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[Equipment] Recommend Medicare DME
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DaveKaye Offline

New Members

Posts: 3
Joined: Apr 2013

Machine: Resmed S9 Auto
Mask Type: Nasal pillows
Mask Make & Model: Nuance Pro
Humidifier: Resmed S9
CPAP Pressure: unsure
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: California

Post: #1
Recommend Medicare DME
My local DME lost its Medicare contract. I have tried to move to Apria, an approved Medicare DME for CPAP supplies that is in my local area. It has been two months now and each time I speak to them they ask for a different form. I've to the local office and they can't help. On Yelp, my local Apria gets dismal scores and I have given up using them as the process seems to be going nowhere. I have a ResMed S9 - it works fine but my ResMed Nuance Mask has deteriorated. Since I'm familiar now with the CPAP machine and Nasal Pillows I need to find a reliable DME that accepts Medicare and it doesn't have to be local. Anywhere that I get get on the internet an order supplies. I have my original Sleep Study, the original Rx from March 2013 and a good ENT MD that will send any forms. If you have any recommendations for a good mail order DME that is Medicare approved can you please post it on this thread. Thank you.
06-24-2014 12:17 PM
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eplantz Offline

Preferred Members

Posts: 47
Joined: Mar 2013

Machine: S9 AutoSet
Mask Type: Nasal pillows
Mask Make & Model: Airfit P10
Humidifier: H5I
CPAP Pressure: 15-20
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Chicago

Post: #2
RE: Recommend Medicare DME
(06-24-2014 12:17 PM)DaveKaye Wrote:  My local DME lost its Medicare contract. I have tried to move to Apria, an approved Medicare DME for CPAP supplies that is in my local area.

my sleep doc sent me to LINCARE. I believe they are a nationwide DME that retained the Medicare contract. All ordering is done via phone calls. I am getting supplies for my S9 Autoset and Wisp mask.
06-24-2014 12:28 PM
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trish6hundred Offline

Advisory Members

Posts: 6,450
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: #3
RE: Recommend Medicare DME
Hi DaveKaye,
WELCOME! to the forum.!
Hang in there for more suggestions and best of luck to you with your CPAP therapy.

trish6hundred
06-24-2014 01:08 PM
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PaulaO2 Offline
Wiki Editor
Moderators

Posts: 8,067
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: #4
RE: Recommend Medicare DME
The vast majority of online suppliers do not deal with any insurance. You may find some small iffy supplier that takes Medicare but I would be concerned about sharing my social security number with them.

You can do a search on the Medicare website.
http://medicare.gov/supplierdirectory/search.html

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.
06-24-2014 06:03 PM
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jaycee Offline

Preferred Members-2

Posts: 115
Joined: May 2014

Machine: S-9 Autoset
Mask Type: Full face mask
Mask Make & Model: Quattro Air Large
Humidifier: 5i
CPAP Pressure: 9-13
CPAP Software: ResScan

Other Comments: RT at a DME

Sex: Male
Location:

Post: #5
RE: Recommend Medicare DME
It sounds like your local company lost in the competitive bid process (coming soon to your area). Companies "bid" to be the supplier for an area. Lowest bids usually win. Medicare decides the winners and the price they will pay.

It doesn't matter whether a company is national, they can still lose the bid in a particular area. It doesn't matter whether a company provides great service (and great machines), they can still lose the bid in a particular area.

To "win" the bid, you often have to cut costs to remain profitable at the new rates:

1) Cut staff (fewer RT's)
2) Cut service (seeing more patients in less time)
3) Cut quality of equipment (bricks instead of downloadable machines)

I'm sure many of you are already in competitive bid areas. Some of you might have never even heard about any of this before.
06-25-2014 09:31 AM
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bwexler Offline

Advisory Members

Posts: 563
Joined: Mar 2012

Machine: PRS 1 BiPAP autoSV Advanced, with Heated Tube humidifier
Mask Type: Nasal mask
Mask Make & Model: Sleepweaver √Član
Humidifier: Resperonics Heated Tube humidifier
CPAP Pressure: Max pressure 25.0 cm H20, Max
CPAP Software: SleepyHead EncorePro

Other Comments: CMS 50i with Software for SpO2

Sex: Male
Location: San Marcos, CA, USA

Post: #6
RE: Recommend Medicare DME
I know Apria can be very trying at times. I am in Southern California and use Apria, the only in network provider for CPAP with my insurance. The only thing they got right initially was the filters. Put after a week of gentle prodding I have everything but my chin strap which I only requested Monday since I had never used one before. I have been on PAP for 3.5 years and have only recently developed mouth leaks with my new ASV machine and it's higher pressures, especially when it chases leaks.
When you call Apria you have to ask for the CPAP department. If the individual you are talking to doesn't seem to understand what you want ask for a supervisor. I find over 30% of their CPAP folks actually know what they are doing and can help you. The others may sound pleasant but can't tell the difference between a CPAP mask and a donut.
06-25-2014 09:59 AM
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