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Online suppliers
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clipper Offline

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Machine: REMstar A-Flex
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CPAP Software: SleepyHead

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Post: #1
Online suppliers
I am dissatisfied with my local DME and would appreciate recommendations for online suppliers who will work with Medicare and secondary insurance.
Thanks
07-21-2016 01:32 PM
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OpalRose Offline

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Posts: 3,167
Joined: Nov 2014

Machine: PR System One REMstar Auto 560 with A Flex
Mask Type: Nasal pillows
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CPAP Software: SleepyHead EncoreBasic

Other Comments: Started CPAP Therapy October 23, 2014

Sex: Female
Location: Northeast Ohio, USA

Post: #2
RE: Online suppliers
You can check this supplier list, but it's up to you to call your insurance to see what they will cover concerning online suppliers vs your DME. Usually it's less.
Call a few suppliers to see if they work with your insurance. In most instances, they will supply the paperwork for you to submit to your insurance.
http://www.apneaboard.com/forums/Thread-CPAP-Supplier-List

OpalRose
07-21-2016 02:47 PM
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justMongo Offline

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Machine: ResMed VPAP Auto (S9)
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CPAP Pressure: 18 IPAPmax - 11 EPAPmin, PS=5
CPAP Software: Other Software

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Sex: Male
Location: Калифорния

Post: #3
RE: Online suppliers
You can go to medicare.gov and search for providers based on your zip code.
I just did that yesterday because my DME is no longer a medicare provider.
So, I'm looking for a new one. I've called one; and got an attitude of:
"We'll take you, but you have to get X,Y,Z, and T for us."
No one is eager to accept the new Medicare reimbursement rates.

You should write to your member of Congress and the HHS secretary and thank them for messing up Medicare!
You might even call the Whitehouse and complain -- 202-456-1414.

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: 07-21-2016 03:43 PM by justMongo.)
07-21-2016 03:42 PM
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PaulaO2 Offline
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Posts: 8,065
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 suppliers
When I looked into switching, they just wanted a copy of my sleep report. Why on earth they wanted it, I don't know. I decided to not switch so didn't pursue it.

Medicare and online suppliers do not mix.

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.
07-21-2016 04:26 PM
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justMongo Offline

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Posts: 3,844
Joined: Sep 2013

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

Other Comments: μολὼν λαβέ

Sex: Male
Location: Калифорния

Post: #5
RE: Online suppliers
(07-21-2016 04:26 PM)PaulaO2 Wrote:  Medicare and online suppliers do not mix.

And yet Medicare is pushing toward mail order programs.

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.
07-21-2016 05:00 PM
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Mike1953 Offline

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Posts: 134
Joined: Aug 2014

Machine: Resmed S9 Escape Auto
Mask Type: Nasal pillows
Mask Make & Model: Resmed P10
Humidifier: Resmed Hi5
CPAP Pressure: 12
CPAP Software: ResScan SleepyHead

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Sex: Male
Location: Kansas USA

Post: #6
RE: Online suppliers
Medicare DME's use the Medicare web page and insert your zip code
https://www.medicare.gov/supplierdirectory/search.html

For free Medicare assistance for your state check out this page. http://www.seniorsresourceguide.com/directories/National/SHIP/
or here http://www.medicareinteractive.org/
07-21-2016 11:06 PM
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PaulaO2 Offline
Wiki Editor
Moderators

Posts: 8,065
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: #7
RE: Online suppliers
(07-21-2016 05:00 PM)justMongo Wrote:  
(07-21-2016 04:26 PM)PaulaO2 Wrote:  Medicare and online suppliers do not mix.

And yet Medicare is pushing toward mail order programs.

Their own that they have convoluted contracts with. And mail order is not the same as online suppliers. They keep pushing me to get my medications through CVS mail order vs my small independent local pharmacy (which is cheaper). Mail order seems to be more of "auto refill" than "shop online" thing. Irritates the carp out of me.

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.
07-21-2016 11:43 PM
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justMongo Offline

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Posts: 3,844
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: #8
RE: Online suppliers
You have Caremark? I thought they were bought out.

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.
07-21-2016 11:53 PM
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clipper Offline

Members

Posts: 4
Joined: Mar 2012

Machine: REMstar A-Flex
Mask Type: Nasal pillows
Mask Make & Model:
Humidifier: System One
CPAP Pressure: 10-15 mm
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location:

Post: #9
RE: Online suppliers
Thanks for the input everyone. I really appreciate it.
07-22-2016 09:02 PM
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Mosquitobait Offline

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Joined: Apr 2015

Machine: Resmed AirSense 10 For Her
Mask Type: Nasal pillows
Mask Make & Model: Airfit P10
Humidifier: integrated, Climate line tube
CPAP Pressure: 9-12
CPAP Software: ResScan SleepyHead

Other Comments: RLS and Bradycardia

Sex: Female
Location: Minneapolis

Post: #10
RE: Online suppliers
(07-21-2016 01:32 PM)clipper Wrote:  I am dissatisfied with my local DME and would appreciate recommendations for online suppliers who will work with Medicare and secondary insurance.
Thanks

You have probably figured this out already, but few online suppliers will deal with insurance and I don't think any are approved Medicare suppliers. That is why they can offer less expensive pricing - they don't have to pay for an employee to handle insurance claims - they will provide you forms that you can put in for reimbursement, but Medicare doesn't reimburse.
07-23-2016 12:02 AM
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