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My c-pap is paid for
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Schnauzers 5 Offline

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Posts: 184
Joined: Mar 2012

Machine: Respironics Rem Star A Flex
Mask Type: Nasal pillows
Mask Make & Model: LT swift for her
Humidifier: Respironics, I guess
CPAP Pressure: 9-14
CPAP Software: Not using software

Other Comments:

Sex: Female
Location:

Post: #1
My c-pap is paid for
I am doing fine with my AHIs and as well as can be possible. Why would I need a follow up visit? As I said, my machine is paid for I just got a new headgear from another supplier? Am I obligated due to Medicare to have a waste of time boring follow up visit? because my sleep doc no longer contracts with Resmed. I so hate to go there. Borrrrriiiinnnngggggg!
09-20-2012 10:56 PM
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zonk Offline

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Posts: 7,908
Joined: Feb 2012

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: #2
RE: My c-pap is paid for
(09-20-2012 10:56 PM)Sleeping Beauty Turquoise Wrote:  Why would I need a follow up visit?
I suppose you don,t if everything is satisfactory but I do see my sleep doctor at least once a year and more if needed
09-21-2012 02:46 PM
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PaulaO2 Offline
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Posts: 8,067
Joined: Feb 2012

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: #3
RE: My c-pap is paid for
I would never go to a sleep doc that also sells equipment.

It is a good idea to see the sleep doc once a year for the first several years. After that, you can monitor your data and how you feel. As soon as you feel wonky or the pressure or AHI start going up, then it is time to see a doc. Also watch your blood pressure if you do not already. Any climb in that [i]could]/i] mean your treatment is not as good.

Even if your doc doesn't "do" Resmed anymore, it shouldn't matter to him. His job is taking care of the patient, not the manufacturer. And if he won't see you because you have a Resmed, well, then you know his priorities.

PaulaO2
Apnea Board Moderator
www.ApneaBoard.com


Breathe deeply and count to zen.

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.
09-21-2012 03:51 PM
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Schnauzers 5 Offline

Preferred Members-2

Posts: 184
Joined: Mar 2012

Machine: Respironics Rem Star A Flex
Mask Type: Nasal pillows
Mask Make & Model: LT swift for her
Humidifier: Respironics, I guess
CPAP Pressure: 9-14
CPAP Software: Not using software

Other Comments:

Sex: Female
Location:

Post: #4
RE: My c-pap is paid for
I do not buy from my sleep doc. My headgear etc is Resmed but machine is respironics and Medicare paid for most of it a few yrs ago. I had a sleep study a little over a yr ago and have seen this doc every 6 unnecessary boring months. My B/P depends on how much salt I consume. I have never found any sleep doc to be of much benefit. They say so little and tell you nothing. I have back up new never opened headgear and many pillows. I don't need anything right now.
09-21-2012 06:44 PM
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PaulaO2 Offline
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Posts: 8,067
Joined: Feb 2012

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: #5
RE: My c-pap is paid for
Then you just answered your own question.

PaulaO2
Apnea Board Moderator
www.ApneaBoard.com


Breathe deeply and count to zen.

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.
09-21-2012 07:15 PM
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cbramsey Offline

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Posts: 900
Joined: Mar 2012

Machine: ResMed S9 Autoset
Mask Type: Nasal mask
Mask Make & Model: ResMed Mirage FX
Humidifier: ResMed H5i with ClimateLine
CPAP Pressure: 6 - 12
CPAP Software: ResScan

Other Comments: Supreme Overlord of Web Darkness

Sex: Male
Location: NC, USA

Post: #6
RE: My c-pap is paid for
If your machine is paid for and you are trending your data in ResScan and/or SleepyHead and you are satisfied with your results, I personally don't think you need to see the sleep doc again.

If you are not satisfied with your XPAP data trend, you might consider seeing the doc.

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.
09-21-2012 07:57 PM
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Schnauzers 5 Offline

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Posts: 184
Joined: Mar 2012

Machine: Respironics Rem Star A Flex
Mask Type: Nasal pillows
Mask Make & Model: LT swift for her
Humidifier: Respironics, I guess
CPAP Pressure: 9-14
CPAP Software: Not using software

Other Comments:

Sex: Female
Location:

Post: #7
RE: My c-pap is paid for
(09-21-2012 07:15 PM)PaulaO2 Wrote:  Then you just answered your own question.


