The PR System One Auto CPAPs and PR DreamStation Auto CPAPs are quite a bit cheaper than the Resmed ones are.
They are also just about as quiet as the Resmed AutoSets are.
Quote: I am a little upset doctor never gave me an APAP to begin with.
The problem is not the doc. The problem is the DME (supplier). A script for CPAP
at a specified level is enough to allow a DME to sell the patient an APAP and set the APAP up in CPAP mode. Most DMEs won't do this. But a few high quality DMEs will routinely set their new patient/customers up with APAPs even when the script reads "CPAP". Why? Well, first of all if the script changes to APAP early in the rental period, they don't have to swap the machine out. Next, if the patient runs into trouble and the doc wants to do a week or two of auto titration to check on the pressure setting, the DME doesn't have to deal with providing a loaner machine (usually for NO reimbursement) for the two week period.
Personally, I'm surprised the DME is saying that you have to foot 10 months of the bill for the new machine. It's not like you're going to keep
the existing machine. My guess is that the DME's contract with your insurance company specifies what happens when the doc changes the script during the rental period. And my guess is that what's specified is that the original machine winds up back at the DME and the DME is under some obligation to provide the already paid rental fees to the new machine. That's what happened to me when I was changed from CPAP/APAP to BiPAP about 3.5 months into therapy. The first 3 months of "rent" on the original S9 AutoSet was applied the rent/purchase price of the PR System One BiPAP Auto. My copays did have to go up substantially since the new machine was twice as expensive and the negotiated amount my insurance company pays for a BiPAP is twice as much as they pay for a CPAP/APAP.
Personally, if I were you, I'd contact the insurance company and let them know the script has changes and ask them what the DME is responsible for doing under the contract between the DME and the insurance company. I'd be sure to tell them the DME is insisting that you pay 10 months of the rental fee OOP for the new machine.