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Medicare changes--can't get mask--Youre next
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andora3 Offline

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Posts: 2
Joined: Feb 2014

Machine: resmed M
Mask Type: Nasal mask
Mask Make & Model: mirage swift II
Humidifier: unsure
CPAP Pressure: 8
CPAP Software: ResScan

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Sex: Female
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Post: #11
RE: Medicare changes--can't get mask--Youre next
me 50. You present simple solutions to a complex problem. Medicare is my network supplier. My supplemental insurance is from the job I retired from and will not pay for anything if Medicare does not approve it first. If I go to a medicare advantage plan I lose the supplemental insurance which for most things is much better than any currently offered medicare advantage plan and is also free at this point. If my mask is approved by medicare it is paid for 100% by the two plans.
Medicare would approve my mask but my DME is refusing to supply it. At this point I have gone on line and ordered a mask. I am going to try to change to another Medicare approved DME but they require that my current one send the information. My supplemental insurance is the one who informed me that many suppliers once they have been approved and have a monopoly in an area for medicare reduce the number and type of supplies to maximize profits.
02-19-2014 02:05 AM
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archangle Online
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Advisory Members

Posts: 3,159
Joined: Feb 2012

Machine: ResMed S9 AutoSet
Mask Type: Nasal pillows
Mask Make & Model: ResMed Swift FX
Humidifier: ResMed S9 H5i
CPAP Pressure: 16-20
CPAP Software: ResScan SleepyHead EncoreBasic

Other Comments: Happy PAPper

Sex: Undisclosed
Location: USA

Post: #12
RE: Medicare changes--can't get mask--Youre next
Don't forget to give your Congress critters hell every time you get screwed by Medicare. Nothing will change unless you do.

Get the free SleepyHead software here.
Useful links.
Click here for information on the main alternative to CPAP.
If it's midnight and a DME tells you it's dark outside, go and check it yourself.
02-19-2014 03:09 AM
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me50 Offline

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Posts: 2,559
Joined: Aug 2013

Machine: resmed S9 VPAP Auto
Mask Type: Nasal mask
Mask Make & Model: Wisp and Silicone Head gear
Humidifier: resmed H5i
CPAP Pressure: 18/8
CPAP Software: SleepyHead

Other Comments:

Sex: Undisclosed
Location: USA

Post: #13
RE: Medicare changes--can't get mask--Youre next
(02-19-2014 02:05 AM)andora3 Wrote:  me 50. You present simple solutions to a complex problem. Medicare is my network supplier. My supplemental insurance is from the job I retired from and will not pay for anything if Medicare does not approve it first. If I go to a medicare advantage plan I lose the supplemental insurance which for most things is much better than any currently offered medicare advantage plan and is also free at this point. If my mask is approved by medicare it is paid for 100% by the two plans.
Medicare would approve my mask but my DME is refusing to supply it. At this point I have gone on line and ordered a mask. I am going to try to change to another Medicare approved DME but they require that my current one send the information. My supplemental insurance is the one who informed me that many suppliers once they have been approved and have a monopoly in an area for medicare reduce the number and type of supplies to maximize profits.

I don't know why you would lose a supplemental plan if you get off of straight medicare and go to an advantage plan but that can't be done this year so not going to explore that one right now.

There is the option of ordering in network from the mail order accepted suppliers so you don't have to pay out of pocket.

As always, we post our thoughts and what the OP does with it is definitely up to them. I hope you find a solution that will help you long term.
02-20-2014 07:37 AM
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Lukie Offline

Preferred Members-2

Posts: 352
Joined: Nov 2013

Machine: Resmed S9 Auto
Mask Type: Full face mask
Mask Make & Model: Airfit F 10
Humidifier: H I heated tubing resmed
CPAP Pressure: 6-16
CPAP Software: ResScan SleepyHead

Other Comments: Masks: Simplus, Air, Quattro fx, Nano, Eson, Swift fx and Activ

Sex: Female
Location: Vermont

Post: #14
RE: Medicare changes--can't get mask--Youre next
No problems here in Vermont. Got my heated hose and a new Simplus full face mask which seems to leak almost as much as the Quattro Air.
02-21-2014 06:20 PM
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