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[Equipment] US Medicare
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justMongo Offline

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Posts: 3,840
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: #1
Question US Medicare
Anyone know the replacement policy for CPAP machines under US Medicare?

When I got mine 4 years ago, it was a 13 month rental where my DME accepted what Medicare plus my co-insurance paid for 13 months; then it became mine.

Since I have an older S8 ResMed model where data extraction is difficult due to the strange card and unobtainable card reader, I think my S8 is going to have a circuit board failure this week...

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.
09-16-2013 06:49 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: #2
RE: US Medicare
(09-16-2013 06:49 AM)justMongo Wrote:  Anyone know the replacement policy for CPAP machines under US Medicare?

When I got mine 4 years ago, it was a 13 month rental where my DME accepted what Medicare plus my co-insurance paid for 13 months; then it became mine.

Since I have an older S8 ResMed model where data extraction is difficult due to the strange card and unobtainable card reader, I think my S8 is going to have a circuit board failure this week...

I found this link that may answer your question for you.

Thread-Change-in-Medicare-replacement-supplies
09-16-2013 07:28 AM
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PaulaO2 Offline
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Moderators

Posts: 8,064
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: #3
RE: US Medicare
The schedule is to replace every 5 - 6 yrs unless needs drastically change. So you are looking at another year or so.

When my S7 was replaced, I stupidly accepted an S9 Escape. I then found this forum. I saved up and bought an S9 Autoset from Supplier #2 and now use that. If you cannot wait, you can do that route. Then, in a year, get another and use the "used" one as a backup or travel machine.

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.
09-16-2013 01:52 PM
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justMongo Offline

Monitors

Posts: 3,840
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: #4
RE: US Medicare
(09-16-2013 01:52 PM)PaulaO2 Wrote:  The schedule is to replace every 5 - 6 yrs unless needs drastically change. So you are looking at another year or so.

When my S7 was replaced, I stupidly accepted an S9 Escape. I then found this forum. I saved up and bought an S9 Autoset from Supplier #2 and now use that. If you cannot wait, you can do that route. Then, in a year, get another and use the "used" one as a backup or travel machine.

I think I'm going to get my Rx from my doc; and just buy the ResMed S9 VPAP S from Supplier #2. I really want to be able to see the data. Engineer's have a standard response: "Show me the data."
Thanks

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.
09-16-2013 05:39 PM
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alby_c Offline

Preferred Members

Posts: 81
Joined: Aug 2013

Machine: resmed s9 autoset
Mask Type: Nasal pillows
Mask Make & Model: Resmed Airfit P10
Humidifier: Resmed
CPAP Pressure: 6 - 12
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: Brisbane, Australia

Post: #5
RE: US Medicare
I thought it had a critical failure so you had to replace.
(well for me - no data is a critical failure)
Let us know how you get on - not that it affects me being a hemisphere away
09-18-2013 05:13 AM
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