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Buying a machine without Rx?
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Gaspnea Offline

Preferred Members

Posts: 27
Joined: Aug 2012

Machine: ResMed S9 Elite
Mask Type: Full face mask
Mask Make & Model: ResMed Quattro FX
Humidifier: ResMed H5i
CPAP Pressure: 12.4
CPAP Software: SleepyHead

Other Comments: My pressure was prescribed by my doctor at 11 but I've upped it to 12.4 on my own.

Sex: Female
Location: Florida, USA

Post: #1
Buying a machine without Rx?
Does anyone know where you can buy a machine without a doctor's Rx? I doubt that is even possible but this morning I had my appointment to pick up my new machine with my pressure setting, mask, etc and at the end of the appointment they asked me to sign a "Rental Agreement" which stated that I rent the machine for 3 months after which I could purchase the machine. My insurance will cover it 100% IF I adhere to strict guidelines of using it for at least 4 hours a night for 90 nights in a row. No exceptions, no second chances, not even allowed to miss 1 night or 1 hour. That's a tall order to fill. I won't lose anything except the machine. No copays, no deductible. If I can buy a machine on my own, I can avoid all this. Oh and the way they know if you are using the machine every night gets even better: There is a radio transmitter on it that sends info back to Carecentrics who then notifies my insurance company whether I am using it! Unbelievable. Like being spied on. Thanks for any info and sorry for rambling!
09-18-2012 02:12 PM
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big_dave Online

Advisory Members

Posts: 411
Joined: Apr 2012

Machine: PR System One DS560
Mask Type: Nasal pillows
Mask Make & Model: F&P Pilairo Q or ResMed Mirage Activa
Humidifier: PR System One
CPAP Pressure: 14 - 20
CPAP Software: SleepyHead

Other Comments: Former ResMed S8 Autoset II user

Sex: Male
Location: Eugene, Oregon

Post: #2
RE: Buying a machine without Rx?
I bought both of my machines on Craigslist. Risky, but I did not need to provide my prescription. Also you need to learn how to DIY since it won't be set to your pressure.
09-18-2012 02:32 PM
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big_dave Online

Advisory Members

Posts: 411
Joined: Apr 2012

Machine: PR System One DS560
Mask Type: Nasal pillows
Mask Make & Model: F&P Pilairo Q or ResMed Mirage Activa
Humidifier: PR System One
CPAP Pressure: 14 - 20
CPAP Software: SleepyHead

Other Comments: Former ResMed S8 Autoset II user

Sex: Male
Location: Eugene, Oregon

Post: #3
RE: Buying a machine without Rx?
You may also want to consider using an online supplier. See the link to the suppliers list at the top of the page. The online suppliers provide transparent pricing as a straight purchase without a contract or rental agreement. They are set up to contact your doctor to obtain your prescription. You can contact your insurance company to see if they will reimburse an online purchase--but the online suppliers do not provide insurance billing, so expect it to be out of network. Be aware that Medicare does not reimburse online purchases.
(This post was last modified: 09-18-2012 02:41 PM by big_dave.)
09-18-2012 02:40 PM
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PaulaO2 Offline
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Moderators

Posts: 8,068
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: Buying a machine without Rx?
You can take your chances on Craigslist and hope you get a machine that actually works.

However, the 4hrs a night thing is not that hard to accomplish. You can keep track of the hours as well and, if at the halfway mark there's going to be problems, you can call the insurance co. and ask for an extension. If you give them enough warning and be honest, they probably will. Check each week with the supplier to make sure they are getting the data and that the data matches what you have.

Confirm that after the trial and they buy the machine, that the wireless crap be removed.

PaulaO2
Apnea Board Moderator
www.ApneaBoard.com


Breathe deeply and count to zen.

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.
09-18-2012 02:41 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: #5
RE: Buying a machine without Rx?
Ask the doctor for a copy of the prescription ... For you to keep
Its your legal right to have copies of both the sleep studies and the prescription
09-18-2012 03:37 PM
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PollCat Offline
Apnea Board Polling Administrator
Monitors

Posts: 1,576
Joined: Feb 2012

Machine: ResMed S9 Autoset
Mask Type: Nasal pillows
Mask Make & Model: ResMed AirFit P10
Humidifier: H5i Cleanable with ClimateLine
CPAP Pressure: 10 - 18
CPAP Software: SleepyHead

Other Comments: CPAP-ing since 1995; Type 2 Diabetes; Chronic Asthma; Gout

Sex: Male
Location: Westfield, IN

Post: #6
RE: Buying a machine without Rx?
Nobody says you have to use insurance to buy your machine as long as you can get an Rx from the doctor. Most people do so because they don't want to pay the full price. I paid for my travel machine because i knew insurance wouldn't pay for two machines; and, I apparently have bought my S9, as neither Medicare not BC/BS appear to be willing to reimburse me.


