(02-28-2014 04:20 PM)mjbearit Wrote: So I have an HMO. They have a DME department whose sole function is to approve DME devices and/or supplies for devices. I assume they also do the vendor management between the HMO and the Provider DMEs (who are outside companies). About a year and a half ago, maybe 2 years... I don't know now, I went to the offices of the Provider DME for a new mask setup. The technician there was so very rude and unprofessional I was just appalled. He then told me I could not have a new machine and that was that. He also told me at that time that I was only allotted 1 mask per year. So here I have been calling to get refills annually and paying for the in between stuff out of my pocket. You know, we do what we have to. So I called just a little bit ago and they had put in a new order desk since last year that is not affiliated with a specific shop (they are a national DME company). As I am talking to the gal on the phone we started just talking about stuff in general and I told her about how rude the guy was, and she said she had heard this story before from folks in my area. She then told me how often I am supposed to receive supplies... WHAT?! Needless to say, I have a huge care package coming!
There is no way they can either a) reimburse you for the expenses you incurred on the supplies you should 'not' have paid for? Or b) provide you with XXX amount of supplies retroactively?
In other words, if you bought 2 masks, they should provide you with 2 'free' masks in addition to the replacements that you are entitled to? I mean, I appreciate that the new 'gal' was very nice, but that does not address the fact that you paid for items you didn't have to.