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"Closest DME"
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justMongo Offline

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Posts: 3,850
Joined: Sep 2013

Machine: ResMed VPAP Auto (S9)
Mask Type: Full face mask
Mask Make & Model: ResMed Mirage Quattro
Humidifier: ResMed H5i
CPAP Pressure: 18 IPAPmax - 11 EPAPmin, PS=5
CPAP Software: Other Software

Other Comments: μολὼν λαβέ

Sex: Male
Location: Калифорния

Post: #11
RE: "Closest DME"
(11-02-2014 07:58 AM)Lambsydoats Wrote:  So this whole rent phase isn't just to try one and, if I don't like it for whatever reason, I can rent a different one for month two, etc?

Insurance typically rents a machine for X months before it becomes "yours." U.S. Medicare rents for 13 months. Quite a few PAP patients give up on therapy; and the insurers don't wish to be stuck paying for the equipment.

You have maximum negotiating power with a DME before taking possession of the equipment. You still have some negotiating power withing the rental period.

Was it you that posted your Rx on the forum? (Am I recalling correctly -- it's early here!) There was a code next to the machine selection (E0601.) The DME will try to give you the machine that fits that code and gives them maximum profit. They usually give out what's called a "dumb brick." Your Rx called for some minimum recording/reporting capability -- but not necessarily fully data capability.

If you've not picked up your equipment... you still have a chance to get the best machine. Go in armed with information; and don't get stuck with a brick.

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: 11-02-2014 12:05 PM by justMongo.)
11-02-2014 08:20 AM
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me50 Offline

Advisory Members

Posts: 2,559
Joined: Aug 2013

Machine: resmed S9 VPAP Auto
Mask Type: Nasal mask
Mask Make & Model: Wisp and Silicone Head gear
Humidifier: resmed H5i
CPAP Pressure: 18/8
CPAP Software: SleepyHead

Other Comments:

Sex: Undisclosed
Location: USA

Post: #12
RE: "Closest DME"
and if the DME is Apria, be very careful and watch them and their billing like a hawk and then some. Be prepared for a lot of mistakes and not getting call backs, etc. This is the normal complaints about Apria and I think I have only heard one person say they didn't have a bad experience with Apria. Be prepared for the worst and hope for the best if you are using Apria.

Not to say that other DME's aren't problematic. Just be on your toes with Apria and any DME. They know how to get by with giving the patient/client the least capable machine to maximize their profits.

The best thing you can do for yourself, after you have researched and decided what machine you would like, is to ask your doctor to write a script for that machine and put dispense as written. Also, have the doc include the humidifier if you think you will need one (better to get it now rather than try to get it later; most insurances will pay for it outright with no rental period) and if you need the climate line tubing include that too (you will need that with a humidifier) and be sure to have all supplies needed on there. If you think you will need a chin strap, include that on the script. Hope this helps. Much success to you
(This post was last modified: 11-02-2014 10:52 AM by me50.)
11-02-2014 10:07 AM
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Doc J Offline

Preferred Members-2

Posts: 199
Joined: Dec 2013

Machine: ResMed S9 AutoSet
Mask Type: Nasal pillows
Mask Make & Model: ResMed AirFit P10
Humidifier: resMed H5i Dumped and dry daily
CPAP Pressure: 10-15
CPAP Software: ResScan SleepyHead

Other Comments: Knowledge is King and this is the place to find it! Thanks everyone.

Sex: Male
Location: Central Nebraska

Post: #13
RE: "Closest DME"
Make sure what machine they are going to supply, see if they will supply the one you request or check the next DME. In my case the only time I had to deal with them again was to check compliance on my brick they sold me. I get my supplies online (for the used machine I replaced theirs with) out of spite. Hopefully you can start out on the right foot with a good relationship by being a informed consumer not just a blind faith uninformed one like I was. I'm not a big fan of getting charged $50 for a hose that you can get for $5 to $10 online. You can imagine the mask parts and filters, long term sales can make them a pretty penny.
The main thing is to get a good machine and get started and worry about the small things later.

Good Luck!

Doc J (despite my nickname I am not a doctor)

Remember to donate to the board if you can, it has helped a lot of people including myself.
11-02-2014 10:45 AM
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OMyMyOHellYes Offline

Advisory Members

Posts: 915
Joined: Mar 2013

Machine: Respironics 560 Auto
Mask Type: Nasal mask
Mask Make & Model: Resmed Mirage FX
Humidifier: Respironics System One (no heated hose)
CPAP Pressure: 08.0-15.0 cm/H2O
CPAP Software: EncoreBasic

Other Comments:

Sex: Male
Location: Texas

Post: #14
RE: "Closest DME"
(11-01-2014 12:01 PM)Lambsydoats Wrote:  Something seems obvious here to me. Does it to you?

