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Just had sleep study, need ASV
#1
I have been on cpap since 2005. I just had a sleep study done and found out that my apnea has turned to complex apnea. My question is about the new insurance laws ie "competitve bidding". My doctor told me that I would have to wait for at least 5 to 7 days for anyone to contact me about the new ASV machine he was ordering for me. He said it would no longer be handled locally, but nationally. He said that this just started in September and that the usual wait was just the next day......however things have changed and now there is this time lag. Has anyone else had this problem??

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#2
Hi LOVEDOG,
WELCOME! to the forum.!
Hang in there for answers to your question, I hadn't heard that, but nothing surprises me; the insurance rules are always changing and it's difficult to keep up with.
Best of luck to you.
trish6hundred
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#3
I don't have any answers for you, but it's a good question. I hope to learn here too.
*I* am not a DOCTOR or any type of Health Care Professional.  My thoughts/suggestions/ideas are strictly only my opinions.

"Only two defining forces have ever offered to die for you. Jesus Christ and the American Soldier. One died for your Soul, the other for your Freedom."
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#4
I think your doctor is confused. Call a local DME and ask their opinion without giving the doctor's name.
PaulaO2
Apnea Board Moderator
www.ApneaBoard.com


Breathe deeply and count to zen.

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#5
(10-12-2013, 02:17 PM)LOVEDOG Wrote: I have been on cpap since 2005. I just had a sleep study done and found out that my apnea has turned to complex apnea. My question is about the new insurance laws ie "competitve bidding". My doctor told me that I would have to wait for at least 5 to 7 days for anyone to contact me about the new ASV machine he was ordering for me. He said it would no longer be handled locally, but nationally. He said that this just started in September and that the usual wait was just the next day......however things have changed and now there is this time lag. Has anyone else had this problem??

Hi Lovedog, welcome to the forum!

To wait a week is not very long. It took months for me to get a machine.

Be sure you get (for your own medical records, and so you can walk into a Durable Medical Equipment store and buy a replacement mask if needed) a copy (or better, an original) of the prescription.

Also, be sure to ask for a copy of the sleep study report (the full report, including plots of when events occurred during the night).

You are entitled to these, and there is useful and important information in both which will help you to understand your condition and treatment.

Take care,
--- Vaughn

Membership in the Advisory Member group should not be understood as in any way implying medical expertise or qualification for advising Sleep Apnea patients concerning their treatment. The Advisory Member group provides advice and suggestions to Apnea Board administrators and staff on matters concerning Apnea Board operation and administrative policies - not on matters concerning treatment for Sleep Apnea. I think it is now too late to change the name of the group but I think Voting Member group would perhaps have been a more descriptive name for the group.
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#6
This expanded competitive bidding pertains to Medicare. Here is a link from AARP which explains it:

http://www.aarp.org/health/medicare-insu...ogram.html

Hope this helps. /Jeff/
To err is human, but to really mess things up, you need a computer.
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#7
Thank You all for your responces!

Love Dog
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#8
Love Dog, let us know the outcome please. If you're using your ASV now how is it going?
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