Medicare has determined that the Nano nasal mask cushion is part of the frame and will only cover 1 replacement every three months.
I called ResMed and told them if they want people to use their mask they needed to make it clear to Medicare that the Nano mask is a cushion and should be replaced more often than every three months for health reasons.
It is not my DME but MEDICARE who has said that the Nano cushion is a frame and can only be replaced every three months.
I just called Apria about the ResMed Swift FX Nano as it is viewed by Medicare. The cushion is part of the frame when you get the whole mask. It is not part of the frame when you get it separately.
Billing code A7034 - Entire mask
Billing code A7032 - cushion only (2 per month)
Thanks I will forward this to my DME.