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Best health fund for Sleep apnea claims
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libbyau Offline

Preferred Members

Posts: 30
Joined: Jan 2014

Machine: Resmed s9 AutoSet
Mask Type: Nasal pillows
Mask Make & Model: ResMed AirFit P10
Humidifier: ResMed H5i Setting 27 C
CPAP Pressure: 10 EPR 2 cmH2O
CPAP Software: ResScan SleepyHead

Other Comments: have Moderately severe obstructive sleep apnea. Have Mac software to read info.for mac computer

Sex: Female
Location: Sydney Australia

Post: #1
Question Best health fund for Sleep apnea claims
I would like some comments on best health fund to be in.
To claim cpap equipment .
Entitlement and the amount which will be refunded.
Would the money be refunded ( how much) if I buy from overseas.
I live in Australia.
Which is the best and most reliable site.


I really love this place.
Thanks everyone.
Libby Smile
01-23-2014 04:33 AM
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DeepBreathing Offline
Wiki Editor
Moderators

Posts: 2,295
Joined: Sep 2013

Machine: Resmed S9 VPAP Adapt
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: Resmed H5i
CPAP Pressure: EPAP: 9 - 15 PS: 3 - 10
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: Perth, Western Australia

Post: #2
RE: Best health fund for Sleep apnea claims
I don't think there's an easy answer to that. The amount you get back will depend on your fund but also which table you're on. The amount you get back is pretty derisory compared with the price of the equipment. You need to take into account all your other medical & ancillary needs as well - they will probably have a bigger influence on your decision.

I'm on Medibank Private top hospital & ancillaries, and got back $500 on a $4,000 VPAP Adapt. Another member mentioned he only got back $250 for an S9 Autoset (from MBP), while somebody else got back $750 from a different fund (can't recall which one). Each of the funds have a schedule of payments for each of the items. You need to wade through a lot of detail to find what you're looking for.

Some members have been refused a refund for gear bought overseas, while others have got the refund but only after a fight. In general, it looks like you're better off buying overseas and not worrying about the refund. There is one at least one on-line seller (one in Perth that I know of) who are offering basic machines for $0 - ie the cost of your refund. These tend to be lesser-know machines. You won't find that sort of deal on a Resmed!

DeepBreathing
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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.
(This post was last modified: 01-23-2014 05:29 AM by DeepBreathing.)
01-23-2014 05:27 AM
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DeepBreathing Offline
Wiki Editor
Moderators

Posts: 2,295
Joined: Sep 2013

Machine: Resmed S9 VPAP Adapt
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: Resmed H5i
CPAP Pressure: EPAP: 9 - 15 PS: 3 - 10
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: Perth, Western Australia

Post: #3
RE: Best health fund for Sleep apnea claims
It gets worse - I've just been looking at the MBP site and the amount offered for "breathing apparatus" is now only $300 on the top table. You actually get more back for the following:

Consultations for naturopathy, acupuncture & remedial massage.
Consultations for myotherapy, reflexology, kinesiology, Chinese & Western herbalism, exercise physiology, shiatsu, aromatherapy, homeopathy, Bowen therapy & Alexander technique & Feldenkrais.

When the premier health fund pays more for homeopathy (which is certified bulls**t) than it does for CPAP, there's something very wrong.

DeepBreathing
Apnea Board Moderator
www.ApneaBoard.com


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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.
01-23-2014 05:33 AM
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zonk Offline

Advisory Members

Posts: 7,908
Joined: Feb 2012

Machine: A10 AutoSet
Mask Type: Nasal mask
Mask Make & Model: Activa LT
Humidifier: Integrated /ClimateLineAir
CPAP Pressure: 9/13
CPAP Software: ResScan

Other Comments: CPAP since Nov 2010

Sex: Male
Location: Australia

Post: #4
RE: Best health fund for Sleep apnea claims
I have extra cover with Bupa, they pay $500 towards the machine and nothing for anything else
You cannot claim as soon as you join, normally there is some qualifying period, check with them if can be waived. No rebate if machine purchased on-line but won,t hurt to ask. The question you have ask yourself, do you need someone at beck and call or can you take charge of your therapy so you keep track of how things is working and check with the sleep doctor now and then. I get mask parts, hoses, water tank replacement from Supplier #10, you can order on-line once you know the mask type/size otherwise its costly ordering something you have not tried or not sure going to work for you. Keep in mind machine have to be returned to place of purchase for any warranty issues, I don,t have problem with that but some do. CPAP are tax exempt but might some small tax to be paid for orders above $1000. If I want start from scratch, I would get used machine from Supplier #2, something like S9 AutoSet or Phillips Respironcis System Auto (PRS1) model number 550 or 560, PRS1 is cheaper than S9 and as good
Both suppliers #2 and #10 ship to Australia (others follow manufacturer policy and don,t ship outside US)
Suppliers list http://www.apneaboard.com/forums/Thread-CPAP-Supplier-List

FYI, ResScan don,t work with Mac computers but SleepyHead does work with windows and Mac
(This post was last modified: 01-23-2014 06:11 AM by zonk.)
01-23-2014 06:09 AM
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Tez62 Offline

Monitors

Posts: 837
Joined: Feb 2013

Machine: Resmed S9 Autoset
Mask Type: Full face mask
Mask Make & Model: Resmed Mirage Quattro
Humidifier: Resmed
CPAP Pressure: 5-15
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Melbourne, Australia

Post: #5
RE: Best health fund for Sleep apnea claims
Libby, I'm with Bupa too and got the $500 back like Zonk out of $2,500. Now I know what I'm doing, I'll buy from the US next time at about a third of the price. Also equipment and spare parts aren't covered by most insurance companies. We can try to help you if you want to purchase yours from the US as Zonk has suggested. You probably won't be able to claim anything from your insurance company but in the long run it will be cheaper, obviously you take more of a risk buying it from oversea's but it should be able to be repaired here while it is under warranty. You may want to see if they have an extended warranty.
01-23-2014 04:58 PM
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zonk Offline

Advisory Members

Posts: 7,908
Joined: Feb 2012

Machine: A10 AutoSet
Mask Type: Nasal mask
Mask Make & Model: Activa LT
Humidifier: Integrated /ClimateLineAir
CPAP Pressure: 9/13
CPAP Software: ResScan

Other Comments: CPAP since Nov 2010

Sex: Male
Location: Australia

Post: #6
RE: Best health fund for Sleep apnea claims
(01-23-2014 04:58 PM)Tez62 Wrote:  obviously you take more of a risk buying it from oversea's but it should be able to be repaired here while it is under warranty. You may want to see if they have an extended warranty.
You can get the machine repaired privately out of pocket but not by the manufacturer, manufacturer warranty is not valid in Australia if you buy the machine from US. In US machine comes with two years warranty, in Australia you get an extra year warranty when you join resmed club and additional 2 years if you purchase the extended warranty (machine only, not humidifier) 5 years in total
01-24-2014 05:18 PM
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