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Medicare: Switching from CPAP to BPAP
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sir_sleeps_alot Offline

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Machine: ResMed S9 Autoset
Mask Type: Nasal mask
Mask Make & Model: Mirage FX
Humidifier: Hi5
CPAP Pressure: 14 cm h2o
CPAP Software: SleepyHead

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Sex: Undisclosed
Location: New England

Post: #1
Medicare: Switching from CPAP to BPAP
If I was going to change from cpap to bpap, would Medicare require me to have another sleep study / titration?

Thanks,
SSA
12-02-2013 10:15 PM
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PaulaO2 Offline
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Machine: S9 Autoset
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: H5i
CPAP Pressure: 14-20
CPAP Software: SleepyHead

Other Comments: Ehlers-Danlos Syndrome, Hypermobility Type; chronic sarcasm

Sex: Undisclosed
Location: western NC, USA

Post: #2
RE: Medicare: Switching from CPAP to BPAP
You would first have to successfully "fail" at CPAP for a while. Bilevel CPAPs are expensive. I doubt they would want a second sleep study but they will want it justified like crazy. Bilevels are usually for those who have lung issues and cannot breathe out against the pressure or whose pressure is so high they need the lower exhale in order to use the machine.

PaulaO2
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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.
12-02-2013 11:01 PM
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zonk Offline

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Posts: 7,908
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Machine: A10 AutoSet
Mask Type: Nasal mask
Mask Make & Model: Activa LT
Humidifier: Integrated /ClimateLineAir
CPAP Pressure: 9/13
CPAP Software: ResScan

Other Comments: CPAP since Nov 2010

Sex: Male
Location: Australia

Post: #3
RE: Medica Switching from CPAP to BPAP
(12-02-2013 10:15 PM)sir_sleeps_alot Wrote:  If I was going to change from cpap to bpap, would Medicare require me to have another sleep study / titration?

Thanks,
SSA
http://www.resmed.com/us/documents/10134...ilevel.pdf
12-03-2013 12:40 AM
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sir_sleeps_alot Offline

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Posts: 58
Joined: Oct 2013

Machine: ResMed S9 Autoset
Mask Type: Nasal mask
Mask Make & Model: Mirage FX
Humidifier: Hi5
CPAP Pressure: 14 cm h2o
CPAP Software: SleepyHead

Other Comments:

Sex: Undisclosed
Location: New England

Post: #4
RE: Medica Switching from CPAP to BPAP
Yes, I am aware that bpaps are expensive and that one needs to "fail" cpap treatment before moving on to bpap. I feel that I have successfully failed, hence the question.

I was able to make an appointment with the sleep doctor for tomorrow. Hopefully, s/he'll have some advice or a new prescription.

Thanks,
SSA


(12-02-2013 11:01 PM)PaulaO2 Wrote:  You would first have to successfully "fail" at CPAP for a while. Bilevel CPAPs are expensive. I doubt they would want a second sleep study but they will want it justified like crazy. Bilevels are usually for those who have lung issues and cannot breathe out against the pressure or whose pressure is so high they need the lower exhale in order to use the machine.
12-03-2013 02:38 PM
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Sleepster Offline
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Machine: ResMed AirCurve10 VAuto
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Mask Make & Model: F&P Simplus
Humidifier: HumidAir and SlimLine Hose
CPAP Pressure: MaxI 13.6 | MinE 5.2 | PS 4.4
CPAP Software: ResScan SleepyHead

Other Comments: Diagnosed Nov 2011. Conquered aerophagia.

Sex: Male
Location: Houston, Texas

Post: #5
RE: Medica Switching from CPAP to BPAP
(12-03-2013 02:38 PM)sir_sleeps_alot Wrote:  I was able to make an appointment with the sleep doctor for tomorrow. Hopefully, s/he'll have some advice or a new prescription.

There may be options available to the doctor in the way the prescription can be written. Sometimes that alone can get an insurance company to allow it. Not sure about Medicare.

Sleepster
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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.
12-04-2013 09:51 PM
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robertbuckley Offline

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Machine: Resprionics BiPAP Auto SV Advanced
Mask Type: Full face mask
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Humidifier: Resprionics System One
CPAP Pressure: EEP 15; PS 4 - 10
CPAP Software: SleepyHead EncoreBasic

Other Comments:

Sex: Male
Location: New York, NY

Post: #6
RE: Medicare: Switching from CPAP to BPAP
the BiPap isn't going to be that difficult to get from them. However, an auto SV is like taking gold out of Ft. Knox. Be prepared for a battle if that is requested.
03-05-2014 05:40 PM
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TheBATman Offline

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Posts: 3
Joined: Mar 2014

Machine: Philips bipap "sytem one"and resmed s9 adapt
Mask Type: Full face mask
Mask Make & Model: System one 750p
Humidifier: Full of distilled water
CPAP Pressure: 8
CPAP Software: SleepyHead EncoreBasic Other Software

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Sex: Male
Location:

Post: #7
RE: Medicare: Switching from CPAP to BPAP
It should t be. I have the resmed s8 compact. Its nice and used for years.

The s9 bipap and Phillips are great. I was lucky to come across and what a difference. I would have used it more from thr start if I got a bipap. Why? I like thr pressure drop when I exhale. Omg what a difference. I use my old when when camping. Its torture. Lol. Better than walking alseep or being cranky all day.
03-07-2014 10:33 PM
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trish6hundred Offline

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Machine: Resmed S9 AutoSet for Her
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CPAP Pressure: 10 - 7-20 Cm H2O
CPAP Software: Not using software

Other Comments: I started CPAP in 2008. Totally blind since birth.

Sex: Female
Location: Missouri, USA

Post: #8
RE: Medica Switching from CPAP to BPAP
(03-07-2014 10:33 PM)TheBATman Wrote:  It should t be. I have the resmed s8 compact. Its nice and used for years.

The s9 bipap and Phillips are great. I was lucky to come across and what a difference. I would have used it more from thr start if I got a bipap. Why? I like thr pressure drop when I exhale. Omg what a difference. I use my old when when camping. Its torture. Lol. Better than walking alseep or being cranky all day.
Hi TheBATman,
WELCOME! to the forum.!

trish6hundred
03-09-2014 07:38 PM
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