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Insurance compliance question
#1
Hello Everyone! I have to ask a question that may be kind of silly. I struggle with insomnia and i have now been with the CPAP for a month now and have slept under 4 hours 3 times in this amount of time and the compliance is that for 2 months i use the machine 70% of the time, and i was told that meant at least 4 hours a night. Oh boy, i guess that means i better make sure i stay in bed hooked up this next month for 4 hours no matter what?
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#2
You answered your own question.

Insurance compliance is rarely, if ever, flexible.

You could ask for an extension now, before it is too late.
PaulaO2
Apnea Board Moderator
www.ApneaBoard.com


Breathe deeply and count to zen.

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.




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#3
Welcome..my lazy mans math tellsl me that you have 6 days left of your 70% requirement toward compliance. It appears to me that as Paula has suggested, (ask for extension or discuss this w/ doctor) or you dedicate your efforts to stay on the mask for a longer period of time. If you stay on the mask longer and sleep better then perhaps the insomnia will begin to fade or ease. Good Luck
Yesterday is history; Tomorrow is a mystery; Today is a gift; Thats why its called "The Present".
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#4
Are you saying that you used your machine for less than 4 hours for three nights, and more than 4 hours for the rest of the month? That is 90% compliance. It sounds like you are doing well.

If all else fails, you can use your machine while reading or watching TV. The machine can't tell if you're asleep or awake, and this helps for getting used to the machine.
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#5
I knew I shouldn't have skipped math class that day. Dielaughing
Yesterday is history; Tomorrow is a mystery; Today is a gift; Thats why its called "The Present".
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#6
Thank you all so much! My math is horrible, but i did indeed just get in the rest of my time reading to get my 4 hours in. I am just going to be extra careful for now on.
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#7
Just for general information, do they actually want 4 hours each night or just a certain total amount of hours during the 2 month 'trial'? So, say, in 60 days, an average of 8 hrs a night (math ain't my thing either!) that'd be 480 hrs total. So you need 70% of that? But with that equation, 4 hrs a night would be 50%....
PaulaO2
Apnea Board Moderator
www.ApneaBoard.com


Breathe deeply and count to zen.

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.




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#8
Meanwhile, discuss with the sleep doc about your insomnia issues.

Google 'sleep hygiene' as well. I've had insomnia for, like, nearly all of my life. I've even taken sleep hygiene classes and had sleep counseling.
PaulaO2
Apnea Board Moderator
www.ApneaBoard.com


Breathe deeply and count to zen.

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.




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#9
(09-05-2012, 12:54 PM)PaulaO2 Wrote: I've had insomnia for, like, nearly all of my life.

Well, that certainly explains your strange pattern for being on the forums at odd times during the night! Bigwink
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.
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#10
When i picked up my equipment i had a form i had to sign and it stated that "if by the end of two months, you have used the CPAP at least 70% (equating to 4 hours per night), your insurance will reauthorize the unit for the additional rental period". At the end of the rental period, the people i got the equipment with will then convert the CPAP to a purchase and my insurance will no longer be billed. "If by the end of two months, you have not used the CPAP at least 70%, your insurance will not reauthorize the unit" and then i would either be billed for it or have to take it back to them.
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