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

How often will insurance replace machine?
#1
I did do a search first, but couldn't find my answer - sorry in advance if this is a dead horse.

I just got to use my machine again last night after a few days without it (due to a bloody nose) and I started wondering about what would it be like if my machine died.
Does anyone know how long a life to expect from the machine and how often most insurance will go for it?
When I got my machine last June, my insurance company said there was no $ limit on DME, but I have a $250 deductible each year.The company that did my sleep study and provided the equipment has gone out of business (Sleep Health Centers). Fortunately they contacted me just before they went out and said I was eligible for a new mask,hose,filters and water tank, so I have replaced them.
Just want to be preparedRolleyes
Reply
#2
Hi johns019,

The useful life of most CPAP machines is considered to be around 5 years. But many folks have been using their machine for longer periods. Pretty sure most insurance and Medicare programs will not replace a machine unless it's older than 5 years as well.

Hopefully others can add to this. Smile

Also, I sent you a PM (Private Message)... click here.
SuperSleeper
Apnea Board Administrator
www.ApneaBoard.com


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.



Reply
#3
Medicare authorizes replacement every 5 years. See also
"Your Guide to Medicare's Durable Medical Equipment, Prosthetics" which does not provide this rule, but includes other info about Medicare and DME. Note that if under warranty, you should be able to use that. Also, Google "Repair and Replacement Fast Facts" for an info sheet from Resmed.

Oops, just saw that you have private insurance. Most insurers follow Medicare guidelines, but you should check with them first.
Reply


#4
Thank you!
I started thinking if 8 hrs / night x 365 day about 2900 hrs / year - how long is it good for?
5 years sounds like a pretty good life expectancy for my machine.
Who knows what will have happened with insurance by then Wink
Reply
#5
From another standpoint: How fast can you get a replacement machine in if your current one breaks down, hit by lightning or the fan just has a seizure?

Will your current plan get you another machine going for you within 24 hrs or not?

I always keep a small emergency back up CPAP on the shelf, just in case. It's not great but it is better than no machine at all.

Cheers!
"With ordinary talent and extraordinary perseverance, all things are attainable." - Thomas Foxwell Buxton

Cool
Reply
#6
(04-20-2013, 01:22 PM)Shastzi Wrote: From another standpoint: How fast can you get a replacement machine in if your current one breaks down, hit by lightning or the fan just has a seizure?

Will your current plan get you another machine going for you within 24 hrs or not?

I always keep a small emergency back up CPAP on the shelf, just in case. It's not great but it is better than no machine at all.

Cheers!

Hmm, good point. I'm going to purchase an inexpensive "back-up" right now.
Reply


#7
I use the brick during stormy weather too, so I need not worry about blowing up the good machine.

Wink
"With ordinary talent and extraordinary perseverance, all things are attainable." - Thomas Foxwell Buxton

Cool
Reply
#8
Keep an eye out for something on Craigslist, friends, family, etc. You might find a really good buy if you watch for a while. If you're looking for a backup, it may pay you to shop carefully.

You might even try your own ad on Cragslist or somewhere similar. There are a lot of people with CPAP machines gathering dust because they gave up on them.
Get the free SleepyHead software here.
Useful links.
Click here for information on the main alternative to CPAP.
If it's midnight and a DME tells you it's dark outside, go and check it yourself.
Reply
#9
Just for the record, my ResMed S7 which was just replaced with an S9 Elite was 9 years old and just short of 25,000 hours. Never missed a beat. It is now on my shelf as a backup. Sleep-well
Reply


#10
Smile 
Geez, never though about a back-up or when my machine can be replaced. That's for posting the question.Thanks
To err is human, but to really mess things up, you need a computer.
Reply


Possibly Related Threads...
Thread Author Replies Views Last Post
Exclaimation CPAP Machine Choices - read this before you accept a new machine SuperSleeper 10 7,697 01-22-2017, 06:38 PM
Last Post: Mosquitobait
  Insurance Compliance Problem fotomatt1 9 432 12-21-2016, 01:49 AM
Last Post: DeepBreathing
  Is it time to replace cushion on the mask worthog 9 732 12-18-2016, 10:55 PM
Last Post: Mosquitobait
  Insurance won't pay for power cord? CharlotteYork 13 1,074 11-17-2016, 11:58 PM
Last Post: tzk321
Sad Help Finding A Machine, No Insurance SJGino 23 1,082 11-17-2016, 09:03 PM
Last Post: SJGino
Angry INSURANCE RECORDS: DO YOU REALLY WANT TO KNOW? srlevine1 5 691 11-15-2016, 06:31 PM
Last Post: Galactus
  [CPAP] Insurance / Getting first CPAP rjbbjr 14 801 11-11-2016, 01:06 PM
Last Post: Mosquitobait

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.