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[Equipment] Which version of Respironics System One?
#1
I have just completed a trial of the Respironics Remstar Auto and have found that my AHI levels can be kept in the low single digit range very easily with a constant pressure of 7. I am considering purchasing a bilevel or simple CPAP machine simply to save about $400 on the purchase price. (My insurance pays 80% to a max of $2000 every 5 years and they want $2,400 for an auto machine so I would be out of pocket either $400 or $800)

Can anyone convince why I should spend the extra money for all the bells and whistles?

Thanks, Dave

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#2
(04-20-2015, 11:30 AM)dozydave Wrote: I have just completed a trial of the Respironics Remstar Auto and have found that my AHI levels can be kept in the low single digit range very easily with a constant pressure of 7. I am considering purchasing a bilevel or simple CPAP machine simply to save about $400 on the purchase price. (My insurance pays 80% to a max of $2000 every 5 years and they want $2,400 for an auto machine so I would be out of pocket either $400 or $800)

Can anyone convince why I should spend the extra money for all the bells and whistles?

Thanks, Dave

The normal reasons for prescribing a simple or auto bilevel machine are:

1. The patient has trouble exhaling against the provided pressure even with EPR.

2, The patient's prescribed therapeutic pressure is high. My prescribed pressure was 20 cm/H2O and I was provided with a bilevel from the git-go.

I think that it might be worth your time and money to obtain an auto machine which is only a little more expensive that the manual machines.

Best Regards,

PaytonA

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PaytonA passed away in September 2017
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#3
(04-20-2015, 11:51 AM)PaytonA Wrote:
(04-20-2015, 11:30 AM)dozydave Wrote: I have just completed a trial of the Respironics Remstar Auto and have found that my AHI levels can be kept in the low single digit range very easily with a constant pressure of 7. I am considering purchasing a bilevel or simple CPAP machine simply to save about $400 on the purchase price. (My insurance pays 80% to a max of $2000 every 5 years and they want $2,400 for an auto machine so I would be out of pocket either $400 or $800)

Can anyone convince why I should spend the extra money for all the bells and whistles?

Thanks, Dave

The normal reasons for prescribing a simple or auto bilevel machine are:

1. The patient has trouble exhaling against the provided pressure even with EPR.

2, The patient's prescribed therapeutic pressure is high. My prescribed pressure was 20 cm/H2O and I was provided with a bilevel from the git-go.

I think that it might be worth your time and money to obtain an auto machine which is only a little more expensive that the manual machines.

Best Regards,

PaytonA


Thanks for that, I should clarify that my constant pressure is 7 and it works just fine.

Dave
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#4
(04-20-2015, 11:30 AM)dozydave Wrote: I have just completed a trial of the Respironics Remstar Auto and have found that my AHI levels can be kept in the low single digit range very easily with a constant pressure of 7. I am considering purchasing a bilevel or simple CPAP machine simply to save about $400 on the purchase price. (My insurance pays 80% to a max of $2000 every 5 years and they want $2,400 for an auto machine so I would be out of pocket either $400 or $800)

I hope your insurance is free because they're not doing anything for you.

Your copay is pretty much exactly what it costs to buy online without insurance.



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#5
(04-20-2015, 12:54 PM)Terry Wrote:
(04-20-2015, 11:30 AM)dozydave Wrote: I have just completed a trial of the Respironics Remstar Auto and have found that my AHI levels can be kept in the low single digit range very easily with a constant pressure of 7. I am considering purchasing a bilevel or simple CPAP machine simply to save about $400 on the purchase price. (My insurance pays 80% to a max of $2000 every 5 years and they want $2,400 for an auto machine so I would be out of pocket either $400 or $800)

I hope your insurance is free because they're not doing anything for you.

Your copay is pretty much exactly what it costs to buy online without insurance.

Terry, I agree totally. My insurance is not free but I rented a machine to use in my RV for the winter down south and I'm already into them for $1,000 in rental fees that can be applied towards the purchase of a new machine. So very observant on your part but it's pretty much a wash at this point.

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#6
other big reasons to select an automatic titrating machine:
1. so it can adjust to shifts in needs based on sickness, allergies, and position you sleep in.
2. because your needs may (and probably will) change in the space of 5 years.

QAL
Dedicated to QALity sleep.
You'll note I am listed as an Advisory Member. I am honored to be listed as such. See the fine print - Advisory Members as a group provide advice and suggestions to Apnea Board administrators and staff concerning Apnea Board operation and administrative policies. Membership in the Advisory Member group should not be understood as in any way implying medical expertise or qualification for advising Sleep Apnea patients concerning their treatment.
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#7
I'm sold on the auto machine for the reasons given by many of the responders. Thanks very much everybody for taking the time.
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