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How long
I stay in a country where there are only 2 sleep specialist. Parts for CPAP machines are both expensive and hard to get hold of, on top of that, insurance doesn't cover OSA.

I know that there is some recommendation as to how often I should change my CPAP components, (some websites even say every month), so , cut out the commercial side, realistically, how long can I go before I have to change the parts?
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I guess it depends on how concerned you are about the sanitary issues with using the supplies for a long period of time. While most of my supplies could last longer, I personally change my supplies out per the recommended time frame because I don't want to take chances with having more health issues. I faithfully change my filters 2 times per month because my machine is expensive and I cannot afford to buy another one (most of us can't). So, for me, the sanitary issues and preserving my machine are what is important to me so I change my supplies often. It is worth the expense to me. I do have to say that my cost isn't as expensive as yours is. It is a personal decision based on each individual situation. Have you checked to see if you can purchase them at a lower cost from one of the suppliers on the suppliers list? YMMV

EDIT: Environment, having pets, whether a person lives in a wet climate, desert, etc. all affects how long supplies can be made to last.
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I guess I am an example you could look at. No insurance, fixed income - so I want stuff to last as long as possible. Assuming you find a mask that works well for you, and is fairly durable - cleaning filters instead of replacing them, and so on...

In the last eight (I think, maybe 7) years, I replaced one mask, changed out the hose just because once, broke one water chamber - that's it until I recently started trying new masks. If you are careful, and you take good care of all the gear - it *can* be made to last a fair while.

But, I also had spares for every part, just in case. So I 'could' change out something at a moment's notice.
*I* am not a DOCTOR or any type of Health Care Professional.  My thoughts/suggestions/ideas are strictly only my opinions.

"Only two defining forces have ever offered to die for you. Jesus Christ and the American Soldier. One died for your Soul, the other for your Freedom."
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