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[Equipment] Want a new apap
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robertl913 Offline

New Members

Posts: 3
Joined: Nov 2015

Machine: Remstar Auto
Mask Type: Full face mask
Mask Make & Model: Af 10
Humidifier: unsure
CPAP Pressure: 15
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location:

Post: #1
Want a new apap
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
09-06-2016 09:11 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: #2
RE: Want a new apap
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.
09-06-2016 09:48 PM
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Sleeprider Online
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Advisory Members

Posts: 3,315
Joined: Dec 2014

Machine: Resmed Aircurve 10 Vauto
Mask Type: Nasal pillows
Mask Make & Model: Resmed Airfit P10
Humidifier: Resmed Climateline
CPAP Pressure: Auto Bilevel 18/9, PS 3
CPAP Software: ResScan SleepyHead EncoreBasic

Other Comments:

Sex: Male
Location: Where they make Respironics

Post: #3
RE: Want a new apap
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.

______________________________________________
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09-06-2016 09:53 PM
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trish6hundred Offline

Advisory Members

Posts: 6,430
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: #4
RE: Want a new apap
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
09-06-2016 10:05 PM
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OpalRose Offline

Monitors

Posts: 3,161
Joined: Nov 2014

Machine: PR System One REMstar Auto 560 with A Flex
Mask Type: Nasal pillows
Mask Make & Model: AirFit P10 For Her
Humidifier: REMStar heated humidifier with heated hose
CPAP Pressure: Auto Cpap 10-13 AFLEX 1
CPAP Software: SleepyHead EncoreBasic

Other Comments: Started CPAP Therapy October 23, 2014

Sex: Female
Location: Northeast Ohio, USA

Post: #5
RE: Want a new apap
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
09-07-2016 07:35 AM
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Mike1953 Offline

Preferred Members-2

Posts: 134
Joined: Aug 2014

Machine: Resmed S9 Escape Auto
Mask Type: Nasal pillows
Mask Make & Model: Resmed P10
Humidifier: Resmed Hi5
CPAP Pressure: 12
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: Kansas USA

Post: #6
RE: Want a new apap
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/directories/National/SHIP/
or here http://www.medicareinteractive.org/
09-08-2016 08:22 PM
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