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DME supplies through Medicare
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djjwilly Offline

Preferred Members-2

Posts: 62
Joined: Mar 2013

Machine: Elite S9
Mask Type: Nasal pillows
Mask Make & Model: Resmed AirFit P10 and chinstrap
Humidifier: Resmed Elite H 5i
CPAP Pressure: 10
CPAP Software: ResScan

Other Comments:

Sex: Female
Location:

Post: #1
DME supplies through Medicare
Good morning, everyone. I hope your day is going well so far. I've got a question that I should know the answer to by now, but I don't. Here goes. Can I get CPAP supplies through the mail automatically through Medicare? I'm asking because I'm not so far. I have to ask specifically for each thing, if I remember or not, and sometimes I forget what I need since I got started on the wrong foot. Half the time I'm due stuff I'm not getting. Any input greatly appreciated. I see things on tv about automatic supplies in the mail and am confused as to why my DME wouldn't be doing that for me if I'm entitled to it, which I don't know for sure if I am or not. I'll be calling Medicare here before long after I read the answers here. Thanks so much for making me feel like there are others out there who understand exactly what it's like to deal with sleep apnea. It means alot to me not to feel alone in this. Love, DJ
02-11-2014 08:40 AM
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cbramsey Online

Advisory Members

Posts: 900
Joined: Mar 2012

Machine: ResMed S9 Autoset
Mask Type: Nasal mask
Mask Make & Model: ResMed Mirage FX
Humidifier: ResMed H5i with ClimateLine
CPAP Pressure: 6 - 12
CPAP Software: ResScan

Other Comments: Supreme Overlord of Web Darkness

Sex: Male
Location: NC, USA

Post: #2
RE: DME supplies through Medicare
My DME will call me on a periodic basis and tell me I am eligible for specific items such as filters, CPAP masks, tubing, etc. and give me the option of having them send the items I choose.

You might want to contact your DME.

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.
02-11-2014 08:46 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: #3
RE: DME supplies through Medicare
your DME is falling down on their responsibilities. You are allowed 2 filters each month, one cushion is using a FFM and 2 cushions/pillows if using a nasal mask or nasal pillows. Every 3 months, you are allowed a new frame and cushions, tubing if you use a humidifier. Every 6 months, you are allowed a new chamber, head gear and chin strap if you use one.

My DME does their supplies on a 3 month basis (which is more expensive for those of us on medicare or a fixed monthly income). I don't have straight medicare so I don't know about mail order through them but you can do that with a medicare advantage plan as long as you use one that is on their list. If you don't use one on the list, you will pay out of network rates. Hope this helps.
02-11-2014 09:02 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: DME supplies through Medicare
Medicare coverage in US
http://www.apneaboard.com/wiki/index.php...6_Medicare
02-11-2014 12:45 PM
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justMongo Offline

Monitors

Posts: 3,839
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: #5
RE: DME supplies through Medicare
Your DME may call to remind you. But, the US Medicare rules require that you ask for DME supplies.
They cannot send them to you on auto-pilot.

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.
02-11-2014 01:05 PM
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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: #6
RE: DME supplies through Medicare
I don't know about all machines but Resmed has a place where you can put in a reminder of when you want to reorder your specific supplies
02-11-2014 01:59 PM
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