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Heated Tubing and Insurance
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rx77310 Offline

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Posts: 22
Joined: Jun 2015

Machine: Philips Resprionics System One REMstar Auto A-Flex 560p
Mask Type: Nasal pillows
Mask Make & Model: ResMed AirFit P10
Humidifier: Philips Respironics Sytem One Heated Humidifier
CPAP Pressure: 8.4 (4-20)
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: California

Post: #1
Heated Tubing and Insurance
I underwent a sleep study about a month ago and was diagnosed with mild obsructive sleep apnea. I received my Philips Respironics System One REMstar Auto A-Flex with Heated Humidifier about two weeks ago and have been using it ever since with minimal problems except for some condensation inside the tubing. I was able to get rid of the condensation by wrapping the tube in a 66x90 inch microfleece blanket and securing it with velcro zip ties. It's kind of a pain to do that often and I don't know if that will stop condensation during the winter time. So, I'm looking into getting a heated tube for my CPAP.

My insurance completely covered my CPAP. I called the DME provider (Apria) and they said they needed a prescription. I called Kaiser's sleep clinic and they said Kaiser doesn't pay for that but they referred me to a local shop and said that I could order from the DME provider (Apria) but the local shop would be less expensive. I called the local shop and they said I could order the heated tube upgrade and that I would not need a prescription.

I was wondering if I could somehow get insurance to pay for the heated tube or if I should just take the sleep clinic's word for it and pay out of pocket?
06-22-2015 06:19 PM
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OpalRose Offline

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Posts: 3,181
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: #2
RE: Heated Tubing and Insurance
If you have only had you machine and humidifier a month, you should be able to switch out the heated humidifier for a humidifier with heated hose. You will need to ask your doctor to give you another script stating a heated humidifier with heated hose. Don't know if your insurance would pay for it. You will have to call them.

The other option would be to order the heated hose upgrade, which is what I did.
Check the suppliers list above, it may be cheaper for you to buy that outright. I got a decent deal on mine, under $75.00. You get the humidifier replacement lid, heated hose, and an 80 watt power brick. It's easy to switch the lid, attach new hose and power brick.

OpalRose
06-22-2015 06:42 PM
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foss Offline
Wiki Editor
Advisory Members

Posts: 203
Joined: Jun 2015

Machine: ResMed Autosense 10
Mask Type: Full face mask
Mask Make & Model: Respironics Amara View FFM
Humidifier: Resmed
CPAP Pressure: 9 - 13.4
CPAP Software: ResScan SleepyHead

Other Comments: Marine Chemist, Science Teacher & Counselor, Internet Server Admistrator

Sex: Male
Location: Under The Rainbow

Post: #3
RE: Heated Tubing and Insurance
I have been having issues with humidity since receiving my ResMed Airsense 10 a couple of weeks ago. I called a tech at the sleep study center and he said I could get a heated hose from them when the "office" opened on Monday. I went in today and they added the proper hose to my original CPAP system. All I had to do was sign the invoice. I haven't received a bill from the sleep center yet but I am willing to pay whatever it costs. I am down from 82 events per hour during the sleep study to an average of 7. I can sleep again.

I am hoping the heated hose will help with the dry mouth. I can't run the humidity setting above two without getting rained out.

I will post an update in a couple of days.

Jeff

PS. I was prepared to purchase the heated hose outright from either the local supplier or supplier # 10. The price was very reasonable.
06-22-2015 07:41 PM
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trish6hundred Offline

Advisory Members

Posts: 6,450
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: Heated Tubing and Insurance
Hi rx77310,
WELCOME! to the forum.!
Hang in there for more responses to your post and much success to you with your CPAP therapy.

trish6hundred
06-22-2015 07:42 PM
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parkerdt Offline

Advisory Members

Posts: 256
Joined: May 2015

Machine: ResMed A10 AutoSet
Mask Type: Other
Mask Make & Model: WISP, Nuance
Humidifier: Climate Hose and included humidifier
CPAP Pressure: 9
CPAP Software: SleepyHead

Other Comments: I alternate between WISP and fabric Nuance - like both!

Sex: Male
Location: Mebane, NC

Post: #5
RE: Heated Tubing and Insurance
My prescription was written for a heated hose, thankfully, because I don't think I could be compliant without it. Might need to get your Dr. to write a new prescription?

