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

Heated Hose: Need a script?
#11
My DME told me the same, that I need an updated script on file to continue to order supplies from them. Oh-jeez

Every time I call, it's the same set of questions:

When did you see your Doctor last?
Why do you need new nasal pillows? Are they soft?
Why do you need new filters?
Why do you want to replace your humidifier chamber?
Why do you want a new hose?
Why, Why Why???

This morning, I lost my cool! I asked them: Why do you ask me the same questions every month? Do you want my business or not?

Their response: it's their policy, and I will also have to get a new script every year.

Note: Been on APAP for over 14 months, and I own my machine.

I think it's their job to make my crazier than I am. Laugh-a-lot
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
#12
(01-20-2016, 03:32 PM)OpalRose Wrote: My DME told me the same, that I need an updated script on file to continue to order supplies from them. Oh-jeez

Every time I call, it's the same set of questions:

When did you see your Doctor last?
Why do you need new nasal pillows? Are they soft?
Why do you need new filters?
Why do you want to replace your humidifier chamber?
Why do you want a new hose?
Why, Why Why???

This morning, I lost my cool! I asked them: Why do you ask me the same questions every month? Do you want my business or not?

Their response: it's their policy, and I will also have to get a new script every year.

Note: Been on APAP for over 14 months, and I own my machine.

I think it's their job to make my crazier than I am. Laugh-a-lot

Wow what a pain!
I'm fortunate my DME is automatic every 6 months they call and remind me it's time to reorder supplies , filters, masks/cushions, hose, humidifer tank and what ever else is needed for our CPAP treatment.
That's what gets me is I've been told once you have sleep apnea chances are you will need to continue with CPAP all your days, so once you've been scripted for it why do they continue to want the script updated? just to get more co-pay's out of you?
I also have been on the hose for 13 months now and never any problems...Knock on Wood. (hope i didn't jinx myself)
Good Luck OpalRose.
Mr. Van Winkle
Post Reply Post Reply
#13
Mr. Van Winkle,
Your lucky you have a good DME, and I know they all operate differently.

How can you jinx yourself with a name like Mr. Van Winkle? Smile
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


#14
Because my supplies are paid for by medicare, they want a recent Rx on file from my doc.
But, I have never been asked why I want an item.
(I do buy some disposable supplies outside the system -- and out-of-pocket.)
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
#15
(01-20-2016, 11:59 AM)PaytonA Wrote: Some DMEs tell you that you need a prescription in order to get a heated hose. That is just a DME requirement and not a legal requirement. It seems to be designed to discourage you from ordering a heated hose.


Thanks, Payton. I thought as much but wanted to be sure. Been lucky with mine; almost 2 years old and still going strong.

My wife will be upgrading shortly to a heated one (terrible rain-out); her DME is actually ok...not great but also, not from Hell as mine was!

P.S. Great to see familiar "faces" still on here since my hiatus! Smile

A good laugh and a long sleep are the best cures....
Post Reply Post Reply
#16
(01-20-2016, 06:51 PM)justMongo Wrote: Because my supplies are paid for by medicare, they want a recent Rx on file from my doc.
But, I have never been asked why I want an item.
(I do buy some disposable supplies outside the system -- and out-of-pocket.)

Yes, I buy filters from online sources. Cheaper than the 20% I have to pay through Medicare DME AND I get Resmed brand rather than some substitution. I also think it's a DME thing. The code for a hose vs. a heated hose appears to be the same. I do appreciate this conversation as I will get more backup supplies before my year is up. I don't see any point in going back yearly since they didn't do anything to resolve my other issues.
Post Reply Post Reply


#17
Much as I would like to blame the DMEs, in their defense, the questions are insurance and Medicare driven. I have been hosing for over a decade under, first traditional insurance, then Medicare, last year a Medicare advantage plan (don't even ask), and now back to original Medicare. With original Medicare, the DME is going to want a scrip on file each year usually to make sure if they are audited by CMS their ass is covered. They should do the 3 month supply routine, and are required to ask you if you need the supplies, in part so it doesn't appear that they are trying to sell them to you and make money if you don't need them. The insurance companies just follow suit.
The worst experience I ever had was under the Medicare Advantage plan from Healthfirst in New York last year where the insurance company "medical necessity" people did not know from PAP and supplies and even though I had a scrip on file with "refills" would not permit the DME to provide supplies without a new scrip EVERY month. I tried to explain that not only was it not required by Medicare (they told me they had their own criteria), but that they were not prescription items. Like talking to a brick wall. At one point I was screaming at them about going to a doctor that they were going to pay $150 for to get $4 in filters made about as much as selling ice to polar bears. So, I sold ice.
Post Reply Post Reply
#18
Stargazer, my prescription does not say 'heated hose' but nether Lincare (medicare/insuranc) nor online suppliers have cared about it. You don't actually need a prescription to get any kind of hose if you are self-pay. It is not considered a prescription item UNLESS you want someone else to pay for it.
Post Reply Post Reply
#19
(01-25-2016, 02:52 PM)Mosquitobait Wrote: Stargazer, my prescription does not say 'heated hose' but nether Lincare (medicare/insuranc) nor online suppliers have cared about it. You don't actually need a prescription to get any kind of hose if you are self-pay. It is not considered a prescription item UNLESS you want someone else to pay for it.

In other words, there is no legal requirement for a prescription in order to get a heated hose.

Best Regards,

PaytonA
Post Reply Post Reply


#20
(01-25-2016, 05:35 PM)PaytonA Wrote:
(01-25-2016, 02:52 PM)Mosquitobait Wrote: Stargazer, my prescription does not say 'heated hose' but nether Lincare (medicare/insuranc) nor online suppliers have cared about it. You don't actually need a prescription to get any kind of hose if you are self-pay. It is not considered a prescription item UNLESS you want someone else to pay for it.

In other words, there is no legal requirement for a prescription in order to get a heated hose.

Best Regards,

PaytonA

Well, surprisingly, my wife got the heated hose without any difficulty and we think, with no extra cost. Not sure why the DME wanted the script again from the Doc when we just saw her for the brand new set-up for my wife; weird! I didn't think a script was needed, just wanted to double-check with everyone. I think a heated hose has the same ins # as a regular hose...we will see if there are any additional costs. Honestly, the DME should've just given her it in the first place. Oh well.

Thanks for all the responses. They are all surely appreciated!!

A good laugh and a long sleep are the best cures....
Post Reply Post Reply


Possibly Related Threads...
Thread Author Replies Views Last Post
  Modification to Reduce noise in Dreamstation from hose to mask stephennic 16 2,193 04-18-2017, 08:13 PM
Last Post: midgarden
  Heated Hose --yes or no Matzaball2016 7 338 04-16-2017, 05:34 PM
Last Post: Mosquitobait
  Does Medicare Cover Heated Hoses Melman 6 253 03-28-2017, 02:30 PM
Last Post: OpalRose
  Newbie DreamStation Auto BiPAP with humidifier and heated tube DSX700T11 que0x 8 648 03-27-2017, 05:37 PM
Last Post: SarcasticDave94
  Hose too short for wrap around wishicansleep 12 394 03-24-2017, 08:28 AM
Last Post: Cranberry Ray
  I guess I'm a hose head now... KCFLY 11 379 03-23-2017, 05:43 PM
Last Post: Marillion
  Question about heated hoses Melman 4 289 03-18-2017, 09:56 PM
Last Post: Melman

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.