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New CPAP patient equipment expectations
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Grayhair Offline

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Posts: 3
Joined: Aug 2015

Machine: ResMed AirSense10 Autoset
Mask Type: Nasal mask
Mask Make & Model: PhillipsRespironicsDreamWearNaselMedium
Humidifier: HumidAir
CPAP Pressure: 12-15
CPAP Software: Not using software

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Sex: Male
Location: Michigan, USA

Post: #1
New CPAP patient equipment expectations
Should a new user, who is covered by medicare (including a "medigap" plan) expect to have a NEW (never used) CPAP machine?
Does medicare allow or encourage providers to issue used machines to new patients?
09-08-2016 06:38 AM
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OpalRose Offline

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Posts: 3,181
Joined: Nov 2014

Machine: PR System One REMstar Auto 560 with A Flex
Mask Type: Nasal pillows
Mask Make & Model: AirFit P10 For Her
Humidifier: REMStar heated humidifier with heated hose
CPAP Pressure: Auto Cpap 10-13 AFLEX 1
CPAP Software: SleepyHead EncoreBasic

Other Comments: Started CPAP Therapy October 23, 2014

Sex: Female
Location: Northeast Ohio, USA

Post: #2
RE: New CPAP patient equipment expectations
Some providers will give you a used machine if they can get away with it. They try to cover themselves because there are so many folk that are non compliant and return those machines, then they try to pawn off that machine on the next unsuspecting person.

If you are covered by Medicare, then they are paying rental for 13 months, and then you own the machine. You may also have a copay.

You have a right to a new machine! Just my two cents.

OpalRose
09-08-2016 08:19 AM
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justMongo Offline

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Posts: 3,854
Joined: Sep 2013

Machine: ResMed VPAP Auto (S9)
Mask Type: Full face mask
Mask Make & Model: ResMed Mirage Quattro
Humidifier: ResMed H5i
CPAP Pressure: 18 IPAPmax - 11 EPAPmin, PS=5
CPAP Software: Other Software

Other Comments: μολὼν λαβέ

Sex: Male
Location: Калифорния

Post: #3
RE: New CPAP patient equipment expectations
The Medigap policy will cover the copay. The machine is covered under Part B.
There is a way to tell if a machine is used. It requires accessing the clinician menu. Everything can be reset on a used machine: except total run hours. If it isn't close to zero, then it's a used machine.

Also study the latest generation machines. Often they will attempt of provide a machine that is one or two generation back in time.
You hold the cards before you accept the machine; once you accept, you're stuck with that machine for 5 years.

Does Medicare allow dispensing used machines? Well, there's no rule against it. Do they encourage it? They really don't care.

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.
(This post was last modified: 09-08-2016 08:42 AM by justMongo.)
09-08-2016 08:41 AM
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Grayhair Offline

New Members

Posts: 3
Joined: Aug 2015

Machine: ResMed AirSense10 Autoset
Mask Type: Nasal mask
Mask Make & Model: PhillipsRespironicsDreamWearNaselMedium
Humidifier: HumidAir
CPAP Pressure: 12-15
CPAP Software: Not using software

Other Comments:

Sex: Male
Location: Michigan, USA

Post: #4
RE: New CPAP patient equipment expectations
(09-08-2016 08:19 AM)OpalRose Wrote:  Some providers will give you a used machine if they can get away with it. They try to cover themselves because there are so many folk that are non compliant and return those machines, then they try to pawn off that machine on the next unsuspecting person.

If you are covered by Medicare, then they are paying rental for 13 months, and then you own the machine. You may also have a copay.

You have a right to a new machine! Just my two cents.
09-08-2016 09:19 AM
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Grayhair Offline

New Members

Posts: 3
Joined: Aug 2015

Machine: ResMed AirSense10 Autoset
Mask Type: Nasal mask
Mask Make & Model: PhillipsRespironicsDreamWearNaselMedium
Humidifier: HumidAir
CPAP Pressure: 12-15
CPAP Software: Not using software

Other Comments:

Sex: Male
Location: Michigan, USA

Post: #5
RE: New CPAP patient equipment expectations
Thanks. I got them to agree to swap the used machine for a new one. You helped me be brave enough to ask. Thanks!
Is the ResMed AirSense10Autoset the latest generation machine?
09-08-2016 05:19 PM
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big_dave Online

Advisory Members

Posts: 411
Joined: Apr 2012

Machine: PR System One DS560
Mask Type: Nasal pillows
Mask Make & Model: F&P Pilairo Q or ResMed Mirage Activa
Humidifier: PR System One
CPAP Pressure: 14 - 20
CPAP Software: SleepyHead

Other Comments: Former ResMed S8 Autoset II user

Sex: Male
Location: Eugene, Oregon

Post: #6
RE: New CPAP patient equipment expectations
That's one of the top machines on the market, and it is latest generaton.
09-08-2016 05:26 PM
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justMongo Offline

Monitors

Posts: 3,854
Joined: Sep 2013

Machine: ResMed VPAP Auto (S9)
Mask Type: Full face mask
Mask Make & Model: ResMed Mirage Quattro
Humidifier: ResMed H5i
CPAP Pressure: 18 IPAPmax - 11 EPAPmin, PS=5
CPAP Software: Other Software

Other Comments: μολὼν λαβέ

Sex: Male
Location: Калифорния

Post: #7
RE: New CPAP patient equipment expectations
Yes it is. The 10 series is the current generation of Resmed machines

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.
09-08-2016 05:27 PM
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trish6hundred Offline

Advisory Members

Posts: 6,452
Joined: May 2012

Machine: Resmed S9 AutoSet for Her
Mask Type: Full face mask
Mask Make & Model: Fisher & Paykel Simplus
Humidifier: H5i Heated Humidifier
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: New CPAP patient equipment expectations
Hi Grayhair,
WELCOME! to the forum.!
It's great to hear that you asked for a new machine and got one. Yes, the AirScense 10 is the latest generation.
Good luck to you with your CPAP therapy.

trish6hundred
09-08-2016 07:10 PM
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