Dave
06-22-2015 07:50 PM
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Mosquitobait Offline

Advisory Members

Posts: 746
Joined: Apr 2015

Machine: Resmed AirSense 10 For Her
Mask Type: Nasal pillows
Mask Make & Model: Airfit P10
Humidifier: integrated, Climate line tube
CPAP Pressure: 9-12
CPAP Software: ResScan SleepyHead

Other Comments: RLS and Bradycardia

Sex: Female
Location: Minneapolis

Post: #6
RE: Heated Tubing and Insurance
Fortunately, the DME was on her toes and made sure to order the heated hose when she ordered my Airsense. It came with the machine! Yay!! I only need the heated hose when we have the a/c on (like now) and maybe 3 weeks of winter. But I do need it then!
(This post was last modified: 06-22-2015 08:28 PM by Mosquitobait.)
06-22-2015 08:19 PM
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rx77310 Offline

Preferred Members

Posts: 22
Joined: Jun 2015

Machine: Philips Resprionics System One REMstar Auto A-Flex 560p
Mask Type: Nasal pillows
Mask Make & Model: ResMed AirFit P10
Humidifier: Philips Respironics Sytem One Heated Humidifier
CPAP Pressure: 8.4 (4-20)
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: California

Post: #7
RE: Heated Tubing and Insurance
(06-22-2015 06:42 PM)OpalRose Wrote:  If you have only had you machine and humidifier a month, you should be able to switch out the heated humidifier for a humidifier with heated hose. You will need to ask your doctor to give you another script stating a heated humidifier with heated hose. Don't know if your insurance would pay for it. You will have to call them.

So, it sounds like I should ignore what the sleep clinic said about Kaiser not paying for a heated tube and just schedule an appointment with my doctor(primary care provider) and get a prescription directly from my doctor?

I received a letter with my CPAP saying I should contact the sleep clinic for any problems with the CPAP therapy, but I understand doctors don't necessarily need to work with the sleep clinic to write a prescription.

A local shop said I could order the heated tubing upgrade directly from them without a prescription, but I would like to investigate the possibility of going through Kaiser/ insurance/ DME provider (Apria) or other entity that eats cost for me to save money.
(This post was last modified: 06-23-2015 02:46 PM by rx77310.)
06-23-2015 02:42 PM
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me50 Offline

Advisory Members

Posts: 2,559
Joined: Aug 2013

Machine: resmed S9 VPAP Auto
Mask Type: Nasal mask
Mask Make & Model: Wisp and Silicone Head gear
Humidifier: resmed H5i
CPAP Pressure: 18/8
CPAP Software: SleepyHead

Other Comments:

Sex: Undisclosed
Location: USA

Post: #8
RE: Heated Tubing and Insurance
(06-22-2015 06:19 PM)rx77310 Wrote:  I underwent a sleep study about a month ago and was diagnosed with mild obsructive sleep apnea. I received my Philips Respironics System One REMstar Auto A-Flex with Heated Humidifier about two weeks ago and have been using it ever since with minimal problems except for some condensation inside the tubing. I was able to get rid of the condensation by wrapping the tube in a 66x90 inch microfleece blanket and securing it with velcro zip ties. It's kind of a pain to do that often and I don't know if that will stop condensation during the winter time. So, I'm looking into getting a heated tube for my CPAP.

My insurance completely covered my CPAP. I called the DME provider (Apria) and they said they needed a prescription. I called Kaiser's sleep clinic and they said Kaiser doesn't pay for that but they referred me to a local shop and said that I could order from the DME provider (Apria) but the local shop would be less expensive. I called the local shop and they said I could order the heated tube upgrade and that I would not need a prescription.

I was wondering if I could somehow get insurance to pay for the heated tube or if I should just take the sleep clinic's word for it and pay out of pocket?



If this were me, I would be calling my insurance company and get verification. I haven't heard of an insurance company that doesn't pay for the heated hose.
06-23-2015 03:29 PM
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foss Offline
Wiki Editor
Advisory Members

Posts: 203
Joined: Jun 2015

Machine: ResMed Autosense 10
Mask Type: Full face mask
Mask Make & Model: Respironics Amara View FFM
Humidifier: Resmed
CPAP Pressure: 9 - 13.4
CPAP Software: ResScan SleepyHead

Other Comments: Marine Chemist, Science Teacher & Counselor, Internet Server Admistrator

Sex: Male
Location: Under The Rainbow

Post: #9
RE: Heated Tubing and Insurance
Update: I used the heated hose on the Airsense 10 last night set to auto. Big improvement. No condensation and dry mouth issue greatly reduced.

Jeff
06-23-2015 07:26 PM
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PsychoMike Offline

Advisory Members

Posts: 551
Joined: Aug 2013

Machine: ResMed S9 AutoSet
Mask Type: Other
Mask Make & Model: Varies with mood, ResMed F10 is my primary
Humidifier: ResMed H5i
CPAP Pressure: 12-17
CPAP Software: SleepyHead

Other Comments: asthma, cyclist upgraditis, just a little crazy (honest :D )

Sex: Male
Location: Alberta, Canada

Post: #10
RE: Heated Tubing and Insurance
Most insurance I have come across don't cover the heated hose unless there is a specific scrip for it (and even then it may be a fight).
06-24-2015 12:02 PM
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