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

Thanks,
SSA

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#2
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.
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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.




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#3
(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

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#4
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.

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#5
(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.
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#6
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.
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#7
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.
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#8
(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
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