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Overwhelmed
#21
Hi jspence,
I'm in Canada and I bought online from CPAP Outlet (google it). I have a Respironics Dreamstation Pro but would suggest that if you go with the Dreamstation you choose this model rather: Respironics DreamStation Auto with Humidifier and Heated Tubing. It' s around $1000 and you'll need to provide a prescription. The sleep clinic tried selling me the same machine for twice the money, so don't rush buying something before doing some research! If they sent you to the store they should at least have informed you whether you need a CPAP, APAP or BiPAP... The machine I suggested is an APAP but can be set to CPAP (fixed)mode, so you get both for only a little bit more money and then you can decide what works better for you.
Edited to add: The distributor will set the machine pressure for you according to your prescription but with the help from this board you can learn to get into the settings yourself once you own it.
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#22
I had planned to get out and talk to some stores yesterday but by the time I got my weekend jobs done at 3pm they were all closed. I guess I should have looked at their hours first.

In Ontario we are covered by the province for $645 and I get an additional $215 from my insurance company for the machine and $360 for a mask.

None of the online places are on the list of approved vendors. I will call and ask if I can buy online, I'm assuming that I will be able to but I will have to pay out of pocket and get reimbursed.
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#23
I think going into a supplier armed with the knowledge of what the online market is, will let you make better decisions. The services of a local provider are certainly worth something, but it should not double the price of your machine. Without a doubt, you will pay more in Ontario, than a couple hundred miles to the south.
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#24
Ontario has a program called the Assistive Devices Program that 'helps' pay for durable medical equipment. The $645 you mentioned is the ADP payment for a CPAP machine, either dumb or full data capable. They will pay more for an APAP machine, but your titration test must show a greater than 4 cmH2O difference between positions (I think). They will not, apparently, allow you to pay the difference between the prescribed CPAP and the desired APAP machine. Do try to get your doctor to prescribe the APAP machine. At the very least, insist on a machine that records full breath-by-breath data, not just hours of use and aggregate indexes of events.
I have a pdf copy of the ADP document relevant to OSA, and I can't remember where I found it, but I could post it somewhere.
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#25
(12-12-2016, 09:58 AM)pholynyk Wrote: Ontario has a program called the Assistive Devices Program that 'helps' pay for durable medical equipment. The $645 you mentioned is the ADP payment for a CPAP machine, either dumb or full data capable. They will pay more for an APAP machine, but your titration test must show a greater than 4 cmH2O difference between positions (I think). They will not, apparently, allow you to pay the difference between the prescribed CPAP and the desired APAP machine. Do try to get your doctor to prescribe the APAP machine. At the very least, insist on a machine that records full breath-by-breath data, not just hours of use and aggregate indexes of events.
I have a pdf copy of the ADP document relevant to OSA, and I can't remember where I found it, but I could post it somewhere.


I just got off the phone whit my doctors office the lady at the desk is going to ask the doctor if it can be changed to an auto. If it's just the pressure difference between positions I should be able to get it changed as I don't require any pressure when on my stomach.
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#26
Good news the Doctor just got back to me and they changed the prescription to the APAP. Apparently most people don't want to pay the extra cost of the APAP so they normally just prescribe the CPAP. I'm definitely glad I came here for guidance. I'll check in when I have more information.
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#27
An informed person can get better service. Good for you in starting to take control.
For more information explore and read the wiki or just start with the link below.
http://www.apneaboard.com/wiki/index.php...re_success

Just my personal opinion. My posts are not medical advice or a statement of fact. Please consult a qualified physician or other qualified medical personnel. Please comply with all applicable laws, codes, regulations, and protocols.
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#28
Good news. There will be lots of help here when you need fine tuning.

Rich
Apnea Board Member RobySue has posted a Beginners Guide to Sleepyhead Software here:  http://www.apneaboard.com/wiki/index.php...SleepyHead

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#29
(12-12-2016, 01:19 PM)jspence Wrote: Good news the Doctor just got back to me and they changed the prescription to the APAP. Apparently most people don't want to pay the extra cost of the APAP so they normally just prescribe the CPAP.

Ask for and keep a copy of your prescription. It may be needed when traveling or buying supplies on line.

Sounds like to avoid insurance problems the min and max pressures may need to be at least 4 different.
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#30
Ask for and keep a copy of your prescription. It may be needed when traveling or buying supplies on line.

[/quote] Sounds like to avoid insurance problems the min and max pressures may need to be at least 4 different.
[/quote]

4 different apart i.e. 10-14 or 7-11. That is a very good suggestion or why should the insurance help you pay for the higher cost. Just becuse you will be better served by an APAP ? they do not care.

It is little suggestions like that that can be very helpful Thanks vsheline

For more information explore and read the wiki or just start with the link below.
http://www.apneaboard.com/wiki/index.php...re_success

Just my personal opinion. My posts are not medical advice or a statement of fact. Please consult a qualified physician or other qualified medical personnel. Please comply with all applicable laws, codes, regulations, and protocols.
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