Lamb

Yeah, something is probably obvious. But what, I don't know. And what significance, I don't know either.

Why leave it up to the sleep lab to choose your supplier? Do some calling around on your own and find one you are comfortable talking to and that will work in yor best intterests (yeah, I know, DMEs..... I think I made a funny....)

OMM
11-02-2014 11:26 AM
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justMongo Offline

Monitors

Posts: 3,850
Joined: Sep 2013

Machine: ResMed VPAP Auto (S9)
Mask Type: Full face mask
Mask Make & Model: ResMed Mirage Quattro
Humidifier: ResMed H5i
CPAP Pressure: 18 IPAPmax - 11 EPAPmin, PS=5
CPAP Software: Other Software

Other Comments: μολὼν λαβέ

Sex: Male
Location: Калифорния

Post: #15
RE: "Closest DME"
she posted her Rx in another thread post #1:
http://www.apneaboard.com/forums/Thread-Cannot-get-answers

Some members know what machines fall under code E0601... help the lady out with what the Rx, as written, allows her to get.

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.
11-02-2014 12:14 PM
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PaulaO2 Offline
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Posts: 8,065
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: #16
RE: "Closest DME"
That code covers CPAPs. It does not cover bilevels or ASVs. So she could get a straight CPAP or an autoPAP with that code.

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.
11-03-2014 01:41 PM
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Lambsydoats Offline

Preferred Members-2

Posts: 117
Joined: Oct 2014

Machine: ResMed AirSense 10 AutoSet for Her
Mask Type: Nasal pillows
Mask Make & Model: ResMed AirFit ™ P10 Nasal Pillow
Humidifier: AirSense 10 AutoSet for Her-integrated
CPAP Pressure: 8
CPAP Software: SleepyHead

Other Comments: Initially: AHI=52; 2nd: AHI=18; CPAP 11-10-14; as of 8-18-15: AHI consistently under 5.0

Sex: Female
Location: Southwest Michigan, USA

Post: #17
RE: "Closest DME"
I AM SOOOO EXCITED!

Today I spoke with the DME I thought I was going to go to only to learn that the AirSense 10 AutoSet for Her with HumidAir (I just like typing all of that out; I feel like I'm about to get a Lamborghini) is BACK-ORDERED for 4-6 WEEKS! She was most willing to order it for me, but didn't know if I'd want to wait that long or just go with the S9, which I could get in a couple of days.

My brother gets off work earlier than me, so I asked if he would call around town to see if any DME has it in stock. BINGO!

I'm heading to the one he found first thing in the morning. The woman with whom he spoke said they just need my test results, prescription, and insurance information and I'll have the machine I want in a day!!!!!

Full-night's-sleep, here I come! Sleep-on-pillow

Thank you all so very much for educating and encouraging (and continuing to encourage) me to stand my ground and get exactly the machine I want.

Lamb

To all, to each, a fair good-night,
And pleasing dreams, and slumbers light.
Scott—Marmion. L’Envoy. To the Reader.

Diagnosed with OSA September 2014
AHI=18
Lowest SpO2: 79%
11-03-2014 06:10 PM
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trish6hundred Offline

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Posts: 6,436
Joined: May 2012

Machine: Resmed S9 AutoSet for Her
Mask Type: Full face mask
Mask Make & Model: Fisher & Paykel Simplus
Humidifier: H5i Heated Humidifier
CPAP Pressure: 10 - 7-20 Cm H2O
CPAP Software: Not using software

Other Comments: I started CPAP in 2008. Totally blind since birth.

Sex: Female
Location: Missouri, USA

Post: #18
RE: "Closest DME"
(11-03-2014 06:10 PM)Lambsydoats Wrote:  I AM SOOOO EXCITED!

Today I spoke with the DME I thought I was going to go to only to learn that the AirSense 10 AutoSet for Her with HumidAir (I just like typing all of that out; I feel like I'm about to get a Lamborghini) is BACK-ORDERED for 4-6 WEEKS! She was most willing to order it for me, but didn't know if I'd want to wait that long or just go with the S9, which I could get in a couple of days.

My brother gets off work earlier than me, so I asked if he would call around town to see if any DME has it in stock. BINGO!

I'm heading to the one he found first thing in the morning. The woman with whom he spoke said they just need my test results, prescription, and insurance information and I'll have the machine I want in a day!!!!!

Full-night's-sleep, here I come! Sleep-on-pillow

Thank you all so very much for educating and encouraging (and continuing to encourage) me to stand my ground and get exactly the machine I want.

Lamb
Hi Lambsydoats,
How exciting,! CONGRATULATIONS.!
Enjoy the new machine; best of luck to you as you start your CPAP journey and keep up the good work.

trish6hundred
11-03-2014 09:13 PM
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