Thanks again for the info folks. I believe there was a high level of central apneas revealed during my sleep study. I was told that my diagnosis was both OSA and Central Apnea. In fact there were so many central apnea events that my pO2 level was down to 65%. I wish I could get the VPAP S9 ST-A but due to my insurance coverage, a bit prohibitive right now. I'm going to start searching for a "gently used" one.
I found a VPAP III ST-A "Quick Setup Guide for Clinicians". According to the page for Clinical Results Menu under Efficacy Data, the machine doesn't report AHI or AI. . So when I go for my follow-up visit to my sleep center I'm going to ask them whether or not AHI/AI can be interpreted/determined from the data that is registered by the machine.
Well. I guess the no AHI/AI data mystery is solved. Thanks again for all your insight
Usually after 5 years, your insurance will get you a newer more updated machine. I see where you said " my insurance coverage, a bit prohibitive right now" and I am sure you know best whether your insurance will get you an updated machine or not. If you have even a small chance, I would go for it. If they pay some, that is better than you paying 100% and you would get a new machine.
Read my coverage again yesterday. Max. limit is 750.00 for durable medical equipment. I believe a VPAP S9 ST-A is priced in the neighborhood of 6K-7K hence my comment about acquisition being a bit prohibited.
02-17-2014, 07:46 AM
(This post was last modified: 02-17-2014, 07:50 AM by DeepBreathing.)
Seth, why do you need the ST-A? From Resmed's site:
"This NIV ventilator helps treat non-dependent patients with Chronic Obstructive Pulmonary Disease (COPD), Obesity Hypoventilation Syndrome (OHS), Neuromuscular Disease (NMD), and other conditions. iVAPS technology makes the VPAP ST-A suitable for hypercapnic patients with changing respiratory needs."
Is this you? If you only have apnea with a high percentage of centrals, then the VPAP Adapt is more likely the machine you need, for a much lower price than the ST-A. The equivalent Philips machine might be a bit cheaper and there are other brands on the market which might address your needs. Still a huge gap between the retail and what your insurance will cover, though.
I just noticed Supplier No 10 has a refurbished S8 VPAP Adapt SV for $699. Needs a prescription, but it might be worth checking out.
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Insurance has a contracted agreement with DME's so the retail price doesn't come into play. If your insurance will pay $750 toward a new machine that would keep your out of pocket expenses down (say if you only have to pay 20%) and then you can purchase your supplies from one of the suppliers on the list here and still come out ahead of the game. Just something to think about. I would also call your insurance company and ask them. Maybe they will classify your machine as medically necessary equipment, which it is, and call your supplies DME. You never know unless you ask.
I haven't seen where insurance companies have a deductible for DME and usually it is unlimited. Not sure how private insurance works but I thought that insurance companies usually follow medicare guidelines. YMMV
sorry that your coverage isn't better than that.
Hey Group. I'm back. Finally had my follow-up visit to sleep dr. after 5 1/2 years of being on my machine. The last time I spoke to you the mystery of no AHI results showing up on the downloaded data in ResScan was due to the fact that my VPAP III ST-A doesn't report AHI (apparently AHI's weren't the gold standard for therapeutic results at the time the machine first came out. Anyway, I was hoping the PA at the sleep dr. (never saw thr dr.) would be able to tell me if there was any data from my machine that would tell me if the therapy was working. Subjectively, I feel great and all of my PVC symptoms have disappeared.
This follow-up visit was a waste of time except I did get a script for a Respironics ASV machine. I'm not running out to get it until my company starts asking for proof of compliance and the data output from my machine is not acceptable to Dept. of Transportation. They haven't in 5 1/2 years. I'm not sure if the data will be acceptable since newer parameters have apparently evolved. More to follow.