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

In the US...How long should it take???
#11
SpeedyD, what insurance do you have? What is the policy for out of network DME? My last policy (BCBS) had a 40% copay for out of network vs 20% in network. I think using one of the online suppliers penciled out, considering I got my equipment immediately with no hassle or huge markups. You might want to have a talk with your insurer, and make sure you know their DME policy for in-network, out of network and what their policy is on rental vs purchase. If you get 100% coverage, then it might be worth this hassle, but otherwise, I'd be looking at alternatives.
Post Reply Post Reply
#12
DMEs are a crap shoot. After my sleep study I saw my doc (just my internist not a sleep doc) and got a copy of my study and a scrip (I told him I wanted APAP ,and mask of choice, he said no problem). I awent around to a couple of local DME supliers and saw that they were at best incompetent and uninterested. I did my research on this board and ordered the equipment I wanted from one of the suppliers listed at the top of the forum. All came promptly and I was off to the races.

ONE MONTH later the sleep center called and said they were ready to see me. Even though my study showed an AHI of 70, it was apparently not much of an urgent situation.

Bottom line, take charge of your own treatment.
Post Reply Post Reply
#13
(11-26-2015, 11:36 AM)Snowbird47 Wrote: DMEs are a crap shoot. After my sleep study I saw my doc (just my internist not a sleep doc) and got a copy of my study and a scrip (I told him I wanted APAP ,and mask of choice, he said no problem). I awent around to a couple of local DME supliers and saw that they were at best incompetent and uninterested. I did my research on this board and ordered the equipment I wanted from one of the suppliers listed at the top of the forum. All came promptly and I was off to the races.

ONE MONTH later the sleep center called and said they were ready to see me. Even though my study showed an AHI of 70, it was apparently not much of an urgent situation.

Bottom line, take charge of your own treatment.

Uninterested, unmotivated, all this describes DME. They have no idea what we are dealing with.
My AHI is 94. No hurries.
Post Reply Post Reply


#14
(11-26-2015, 10:50 AM)Sleeprider Wrote: SpeedyD, what insurance do you have? What is the policy for out of network DME? My last policy (BCBS) had a 40% copay for out of network vs 20% in network. I think using one of the online suppliers penciled out, considering I got my equipment immediately with no hassle or huge markups. You might want to have a talk with your insurer, and make sure you know their DME policy for in-network, out of network and what their policy is on rental vs purchase. If you get 100% coverage, then it might be worth this hassle, but otherwise, I'd be looking at alternatives.
I am med mutual. I have called insurance many times. They just said it is 85-15%. Nothing about in or out of network.. Sigh. I'm taking a nap now so I can properly finish cooking Thanksgiving dinner.
Post Reply Post Reply
#15
Enjoy the nap. When business hours are back in session, ask the insurer how they would reimburse out of network DME and how to file a claim. I suspect it's a 30% share for you, in which case, you'd save a lot just doing it. You have a prescription, right? If you can afford to wait for insurance reimbursement, it's really the best. Seriously, online DMEs charge less than $900 for a top of the line APAP complete with heated hose and all the rest. Lincare will charge you $1800 for any CPAP, try to give you a cheaper one, and will charge you separately for the humidifier and heated hose. Your copay will be higher.
Post Reply Post Reply
#16
(11-26-2015, 01:48 PM)Sleeprider Wrote: Enjoy the nap. When business hours are back in session, ask the insurer how they would reimburse out of network DME and how to file a claim. I suspect it's a 30% share for you, in which case, you'd save a lot just doing it. You have a prescription, right? If you can afford to wait for insurance reimbursement, it's really the best. Seriously, online DMEs charge less than $900 for a top of the line APAP complete with heated hose and all the rest. Lincare will charge you $1800 for any CPAP, try to give you a cheaper one, and will charge you separately for the humidifier and heated hose. Your copay will be higher.

I fought so hard to get the right machine ordered and I'm still gonna get hosed!!! Arghh!
This is causing me anxiety. I will be making a personal visit tonlincare office tomorrow!
Post Reply Post Reply




Possibly Related Threads...
Thread Author Replies Views Last Post
  how long did it take to get your machine from the medical supply company? jasonarmstrong 8 273 05-01-2017, 10:35 AM
Last Post: Whacked
Question How Long Before Centrals Subside hartikka 28 2,040 04-20-2017, 07:25 PM
Last Post: richb
  [News] Traveling with CPAP - advice from a long-haul truck driver ApneaNews 4 968 04-07-2017, 12:48 PM
Last Post: SarcasticDave94
  How long before therapy actually works ? BHappy 11 711 04-07-2017, 08:42 AM
Last Post: Cranberry Ray
  Why are hypopneas 10 seconds long? Rcgop 36 2,349 03-29-2017, 05:46 PM
Last Post: JohnnyGobbs
  My story, NOTE, a VERY VERY long story BiLevel48 3 361 03-27-2017, 07:23 PM
Last Post: trish6hundred
  Cpap Mask left wrinkle lines in my face. How long doe they take to go away? Ihaveapnea 4 534 03-21-2017, 04:42 AM
Last Post: cant_sleep_in_nj

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.