We went to the DME together because he had tried on two different occasions to get new equipment and both times he left frustrated and with no new equipment. I have to sleep with the man and he is miserable when he's not getting sleep so I was on a mission.... The lady at the DME told us we had to have a current prescription, but that was not all, we also had to have a copy of the sleep study, and chart notes from the doc. She told us without those things, they could not provide equipment. My hubby got pissed with her and went out the door, same story, different day. We had explained earlier that this DME had changed hands and they no longer had his records. The sleep study doc no longer had sleep study info because it had been 8 years. Hubby did not want to go through all that again to be told he had OSA.
I asked for more details as to why a prescription wasn't good enough. She told me that our insurance (which at this point, she didn't even know who our insurance was) would not pay claims unless they had a sleep study on file. I argued with her a little and got no where, she was not a pleasant person to deal with. I then called our insurance company while I was there, they put us on a conference call where my insurance company basically backed us up and told the DME that they did not have to have a sleep study on file. The DME lady then insists that we have to have chart notes and demographics as well as a new prescription during this call. The insurance company again stated they did not need these items, only a prescription, that none of this stuff had to be pre-authorized, yada yada yada.
Fast forward, we get a new prescription from the doc that covers all our bases for an APAP with heated hose, etc. Go back to the DME, get the same lovely lady to help us. She fills out all the information she needs, asks for our credit card. We ask what type of machine they will be giving, she states either an A10 or S9. Then she states hubby will have to come in every 3 months and upload data, get new supplies, and here's the part I don't think is true on top of everything she said earlier, "he had to do this or he wouldn't be compliant and that our insurance company would take the machine back" I thought we were buying the machine? yes, but she states that if he wasn't compliant they could take it back. Our insurance company has never required him to do anything in the past. Is this all nonsense?
Hubby goes to DME tomorrow to find out what machine he gets and to have the DME's respiratory therapist fit him. I'm worried after all of this that they will pull more crap with us. Is this all normal? Are we overreacting? Is there anything else we should watch out for? Getting paranoid...