplies and machines. Order what you want, when you want it to minimize copays, or allow automatic deliveries of what you want. Like any supplier, they can only charge the allowed amount on supplies, so it works out pretty close to what you'd expect.

BCBS has more than one in-network DME, so once you have your card, call and ask, or go online and look for the in-network DME list. I wouldn't lose any sleep over this. The people that have problems are those that don't know what to look for or what to expect. You'll be fine, other than some possible inconvenience and frustration. Know your policy limits and allowances.

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11-18-2015 10:22 PM
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PaulaO2 Offline
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Moderators

Posts: 8,065
Joined: Feb 2012

Machine: S9 Autoset
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: H5i
CPAP Pressure: 14-20
CPAP Software: SleepyHead

Other Comments: Ehlers-Danlos Syndrome, Hypermobility Type; chronic sarcasm

Sex: Undisclosed
Location: western NC, USA

Post: #4
RE: Apria Advice
Do a forum search for "crapia". I'm sorry you have this.

http://www.apneaboard.com/forums/Thread-How-to-Doing-a-Forum-Search

PaulaO2
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INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
11-18-2015 10:22 PM
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PaytonA Offline
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Monitors

Posts: 3,005
Joined: Dec 2013

Machine: ResMed S9 VPAP Auto
Mask Type: Full face mask
Mask Make & Model: Resmed Mirage Quattro
Humidifier: H5i(distilled-top up)
CPAP Pressure: VAuto MinE14.0 MaxI 20.6 PS4.0
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: Orange County,California

Post: #5
RE: Apria Advice
Actually as long as you do not need technical advice from their RTs and don't give them your credit card number to keep on file, Crapria is not too bad. They seem to know how to work the insurance companies quite well and they will get the most they can for you as long as you let them. Their avarice was what got a new machine for me a little before I was eligible for one and they keep plenty of supplies coming in. My experience with them has been with Aetna HMO as my insurer and I had no copays for any of it. This will be changing soon as I am no longer with Aetna. We will see how it goes.

If you can work around them Apria can be OK.

Best Regards,

PaytonA
11-18-2015 10:52 PM
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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 √Član
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: #6
RE: Apria Advice
NEVER give Crapria your credit card!

Two weeks ago I ordered a SleepWeaver Elan Mask.
When I called to check the status They said your Mirage mask is ready to ship.
I said I don't want a Mirage, please do not ship it.
I ordered an Elan.
That is a special order, we don't have a prescription for that mask.
I called my doctor and had them send it again.
Two days later I checked with Crapria, still no prescription.
Called the doc and had them send it again.
Finally Crapria has the prescription but has no idea where to send the mask or when they will have it in stock.

They are great, but only on the third Tuesday of each week.

Did I mention Do NOT give them your credit card.
11-19-2015 01:04 AM
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PaytonA Offline
Wiki Editor
Monitors

Posts: 3,005
Joined: Dec 2013

Machine: ResMed S9 VPAP Auto
Mask Type: Full face mask
Mask Make & Model: Resmed Mirage Quattro
Humidifier: H5i(distilled-top up)
CPAP Pressure: VAuto MinE14.0 MaxI 20.6 PS4.0
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: Orange County,California

Post: #7
RE: Apria Advice
You just reminded me. I did get shipped the wrong mask for one of my replacements. It was a mask that I had never used or tried. Needless to say, I returned it and got the correct one. I guess they must all look the same!! Oh-jeez Big Grin

Must have not been the third Tuesday of that week.

Best Regards,

PaytonA
11-19-2015 12:37 PM
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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 √Član
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: #8
RE: Apria Advice
I believe there is a billing code for a nasal mask. If the billing code matches, it must be the right mask. No need to be concerned about weather the patient can actually tollerate a particular mask.
11-19-2015 01:37 PM
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StoopidMonkey81 Offline

Preferred Members

Posts: 67
Joined: Oct 2015

Machine: ResMed AirSense 10 AutoSet
Mask Type: Nasal pillows
Mask Make & Model: ResMed AirFit P10
Humidifier: Integrated + ClimateLineAir Tube
CPAP Pressure: 9.8-14, EPR 3
CPAP Software: SleepyHead

Other Comments: Started therapy November 20, 2015

Sex: Male
Location: NJ

Post: #9
RE: Apria Advice
Lots of dire warnings about leaving your CC# with them here. When I set up the account they all but implied it was mandatory to continue. Wonder if I should try having it pulled now that I have the machine...
11-19-2015 02:35 PM
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Homerec130 Offline

Advisory Members

Posts: 444
Joined: Mar 2012

Machine: Philips/Resperonics BiPAP auto SV Advanced System One (950P)
Mask Type: Full face mask
Mask Make & Model: ResMed Quatro FX
Humidifier: Philips Respironics System 1
CPAP Pressure: 6-16
CPAP Software: SleepyHead

Other Comments: But it is a dry heat.

Sex: Male
Location: Tucson, AZ

Post: #10
RE: Apria Advice
I would say go ahead and pull it. Tell them you closed the account and don't have another card.

I won't let one of my lobs have my credit card as they billed me before my secondary paid the remainder. And, it was will within the window the lab established for secondary payees. Took me a year to get it straight.

So, when I go in, I just tell them I forgot my card.

Homer
11-19-2015 06:31 PM
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