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

[Equipment] Want a new apap
#1
I will be seeing my Dr. in Nov. I will have had my machine for 13 months, which as I understand on Medicare the machine will belong to me. I have heard alot of good things about the Apap machines. Can my Dr. prescribe me another machine or how does this work with Medicare.
My intial sleep study said I has 96 ahi and now it is below 1. Pressure is set at 15cm/h20. I have three different kinds of masks, I switch between the full face and the wisk. I monitor my scard weekly. I think I could benefit with a apap machine.Thanks
Post Reply Post Reply
#2
Medicare will not pay for another machine for 5 years; unless, your doctor can document a reason why you need a different type of machine.
That typically requires a new sleep study and a darn good letter of medical necessity.
Your profile says Remstar auto -- are you not on an APAP now?
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.
Post Reply Post Reply
#3
Your profile says Remstar Auto, so what machine have you been using for the last 13 months.

Medicare generally will not authorize a new machine within 5-years of the previous one, and/or the machine you have is broken, serviceable or no longer effective. Your better bet would be to be sure you have a copy of your prescription, and consider purchasing through one of the vendors on Amazon, one of the suppliers listed in the supplier list, or perhaps obtain a used machine through Craigslist as a backup.

Given that you are effectively treated with less than 1 AHI and were issued your machine just over a year ago, I don't think you have a snowball's chance in hell of getting Medicare to pay for one, but you can always buy one.
Post Reply Post Reply


#4
Hi robertl913,
WELCOME! to the forum.! Hang in there for more responses to your post and good luck to you as you continue your CPAP therapy.
trish6hundred
Post Reply Post Reply
#5
Hi robert913,
Your profile says you are already using an auto machine (set in Cpap mode at a straight pressure of 15).

Perhaps you don't realize you can switch to auto mode and set a pressure range?

And to echo others, Medicare is not going to pay for another machine at least for 5 years.
OpalRose
Apnea Board Moderator
www.ApneaBoard.com

How to Organize and Post ScreenShots

http://sleep.tnet.com/resources/sleepyhead/shorganize
https://sleep.tnet.com/reference/tips/imgur

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.




Post Reply Post Reply
#6
Medicare will not purchase another machine for at least 5 years and sometimes only then when proven your machine in non- repairable.
For free Medicare assistance for your state check out this page. http://www.seniorsresourceguide.com/dire...onal/SHIP/
or here http://www.medicareinteractive.org/
Post Reply Post Reply




Possibly Related Threads...
Thread Author Replies Views Last Post
  Resmed S9 ... Set to APAP (or not)? dosco 54 1,585 04-21-2017, 09:44 PM
Last Post: bonjour
Question New Member - Just Started With APAP AndersonP 12 347 04-21-2017, 08:39 AM
Last Post: Sleeprider
  Why do events occur with APAP machines BHappy 19 752 04-20-2017, 07:06 PM
Last Post: quiescence at last
  [Diagnosis] 1st night APAP - please comment Cuppa 8 273 04-10-2017, 10:55 PM
Last Post: Cuppa
  Issues moving from CPAP to APAP bhamill 15 566 04-08-2017, 06:51 PM
Last Post: Sleeprider
  Ramblings about CPAP to APAP?, and stuff. Podd 24 968 03-21-2017, 02:15 AM
Last Post: Podd
  APAP Prescribed for Central Sleep Apnea? NeverRested 14 814 02-25-2017, 05:23 PM
Last Post: mymontreal

Forum Jump:

New Posts   Today's Posts




About Apnea Board

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

For any more information, please use our contact form.