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[Equipment] Replacement time-frames
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Dsomji Offline

Members

Posts: 5
Joined: Mar 2012

Machine: Resmed S9 Elite
Mask Type: Nasal mask
Mask Make & Model:
Humidifier: Resmed H5i
CPAP Pressure: 18
CPAP Software: ResScan

Other Comments:

Sex: Male
Location: Abbotsford, BC

Post: #11
RE: Replacement time-frames
(03-06-2012 05:57 PM)SuperSleeper Wrote:  
Quote:I contacted my health plan carrier to find out from them and they won't look at cushion, mask, or hose replacement for a minimum of two years. Seems a little long for things like cushions.

That is bizarre... not sure where you are but if you're in the U.S., I'm pretty sure that most health care companies have to follow Medicare guidelines at a bare minimum for CPAP machines, masks & filters... yes, you might have varying out-of-pocket expenses and deductibles based upon what plan you signed up for, but for them to tell you that "it's not covered at all for two years" sounds very suspect. Thinking-about

Now, if you're outside the U.S., then I have no clue what is policy for your country.

I'm up in the Great White North. Just outside of Vancouver, actually. I'm with Pacific Blue Cross.

I agree that the two year statement seems a little much but it was all I could get out of the one representative. I'll update when I phone again and get a second opinion.

D
03-06-2012 06:22 PM
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Steven Offline

Preferred Members-2

Posts: 92
Joined: Feb 2012

Machine: ResMed S9 AutoSet (Mfg 10-18-11 in Aus) (Software Version SX474-0903)
Mask Type: Nasal mask
Mask Make & Model:
Humidifier: ResMed H5i Humidifier (Mfg 11-16-11 in Aus) (Software ID SX496-0212)
CPAP Pressure: APAP 12 - 18 cmH2o
CPAP Software: ResScan

Other Comments: ResMed S9 AutoSet & H5i purch 12-22-11 but were both exchanged 1-31-12 for more recently mfg items

Sex: Male
Location: Southwest USA

Post: #12
RE: Replacement time-frames
(03-06-2012 06:22 PM)Dsomji Wrote:  I'm up in the Great White North. Just outside of Vancouver, actually. I'm with Pacific Blue Cross.

I agree that the two year statement seems a little much but it was all I could get out of the one representative. I'll update when I phone again and get a second opinion.

D

I don't know how Blue Cross works up there, but in the USA you can go online & view exactly what your plan does cover.

I find that much more accurate than relying on whoever answers the phone at Blue Cross nowing what your plan covers.

Using the ResMed Mirage SoftGel Nasal Mask with a chinstrap

I do not use either the Ramp nor the EPR Comfort features

Have been on CPAP since December 1998

This is my 3rd machine

I use the ResMed ResScan Software (Version 3.16)
03-08-2012 01:03 PM
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Dsomji Offline

Members

Posts: 5
Joined: Mar 2012

Machine: Resmed S9 Elite
Mask Type: Nasal mask
Mask Make & Model:
Humidifier: Resmed H5i
CPAP Pressure: 18
CPAP Software: ResScan

Other Comments:

Sex: Male
Location: Abbotsford, BC

Post: #13
RE: Replacement time-frames
(03-08-2012 01:03 PM)Steven Wrote:  
(03-06-2012 06:22 PM)Dsomji Wrote:  I'm up in the Great White North. Just outside of Vancouver, actually. I'm with Pacific Blue Cross.

I agree that the two year statement seems a little much but it was all I could get out of the one representative. I'll update when I phone again and get a second opinion.

D

I don't know how Blue Cross works up there, but in the USA you can go online & view exactly what your plan does cover.

I find that much more accurate than relying on whoever answers the phone at Blue Cross nowing what your plan covers.

If I look at my plan it simply lists "CPAP Machine & Supplies" with a note of "Doctor's note required." It makes no mention of time frames or dollar values. It's a rather vague listing and you're told to contact the CSR for further information.
03-08-2012 01:07 PM
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Steven Offline

Preferred Members-2

Posts: 92
Joined: Feb 2012

Machine: ResMed S9 AutoSet (Mfg 10-18-11 in Aus) (Software Version SX474-0903)
Mask Type: Nasal mask
Mask Make & Model:
Humidifier: ResMed H5i Humidifier (Mfg 11-16-11 in Aus) (Software ID SX496-0212)
CPAP Pressure: APAP 12 - 18 cmH2o
CPAP Software: ResScan

Other Comments: ResMed S9 AutoSet & H5i purch 12-22-11 but were both exchanged 1-31-12 for more recently mfg items

Sex: Male
Location: Southwest USA

Post: #14
RE: Replacement time-frames
(03-08-2012 01:07 PM)Dsomji Wrote:  If I look at my plan it simply lists "CPAP Machine & Supplies" with a note of "Doctor's note required." It makes no mention of time frames or dollar values. It's a rather vague listing and you're told to contact the CSR for further information.

Call your Blue Cross insurer & have them E-Mail, fax, or mail you their "Replacement Schedule" for CPAP consumables.

Using the ResMed Mirage SoftGel Nasal Mask with a chinstrap

I do not use either the Ramp nor the EPR Comfort features

Have been on CPAP since December 1998

This is my 3rd machine

I use the ResMed ResScan Software (Version 3.16)
03-08-2012 01:23 PM
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