My DME clinician never mentioned compliance when I was setup with my Resmed S9 Autoset. When I had a two-week follow-up with her, she mentioned in passing, "Y'know, that's all insurance cares about is compliance, not whether or not the equipment is working to remedy anything."
This was in response to my first two weeks' data, with several evenings only getting by about 1-2 hours before I'd yank the thing off on my sleep because of the "smother" effect. Still, she never really explained what she meant.
I've read here and other places about compliance, and that insurance may only cover if the patient is using the device 4 hours per evening over 70% of the evenings... or something like that.
I'm planning to travel with my wife overseas, and I'm not sure I'll have room for this thing. We're questioning whether to take it with, and compliance is my concern. So I called my insurance provider, Cigna. The woman seemed completely unaware about compliance. I mentioned what I thought it meant, and she just said, "We don't know how much you wear it, we don't get a signal when you wear it..." (Does she think I'm expecting that Cigna is wired in to my CPAP?) Anyway, the message I'm hearing from her is compliance is a non-issue.
I stressed with her that I don't want to be surprised by this. I don't want to find out later that I'm getting billed because insurance thinks I don't need the unit because I'm not using it.
SO... anyone who's on Cigna in here... have you hear similar messages from your insurance provider?
(I might add... this customer service agent suggested that docs need a prescription to change the pressure setpoint on a CPAP... !?!?)