Just wondering if anyone understands how it works with Ontario and the ADP. According to the ADP Product Manual:
http://www.health.gov.on.ca/en/pro/progr...manual.pdf
it looks like DME's are reimbursed $860 for the basic CPAP machines which include:
Airsense 10 CPAP,
Airsense 10 Elite,
ResMed S9 Elite CPAP
Resmed S9 Escape,
etc....
you get the full kit; hose, humidifier, basic mask (F&P Flexifit 407) etc.
My DME is telling me I will pay an extra $275 to get the Airsense 10 Elite, over and above the $860. And they have to order it in and might take up to 2 weeks to get.
Also I was originally told that with this $275 upcharge I got the mask of my choosing. Now they are saying no.
Are they allowed to charge whatever they want? Can they change the rules whenever they want?
I called another local DME and they told me over the phone that they would sell the A10 Elite for $860 with the full kit and almost same mask (F&P Zest). They also said they have them in stock. I'm only unsure cause I don't have this in writing.
So how do I negotiate with the original DME? I've had a loaner from them for just slightly more than 3 months. Are they allowed to charge for the loaner machine? Also full disclosure, they have allowed me to try at home 4 different masks during my loaner time so I give them credit for this.
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EVERY ACCOMPLISHMENT BEGINS WITH THE DECISION TO TRY!