(04-19-2012 02:08 PM)SuperSleeper Wrote:
(04-19-2012 01:24 PM)digidoc664 Wrote: The dilemma of how best to upgrade is being resolved as I write.
I hope you get this resolved... I really do.
Here's how you upgrade: Pack up all your CPAP equipment, lock stock and barrel, and walk into your DME's office and demand that you get a fully-data-capable CPAP machine in exchange for the low-end machine they forced upon you. Be nice at first, but if they don't agree to give you a decent data-capable machine, tell them that YOU KNOW that they were being well-compensated for their efforts and that you don't appreciate them giving you the lowest-end, non-data-capable CPAP machine they have just so they can make more profits. Let them know that you are an INFORMED CUSTOMER who will TAKE ACTION and become a THORN in their flesh if you aren't satisfied.
Ask to speak to the manager if necessary. Make a nuisance of yourself. Tell them you will complain to the insurance company about their poor service. Tell them you will file a complaint with Centers for Medicare & Medicaid Services (CMS) (who regulates the DMEs whether they are dealing with Medicare or private insurance companies) asking them to investigate the DME's refusal to provide you with adequate equipment.
There is no reason why a DME who is (as you say) getting more than 3 times the "market price" for a CPAP machine should not also provide YOU with a data-capable CPAP machine. That's simply absurd.
This may not apply to you of course, but I just don't understand why more people don't speak up when being financially and medically abused like this. It's because of these issues that we all have higher Medicare taxes to pay and higher private health care insurance premiums to pay. We're all in this together, and we ought not to let a DME to increase the cost of health care for the rest of us.... we can prevent that from happening by acting as individuals to stand up to the DMEs (and insisting that we get what WE paid for).
Can you tell I'm PO'd at the DMEs today?? It's because I've had three emails this morning complaining about how 3 DMEs treated 3 customers like peons. I'm sick and tired of it, as you can probably tell.
Quote:There is no reason why a DME who is (as you say) getting more than 3 times the "market price" for a CPAP machine should not also provide YOU with a data-capable CPAP machine. That's simply absurd.
Best reason is that doctor's prescription specifies what equipment is to be provided for the specific treatment they want to create. DME made it clear that prescription on file is only for the PRS1 DS250P model. So, in their scenario, I'm obliged to return to the sleep center, meet with staff (never even seen the prescribing physician!), review compliance
data and probably schedule another night of wired study to ensure I get what I would like. Everyone makes more money (from insurers) while I waste time. No simple phone calls, here.
My solution is a little more direct, involves only my Primary Care Physician (a good guy!), a form, and maybe money from my own pocket. Once I complete this process, I should be able to make whatever adjustments are necessary for future needs, as well.
Those of you responding were not supposed to strike terror in the heart of a new CPAP user
- I wanted "quick" advice, but got treated as a "newbie" and flooded with angst.
I have appreciated others taking time to inform me of the mine field, and especially appreciate GUB for providing a way to verify why I was having a problem. I'm not happy with my planned solution, but it's workable and hopefully, less wasteful of limited resources, mine included.
Not being able to trust health care providers is only recently becoming a new concern. No one on this forum has engendered a sense of trust in these providers. I have taken responsibility for my own health needs for some time, now, and do ensure I get quality service or I move on. This CPAP process is one I cannot escape (and live!), but I am not happy about the constraints. What will it be like when I have to give over my care to some assisted-living environment in the future? That prospect seems grim.
Okay, let's end on a positive note. The surgical repairs to my skeleton have been very effective. The soft-tissue surgeries have also been effective and long-lasting. My physical therapies have been helpful and instructive of how to best modify my behavior. I have sufficient income. I am married almost 48 years to the only woman who has ever loved me unconditionally. (Maybe my mother did when I was very young.) My son and his family are loving and generous. My closest friends respect me and seek my advice. And a Father in Heaven and his precious Son, the Lord Jesus, love me unconditionally.