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Question about billing/insurance
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Mosquitobait Offline

Advisory Members

Posts: 717
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: #11
RE: Question about billing/insurance
Deej, I'm sorry but you KNOW you should ask all the questions before getting anything. It does not come free. The humidifier is charged separately even though it is integrated because the Airsense is the FIRST integrated machine and there is no code available for that.

You have two options. You can return the machine paying the equivalent rental that you had for use of the machine for 2 months. Then buy one online. OR you can just keep your machine and pay according to their plan. You aren't paying that much more than you would buying it online.

In future, when dealing with DMEs, particularly expensive stuff, make sure you write on the contract and have the manager cosign. State something like "I am to be notified within 30 days that my insurance company has refused coverage. Should this happen, I will return the machine and will only be responsible for contracted rental costs accrued while machine was in my possession." Masks and hoses are personal items and can't be returned, so you will be socked with those costs as well. That's why pre-authorization is so important.
03-31-2016 11:57 AM
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