I have been on CPAP/BiPAP since 2001. I have been using BiPAP since 2003. My Respironics Series 50 BiPAP Pro died a few months ago and I have been using my backup BiPAP Auto M series as a backup until I could get a new machine. It used to be a breeze to get a new machine every five years from my health insurance provider. However, new rules are in place in that they pay rental on a machine for three months and will purchase the machine after the three months with a report from the doctor that the machine is effective treating my sleep apnea. Even if a patient has been on CPAP/BiPAP therapy for years as I have, the rules are the same. This sucks, but it is what it is.
The big issue for me is money. I retired in 2012, and of course, not pulling in the $$$ that I used to. I have a 450.00 annual deductible, which includes DME. My doctor sent the prescription over to the DME provider I have been using for years and they called me to let me know that I would have to pay 220.00 a month for the BiPAP for three months and 10 percent co-insurance after that for the purchase of the machine. Because it it the end of the year, I have to wait until January because the deductible rolls back over to 450.00. So I would have to pay 450.00 and 180.00 for the co-insurance. There is no way I can spend that much money and pay rent and groceries.
The DME suggested an Auto CPAP, because it is significantly less expensive and I would not have such a big hit for out of pocket expense. I talked to my doctor and he said that the Auto CPAP would be different and should only take as small amount to adjust to it but if I could not afford a BiPAP, it would be much better than standard CPAP.
The machine the doctor prescribed is the Respironics PR System One 60 Series REMstar Auto with A-flex and heated humidifier. I need some advice on how difficult the adjustment will be for me going from BiPAP to the Auto CPAP. I am a bit nervous about the change, but as I said, there is no way I can afford the expense of the BiPAP.
Any suggestions would be greatly appreciated.