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RM AirCurve10 VAuto: On Sale for $1225, AB supplier No. 14
#1
RM AirCurve10 VAuto: On Sale for $1225, AB supplier No. 14
There is no real prospect for getting a new VAuto except to buy out of pocket. It's the usual low AHI but high FL problem with the AutoSet well titrated and set to EPR3, but me needing more pressure support for better sleep with FL control. Accordingly, I ordered a VAuto from No. 14.

My pulmonologist is good, would test me, as he was sure would be required, but he didn't believe I would qualify for the VAuto with my flow limitations and very low AHI. My O2 drops would likely be insufficient. 

So the MC cash drawer is ready to pay for a new Autoset if I fail, as is most likely, to qualify for a VAuto in a new sleep test and that would push total cost higher than if coverages provided the VAuto I need. Maye not. I'm not current on what price MC approves for Autosets, VAutos and sleep tests.

"Due" for a MC+Anthem AutoSet replacement last September, I'll wait 'til my high hour VAuto gives out, then, maybe, get the new 11 Series Autoset, give it a compliant trial and keep it as a backup for my VAuto that will arrive and could be needed soon (in preference to the used AutoSet I have on hand in a go bag).

The DME hounded me to replace the Autoset for a couple of months until  I had to get forceful to keep the phone from ringing.

Overshadowing all of this, for all of us of course, is the question how long will it be before largess of the "DC" printing press crashes our economy.
I have no particular qualifications or expertise with respect to the apnea/cpap/sleep related content of my posts beyond my own user experiences and what I've learned from others on this site. Each of us bears the burden of evaluating the validity and applicability of what we read here before acting on it.  (Disclaimer use permitted by sheepless)

 
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#2
RE: RM AirCurve10 VAuto: On Sale for $1225, AB supplier No. 14
That's a great price for a new VAuto, especially coupled with a mask.

I've noticed that many of the suppliers don't have a big selection on ResMed machines.
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#3
RE: RM AirCurve10 VAuto: On Sale for $1225, AB supplier No. 14
Unfortunately, Medicare won't pay the allowed cost of an Autoset CPAP towards an Aircurve VPAP. It's a pretty rigid system.
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#4
RE: RM AirCurve10 VAuto: On Sale for $1225, AB supplier No. 14
(08-09-2021, 03:33 AM)2SleepBetta Wrote: There is no real prospect for getting a new VAuto except to buy out of pocket. It's the usual low AHI but high FL problem with the AutoSet well titrated and set to EPR3, but me needing more pressure support for better sleep with FL control. Accordingly, I ordered a VAuto from No. 14.

My pulmonologist is good, would test me, as he was sure would be required, but he didn't believe I would qualify for the VAuto with my flow limitations and very low AHI. My O2 drops

I had similar problems. The issue to be documented is sleep quality, not numbers.

I still had lots of fatigue and was not sleeping well, and the Rx was written based on that. (I also had had the opportunity to test a VAuto and confirmed it would improve sleep quality.) My doctor wrote a Rx for the VAuto and it was filled by the DME and paid for my Medicare without any problem. I work with my PCP, not a sleep specialist, and that might have made things easier for me.
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#5
RE: RM AirCurve10 VAuto: On Sale for $1225, AB supplier No. 14
(08-09-2021, 12:11 PM)GuyScharf Wrote: I had similar problems. The issue to be documented is sleep quality, not numbers.

I still had lots of fatigue and was not sleeping well, and the Rx was written based on that. (I also had had the opportunity to test a VAuto and confirmed it would improve sleep quality.) . . . I work with my PCP, not a sleep specialist, and that might have made things easier for me.

Most all my experience of SDB is "by the numbers" with my bio at left showing where I started 6 years ago. I was not ever aware of any real problems with sleep, tiredness or anything except for years and years, it was a dry  mouth, my wife's "roll over", and her elbow when snoring awakened her. 

Only when I  complained of getting up to pee 2 to 3 times a night did my PCP say he wanted me to  have a sleep test in 2015. (Now "it's" once a night.)

Even now, preoccupied with understanding the FL and and flow limitations, I do not sense any troubling SDB aside from FL flags showing arousals and the Dreem 2 indicating very little Deep Sleep (as it tells me I was asleep--REM or Light--while I know I was awake after sleeping "long enough" before a late pee break). 

But there are deep SDB footprints on my health, in heart and other insidious damage, low level hypertension (if not treated) including occasional A-Fib. For reasons cited I got the oximeter soon after seeing bad numbers in the test and horrible OSA with the Autoset initially. I saw need to get an idea what my breathing adequacy and it's direction was with the Autoset and the FFM leaks that were driving me bonkers  and ruining sleep. 

As I stated elsewhere, I have no recollection or sense of better sleep in earlier years to serve as a good sleep baseline for comparison.

I note well your good point about having your PCP out front to get your Rx and insurance approval (instead of a possibly sale-incentivized--no knock on my pulmo here--sleep doctor). In getting a new Rx for VAuto, I had asked for just the Rx by email. Slow to respond, I went to the office, asked for it and soon was told my order for a VAuto which they were preparing was just about ready as well as a new Rx. I said, "Whoa".  I need just the Rx to go buy it myself and it was soon in hand.
I have no particular qualifications or expertise with respect to the apnea/cpap/sleep related content of my posts beyond my own user experiences and what I've learned from others on this site. Each of us bears the burden of evaluating the validity and applicability of what we read here before acting on it.  (Disclaimer use permitted by sheepless)

 
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