(11-17-2015, 11:53 AM)Hollyboop Wrote: I spoke with the DME and they are claiming that I simply need to "get used to the equipment" and don't believe that the machine is malfunctioning. I am going to the DOE's office before going to my doctor tomorrow morning to get a report printed from the SD card. They said that they will also evaluate the machine. My insurance only covers a CPAP machine (not an auto) and the DME told me as a favor to my doctor they gave me the auto machine with no extra charge. I checked with my insurance (Oxford United Healthcare) and they only list CPAP as covered. So if I want to change the DME I am working with, I might be stuck with a CPAP, not auto machine. GR-r-r-r. Hopefully, they will change out the machine and at least I won't have one that malfunctions. Any suggestions on what I should ask and discuss with my doctor tomorrow? Thanks so much!
First of all, most DME's don't tell you the truth. Their bottom line is $$$$$$$$$$.
That is why they will give you a Cpap and not an Auto Cpap.
You need to understand that insurance companies pay under the same billing code for Cpap or Auto Cpap. If your doctor writes a script for an Auto Cpap, the DME has no choice but to dispense as written.
Tell your doctor you want an Auto Cpap, and get a copy of the perscription.
Call your insurance, tell them you have a script for an Auto Cpap, and ask what your coverage is.
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