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Insurance and Cpap
12-18-2014, 02:45 PM
You are not locked to a DME, but your coverage may be different depending on the DME. Check who is "in network" to get the best ins benefit
12-18-2014, 03:09 PM
(12-18-2014, 02:45 PM)DariaVader Wrote: You are not locked to a DME, but your coverage may be different depending on the DME. Check who is "in network" to get the best ins benefit
This. If the DME wants you to use a cheap machine, decline and say you're headed across town to see if their competition will give you an AutoSet machine. Get a hard copy of your Rx and shop around. You want the right machine and you want competent support/service.
You want a best-of-breed AutoSet machine so you can use the AutoSet feature and SD card data to fairly quickly figure out what your real setting needs to be rather than rely on one night's data at a sleep center. The latest ResMed machine has already been suggested. A ResMed S9 AutoSet is what I just bought with my own money since I'm in transition between insurance companies. Hopefully, I can talk my next DME into a ResMed AirSense 10 since it's a bit more portable for business trips.
12-18-2014, 03:34 PM
WELCOME! to the forum.!
Check out this link: http://www.apneaboard.com/wiki/index.php...ne_Choices
It has great information on which machines to get and which machines to avoid.
Hang in there for more suggestions and much success to you as you start your CPAP therapy.
12-18-2014, 03:45 PM
Just found out that I've been slated for an Airsense 10 Elite at a pressure of 6, which doesn't appear to be too bad. Looks like I will be getting it Monday, so I'm somewhat exited but at the same time concerned how I will handle the therapy. Time will tell I guess. My sleep study wasn't too bad (thanks to Xanax, lol) but a hoping that the real thing will be tolerable. I travel for a living, so it looks like I have an extra piece of luggage to lug around.
12-18-2014, 03:53 PM
I absolutely meant for her even if the user happens to be a him.
12-18-2014, 03:58 PM
(12-18-2014, 03:45 PM)SD50 Wrote: Just found out that I've been slated for an Airsense 10 Elite
I haven't needed to travel in the 90 days I've had my ResMed AirSense S9 AutoSet. I'm flying tomorrow for the first time and the business travel picks up in January. I'm hoping I can work out either a combined laptop/CPAP bag or pack lightly enough to fit the machine in my roll-aboard.
12-18-2014, 05:47 PM
I traveled for years, carrying a cpap - it really is not that big of a deal! It's actually gotten a lot easier in recent years; less TSA scrutiny and smaller, lighter machines. And the machines are not counted as part of your carry-on luggage. Just be prepared for a TSA looksie, if your machine includes a battery pack.
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 OPINIONS ONLY AND NOT NECESSARILY STATEMENTS OF FACT.
12-18-2014, 08:00 PM
(12-18-2014, 03:58 PM)GeoffD Wrote: I haven't needed to travel in the 90 days I've had my ResMed AirSense S9 AutoSet. I'm flying tomorrow for the first time and the business travel picks up in January. I'm hoping I can work out either a combined laptop/CPAP bag or pack lightly enough to fit the machine in my roll-aboard.
having just stepped off the plane so to speak, if you carry it in a medical equipment bag by itself, it does not count against your carry-on limit. Mine came from the DME in its travel bag. Since you got yours online, it might be extra. If you get the covetted TSA-PRECHK on your boarding pass - all is well. Don't remove anything from bags, and leave your shoes on your feet! It is such a relief. If you don't tho, put the cpap machine into clear plastic bags, because TSA may just dump it into a dirty bin. They did mine
12-19-2014, 12:46 AM
Sounds like you're doing good.
There are some hints in the links in my signature line.
The AirSense (A10) Elite is a good manual CPAP, can probably do a good job for you.
The A10 AutoSet is better in all cases. The A10 AutoSet for Her is better than the "plain" AutoSet. Each "higher" level model will do everything the lower level model will, and has some additional features.
Avoid the "plain" AirSense CPAP. The model name is in the lower right corner. Get at least the Elite, because the Elite and better machines have enormously more useful data to track your therapy and fix problems.
12-20-2014, 11:03 AM
(12-18-2014, 11:45 AM)SD50 Wrote: I just finished my sleep study and am waiting for the DME to contact me regarding the equipment. I've got BCBS and was told by the staff that the machine is rented for a few months and then at some point it becomes mine. Other things I heard that I need to be compliant (certain number of hours, certain percentage) or they could take the machine away. Since I don't get a lot of sleep on a regular basis (5-6 hrs/night), I'm somewhat concerned that all this could be for naught. Any thoughts on this one?
When I got my first machine, I had BCBS MA PPO and they purchased the machine and humidifier outright from the very beginning. I didn't have to do the compliance checks with them.
Then I got a new insurance company, a PPO, and they rented the machine for 13 months but purchased the humidifier outright.
If you use the machine 4 hours a night for 70% of the time I believe is the criteria, you will be in compliance from their standpoint.
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