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Online Ordering & Insurance?
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Lambsydoats Offline

Preferred Members-2

Posts: 117
Joined: Oct 2014

Machine: ResMed AirSense 10 AutoSet for Her
Mask Type: Nasal pillows
Mask Make & Model: ResMed AirFit ™ P10 Nasal Pillow
Humidifier: AirSense 10 AutoSet for Her-integrated
CPAP Pressure: 8
CPAP Software: SleepyHead

Other Comments: Initially: AHI=52; 2nd: AHI=18; CPAP 11-10-14; as of 8-18-15: AHI consistently under 5.0

Sex: Female
Location: Southwest Michigan, USA

Post: #1
Question Online Ordering & Insurance?
Does anyone have Blue Cross Blue Shield of Michigan?

How does it work to order supplies from an on-line DME? Do you go ahead and make the purchase and then submit a claim for reimbursement?

Lamb

To all, to each, a fair good-night,
And pleasing dreams, and slumbers light.
Scott—Marmion. L’Envoy. To the Reader.

Diagnosed with OSA September 2014
AHI=18
Lowest SpO2: 79%
11-10-2014 07:15 PM
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jimvers Offline

Members

Posts: 5
Joined: Dec 2013

Machine: resmed s9 Auto
Mask Type: Full face mask
Mask Make & Model: Respiranics amara
Humidifier: ResMed H51
CPAP Pressure: 5-12
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Illinois

Post: #2
RE: Online Ordering & Insurance?
(11-10-2014 07:15 PM)Lambsydoats Wrote:  Does anyone have Blue Cross Blue Shield of Michigan?

How does it work to order supplies from an on-line DME? Do you go ahead and make the purchase and then submit a claim for reimbursement?

Lamb



Be very careful. I did that with another company, and my insurance denied my claim, because it was not an in network provider. I appealed their decision, but it took me 3 months to finally get reimbursed.
11-10-2014 07:32 PM
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zonk Offline

Advisory Members

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: #3
RE: Online Ordering & Insurance?
(11-10-2014 07:15 PM)Lambsydoats Wrote:  How does it work to order supplies from an on-line DME? Do you go ahead and make the purchase and then submit a claim for reimbursement?

Lamb
You get your supplies from the DME who supply the machines. If your insurance follow Medicare replacement schedules:
http://www.apneaboard.com/wiki/index.php...6_Medicare

Check with your insurance, in most cases on-line purchases are not covered
11-10-2014 07:35 PM
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PaulaO2 Offline
Wiki Editor
Moderators

Posts: 8,064
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: #4
RE: Online Ordering & Insurance?
First you have to see if your insurance will reimburse you. If they will, then you pay out of pocket, submit the claim, and hope you get reimbursed for at least part of it. No online DME that we know of accepts insurance. It would be impossible for them to.

If you are talking about filing a claim for a machine, you will find that your reimbursement is not going to be very much. Others who have looked into it have said it was cheaper to buy outright from Supplier #2.

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.
11-10-2014 10:58 PM
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readyforsleep Offline

Preferred Members-2

Posts: 233
Joined: Mar 2014

Machine: Resmed S9 AutoSet for her
Mask Type: Nasal pillows
Mask Make & Model: Swift FX for her
Humidifier: attached
CPAP Pressure: 14.6-17.4
CPAP Software: SleepyHead

Other Comments:

Sex: Female
Location: Lawrenceburg, Indiana

Post: #5
RE: Online Ordering & Insurance?
I recently found an online supplier that is in my insurane plan and others. Ill find the supplier and send you guys a pm.

2010 sleep study 63 AHI, 2014 3.0
11-11-2014 07:00 AM
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