Hello Guest, Welcome to Apnea Board !
As a guest, you are limited to certain areas of the board and there are some features you can't use.
To post a message, you must create a free account using a valid email address.

or Create an Account


New Posts   Today's Posts

Does the 80/20 insurance really save over a self purchase?
#1
Does the 80/20 insurance really save over a self purchase?
Was just wondering if going thru a local DME really saves anyone any $$$ as compared to an internet purchase. Your deductible and 80/20 deal with insurance and possible higher of a machine locally.
Post Reply Post Reply



Donate to Apnea Board  
#2
RE: Does the 80/20 insurance really save over a self purchase?
It depends on how much your insurance allows the DME to charge for the machine and equipment. If they go by medicare you can download the price chart that Medicare allows for your state. You can compare those costs with the online costs and get an idea.
Download SleepyHead
Organize your Sleepyhead Charts
Posting Charts
Beginner's Guide to SleepyHead
Mask Primer
5
Advisory Members serve as an "Advisory Committee" to help shape Apnea Board's rules & policies.

Membership in the Advisory Members group does not imply medical expertise or qualification for advising Sleep Apnea patients concerning their treatment.



Post Reply Post Reply
#3
RE: Does the 80/20 insurance really save over a self purchase?
(03-23-2018, 12:07 PM)Hellodare Wrote: Was just wondering if going thru a local DME really saves anyone any $$$ as compared to an internet purchase. Your deductible and 80/20 deal with insurance and possible higher of a machine locally.

Typically, if you had an 80/20 plan you'd pay around 40% of the cost of the best internet deals (for new machines). In other words, DME "retail" prices are typically double "internet" prices. That's still a savings with insurance (and counts towards a deductible).

That's leaving aside lightly used machines from a trusted retailer or the wild-west of something like Craigslist.

Bill
Post Reply Post Reply
#4
RE: Does the 80/20 insurance really save over a self purchase?
Thanks all!
Post Reply Post Reply



Donate to Apnea Board  
#5
RE: Does the 80/20 insurance really save over a self purchase?
Ya, I'm on 100%, but get an invoice that details what Apria is billing Kaiser.
For the most part, the billed amounts are the same as I'd pay, some items such as filters are a bit less.
Where they are screwing us is on the hoses. They are billing Kaiser $17 for a hose, which is half what it would cost to buy the Resmed Slimline tubing, but it's the same thin, crinkly, generic crap tubing that I can get online for $7.
-- Rich
Download SleepyHead here
Organize SleepyHead Data
Using Attachments to Post Images on Apnea Board

INFORMATION ON 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 WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
Post Reply Post Reply
#6
RE: Does the 80/20 insurance really save over a self purchase?
Preferred provider prices should be less I thought.
Post Reply Post Reply
#7
RE: Does the 80/20 insurance really save over a self purchase?
(03-23-2018, 12:43 PM)Walla Walla Wrote: It depends on how much your insurance allows the DME to charge for the machine and equipment. If they go by medicare you can download the price chart that Medicare allows for your state. You can compare those costs with the online costs and get an idea.

Where can I download the price chart?

Thanks
Post Reply Post Reply



Donate to Apnea Board  
#8
RE: Does the 80/20 insurance really save over a self purchase?
Here's a link https://www.cms.gov/Medicare/Medicare-Fe...edule.html
Download SleepyHead
Organize your Sleepyhead Charts
Posting Charts
Beginner's Guide to SleepyHead
Mask Primer
5
Advisory Members serve as an "Advisory Committee" to help shape Apnea Board's rules & policies.

Membership in the Advisory Members group does not imply medical expertise or qualification for advising Sleep Apnea patients concerning their treatment.



Post Reply Post Reply
#9
RE: Does the 80/20 insurance really save over a self purchase?
Do you have any deductibles that need to be met first before insurance pays?
Post Reply Post Reply
#10
RE: Does the 80/20 insurance really save over a self purchase?
I had 100% of my deductibles met last year and I thought I could buy the machine. My doctor wrote a new prescription. I found out I can only rent to own. I ended up taking a risk by buying one from Ebay with a 160 hours on it. for $240.00. Its a gamble but our healthcare system is not patient friendly.

car54
Post Reply Post Reply



Donate to Apnea Board  


Possibly Related Threads...
Thread Author Replies Views Last Post
  Help with insurance justification for portable CPAP zippinbye 10 289 11-13-2018, 02:41 PM
Last Post: Stom
  Medicare or insurance? p1800nut 14 373 11-13-2018, 09:37 AM
Last Post: dmeRT
  Shop recommendation to purchase CPAP jakobankerhansen 5 303 10-18-2018, 10:02 PM
Last Post: jakobankerhansen
Angry Not using your therapy until you purchase equipment cleaning machine odiedoodie 31 1,094 10-17-2018, 06:01 PM
Last Post: Stom
  Purchase Made [Resmed A10] anonEmouse2004 3 235 09-21-2018, 06:42 PM
Last Post: kilowatt
  Fighting with Insurance Company theMezz 5 306 09-08-2018, 06:43 PM
Last Post: bonjour
Question Weird ? About Insurance/DME Supplies Hydrangea 8 489 08-07-2018, 04:47 PM
Last Post: Mosquitobait


New Posts   Today's Posts






About Apnea Board

Apnea Board is an educational web site designed to empower Sleep Apnea patients.