I don't do sleephead or read any datascan whatever you said. I feel ok, and can tell when I need a new set of supplies. I just wonder if I am obligated to keep seeing this doc because Medicare requires it.that is really what I meant to ask. Do I have to go because Medicare says I do? BTW the supplier I have now because they have a contract w/ResMed supplies me with more than I need and is generous with new pillows etc. My doc used to supply me and lost the contract and they were always very hard to get new supplies from. I did however get refused my Auto titrating machine from current supplier but the doctor did get me what I wanted at the time,and claimed they absorbed the loss of money. I think they got paid plenty and didn't loose any profit according to what I have read here before. Is that confusing? What I just said? YES, DMEs lie and don't want you to change anything, or know anything. The girl today said I might need a different pressure. I told her it is auto titrating. I did not tell her that I also know I could change it if I wanted to cuz I know how from this forum. Teeee Heeee.
09-21-2012 10:27 PM
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PaulaO2 Offline
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Moderators

Posts: 8,067
Joined: Feb 2012

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: #8
RE: My c-pap is paid for
Okay, I don't think I fully understand what you are asking.

If Medicare says you have to see him, then you do. That's one group you do not want to make angry.

I have Medicare and Medicaid. They have never made me go see any doctor on a regular basis for any of my conditions. I saw my sleep doc twice in the three months after I got my first machine. I did not see him again for another four years. It's been 3 yrs since then. Neither insurances told me I had to go.

Unless you used sleep apnea as your diagnosis (or one of them) to get disability (and therefore Medicare), I don't see why they would tell you to go. If you did use it as part of a disability application, the only time they would require you to go to the sleep doc would be for reviews.

PaulaO2
Apnea Board Moderator
www.ApneaBoard.com


Breathe deeply and count to zen.

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.
09-21-2012 11:50 PM
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Dawei Offline

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Posts: 342
Joined: Feb 2012

Machine: ResMed S9 AutoSet
Mask Type: Other
Mask Make & Model: Respironics "FitLife"
Humidifier: H5i
CPAP Pressure: 10-20
CPAP Software: ResScan SleepyHead

Other Comments: Began CPAP in 2006; spent the first 6 years with a "brick"

Sex: Male
Location: Western North Carolina

Post: #9
RE: My c-pap is paid for
Until late last year, I had not seen a sleep doc since I first got my machine 5 years earlier, and he had told me then there were no required return visits (I'm also Medicare). Whenever I decided it was time for a replacement mask, I contacted my DME and received one. Then, last year I wanted to try a different model mask. When I contacted the DME, I learned that there was now a new Medicare requirement in place about patients needing to see a sleep doc at least once each year to qualify for changes including a change in mask model. So, I concluded that it's a good idea for me to do so.
Sleeping Beauty, shifting subjects slightly to what you wrote about your DME refusing to give you an auto machine, my understanding is that a DME had no choice but to turn you down. What they apparently did not tell you when they said no is that a DME cannot change a patient's machine without having a script from a doc to do so. The DME's actions must be in response to doctor's orders.
Also, I am not aware of any requirement that would stop you from switching to a different sleep doc whenever you want to do so. So, why not make a change if your current one doesn't work well with you.
09-22-2012 08:27 AM
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mjbearit Offline

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Posts: 605
Joined: May 2012

Machine: REMstar Auto AFlex DS550
Mask Type: Nasal pillows
Mask Make & Model: RESMed Swift FX
Humidifier: Heated humidifier - 2
CPAP Pressure: 12.5-20
CPAP Software: SleepyHead EncoreBasic

Other Comments:

Sex: Male
Location: So Cal

Post: #10
RE: My c-pap is paid for
I would just do what they want. You may not need supplies now, but it would be nice to have them pay for them when you do. Boring? I always take a book with me to any doc appt, actually I take one of my electronic readers so I have several books!

As always, YMMV! You do not have to agree or disagree, I am not a professional so my mental meanderings are simply recollections of things from my own life.

PRS1 - Auto - A-Flex x2 - 12.50 - 20 - Humid x2 - Swift FX
09-22-2012 08:35 AM
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