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.
09-18-2012 03:47 PM
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archangle Online
Wiki Editor
Advisory Members

Posts: 3,159
Joined: Feb 2012

Machine: ResMed S9 AutoSet
Mask Type: Nasal pillows
Mask Make & Model: ResMed Swift FX
Humidifier: ResMed S9 H5i
CPAP Pressure: 16-20
CPAP Software: ResScan SleepyHead EncoreBasic

Other Comments: Happy PAPper

Sex: Undisclosed
Location: USA

Post: #7
RE: Buying a machine without Rx?
Insurance usually requires compliance for 70% of the nights, but yours might be different. Ask the insurance company directly.

If you get a copy of your prescription, you can order online. Check the suppliers list here.

You're lucky you stopped in here first. Many DMEs will try to screw you with a machine that doesn't collect any real data, just whether your use the machine or not. For the same cost to the patient, you can usually get a machine that will collect data on every breath, so you can monitor your therapy.

Post here first with the exact model of CPAP machine before buying one and we can help you avoid the land mines.

Do you know what model machine they were trying to give you?

Once you go from purchase to rental, you can take the modem off and they can't monitor your compliance any more, but you or your doctor can still monitor your treatment by reading the data stored on the SD memory card that comes in the machine. If you have a good doctor, the modem is actually a good thing for you, because the doctor can check and adjust your therapy without a visit. Most doctors are too lazy or stupid to do anything more than what is required to get paid, though.

Get the free SleepyHead software here.
Useful links.
Click here for information on the main alternative to CPAP.
If it's midnight and a DME tells you it's dark outside, go and check it yourself.
09-18-2012 05:22 PM
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Gaspnea Offline

Preferred Members

Posts: 27
Joined: Aug 2012

Machine: ResMed S9 Elite
Mask Type: Full face mask
Mask Make & Model: ResMed Quattro FX
Humidifier: ResMed H5i
CPAP Pressure: 12.4
CPAP Software: SleepyHead

Other Comments: My pressure was prescribed by my doctor at 11 but I've upped it to 12.4 on my own.

Sex: Female
Location: Florida, USA

Post: #8
RE: Buying a machine without Rx?
Wow, thanks guys. Lots of different things here to consider. The machine they would have given me today was a ResMed Elite S9 with a humidifier that can be used optionally. The wireless transponder or whatever you call it hooks onto the back of the machine, which means that machine has built-in little hooks where it attaches. So does that mean that ResMed is in kahoots (sp?) with Blue Cross and Carecentrics? Hah! I didn't think of that 'til now. Like...hmmm...why would that machine have those attachment hooks? Anyway, I'll ask my doctor for the actual Rx and then check out of those supplier sites you posted. I'm bummed about this because I really wanted to start using the machine tonight and start to get my brain back! I'll post back when I have answers so maybe others can benefit from the info. Thanks again!
09-18-2012 06:22 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: #9
RE: Buying a machine without Rx?
S9 Elite is full data capable machine
As I don,t have insurance or beck and call doctor ... I would insist on the AutoSet (Not Escape Auto) so the machine can adjust the pressure as needed which can vary from one night to the next and its only few dollars more than the Elite.
Also its better long term investment and can be used in either modes (CPAP or AutoSet) TWO machines in ONE
(This post was last modified: 09-18-2012 06:38 PM by zonk.)
09-18-2012 06:32 PM
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PaulaO2 Offline
Wiki Editor
Moderators

Posts: 8,068
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: #10
RE: Buying a machine without Rx?
Before you buy from Craigslist, get your prescription (you can be nice and ask for it but if they say no, demand it) and check the prices with Supplier #2. They sell 'gently used' and open box machines and great prices.

PaulaO2
Apnea Board Moderator
www.ApneaBoard.com


Breathe deeply and count to zen.

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.
09-18-2012 06:59 PM
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