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New to this?? TAKEN ADVANTAGE OF ON COST??
#1
Hi,
My wife was diagnosed with sleep apnea a few weeks ago. Some sales guy came by the house and told her that in order to get a cpap machine it would cost like 400.00 a month, AFTER insurance.

Please tell me this is not true?? I have difficulty believing this to be accurate. What is the average cost of a CPAP machine and doesn't insurance normally cover it??
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#2
(05-05-2015, 01:44 PM)henisey Wrote: Hi,
My wife was diagnosed with sleep apnea a few weeks ago. Some sales guy came by the house and told her that in order to get a cpap machine it would cost like 400.00 a month, AFTER insurance.

Please tell me this is not true?? I have difficulty believing this to be accurate. What is the average cost of a CPAP machine and doesn't insurance normally cover it??

OK. "It's not true"

In fact, it's absolutely ridiculous. You were being scammed big-time and I hope you didn't sign anything.

You can buy a top-of-the-line auto CPAP machine online for about $700, cash, with no insurance.

Most insurance plans I've seen run something like $30/month for 10-12 months, then you own it. Some insurance covers the whole thing.

Also there shouldn't be a sales guy showing up at your house. Generally the doctor writes an order for the equipment and sends it to the equipment provider you select (most areas have a few). The provider makes an appointment for you to come in and get your stuff and be shown how to use it.

There shouldn't be any random people showing up at your door.



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#3
Thanks, that is what I needed to know!!

(05-05-2015, 02:07 PM)Terry Wrote:
(05-05-2015, 01:44 PM)henisey Wrote: Hi,
My wife was diagnosed with sleep apnea a few weeks ago. Some sales guy came by the house and told her that in order to get a cpap machine it would cost like 400.00 a month, AFTER insurance.

Please tell me this is not true?? I have difficulty believing this to be accurate. What is the average cost of a CPAP machine and doesn't insurance normally cover it??

OK. "It's not true"

In fact, it's absolutely ridiculous. You were being scammed big-time and I hope you didn't sign anything.

You can buy a top-of-the-line auto CPAP machine online for about $700, cash, with no insurance.

Most insurance plans I've seen run something like $30/month for 10-12 months, then you own it. Some insurance covers the whole thing.

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#4
There is a supplier list at the top of the forum. You might want to browse your options there to get a sense of what the real costs of a machine and mask are. The way durable medical equipment is provided can be confusing and frustrating, but if you ever want to just bail on the insurance hassle, your total out of pocket costs for equipment will be under $1000, and all you need is the prescription. Keep in mind, "the system" likes to sell you tests and it can get very expensive. Always ask your insurer if a test is required. These days you can get a prescription for auto CPAP and pretty much be done with it, and most of the time that will be covered by your insurance through an in-network durable medical equipment supplier. Ask for their list of in-network providers, and don't talk to strangers.
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#5
With the money you save, you can get a Rottweiler.
One that will rip the pants off scammers.


[Image: 220px-Rottweiler3.jpg]

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#6
Hi henisey,
WELCOME! to the forum.!
Here is a link with lots of good info on which machines to buy and which ones to avoid: http://www.apneaboard.com/wiki/index.php...ne_Choices
Hang in there for mor suggestions and much success to your wife as she starts her CPAP therapy.
trish6hundred
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#7
(05-05-2015, 01:44 PM)henisey Wrote: Hi,
My wife was diagnosed with sleep apnea a few weeks ago. Some sales guy came by the house and told her that in order to get a cpap machine it would cost like 400.00 a month, AFTER insurance.

Please tell me this is not true?? I have difficulty believing this to be accurate. What is the average cost of a CPAP machine and doesn't insurance normally cover it??

Hi henisey,
I find it very odd that a sales person would stop by your house; and how did they even know you are in the market to purchase a CPAP machine??? Thinking-about

If I were you, I would call my insurance before doing anything. Find out exactly what they cover and what your cost would be. Then compare that to buying
out of pocket. Sometimes it is cheaper to go that route, but don't forget that there are other costs involved...like the mask, filters for machine, hose replacements, etc. which might be covered by your insurance.

OpalRose
Apnea Board Moderator
www.ApneaBoard.com

Organize your SleepyHead Charts
Using Attachments to Post ScreenShots and Images.
Machine choices

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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#8
(05-05-2015, 04:13 PM)OpalRose Wrote: Hi henisey,
I find it very odd that a sales person would stop by your house; and how did they even know you are in the market to purchase a CPAP machine??? Thinking-about

Something stinks here. It's against Medicare rules for DME's to solicit in that fashion and I would imagine insurance companies would frown on that practice also. But, as OpalRose pointed out, the real concern is how did someone find out about his wife's condition without violating federal HIPPA rules? If I were the OP I would backtrack the process of his wife's diagnoses and start asking a few questions concerning who has access to that kind of information and what safeguards are in place to protect it. I'm sure his insurance company and/or Medicare would have some interest in this.

Maybe I'm being paranoid here (and please OP take that into consideration) but, it wouldn't be a stretch for an unscrupulous company to be paying someone inside a doctor's office or a sleep lab for that kind of info.

Like SA wasn't tough enoughOh-jeez

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#9
Another option is to report it to police. Your house is not the only place they would go to.
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#10
(05-05-2015, 05:01 PM)accurate Wrote: but, it wouldn't be a stretch for an unscrupulous company to be paying someone inside a doctor's office or a sleep lab for that kind of info.

Yep. That sounds like what's going on to me. That could cost a DME or Doc their license. So I suspect they would have great interest in plugging whatever rat-hole that is. Do call everyone involved and alert them to this situation.

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