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Respirionics System One Auto Flex Pressure Prpblem ??
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gondolabob Offline

Members

Posts: 15
Joined: Dec 2014

Machine: Respirionics System One Auto CPAP With Humidifier
Mask Type: Full face mask
Mask Make & Model: Resmed Quatro
Humidifier: Respitionics System One
CPAP Pressure: 8 to 20 Auto
CPAP Software: Other Software

Other Comments: Started Therapy November 2007

Sex: Male
Location:

Post: #11
RE: Respirionics System One Auto Flex Pressure Prpblem ??
The reason I was charged is that the System One Auto Flex is up and above what Medicare and my insurance company allows, sort a like brand drugs vs generic.

Very good news to report this morning. Last night I huffed and puffed into the mask and the machine started. The auto on function is working. Secondly and most important the screen showed 13.3 when I got up this morning

In other words the machine is working and all of my worries were in vane.

I do appreciate all of the suggestions and answers to my questions. The forum has been great.

Thanks to everyone.
Bob
12-09-2014 09:41 AM
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Sleepster Offline
Wiki Editor
Moderators

Posts: 4,995
Joined: Feb 2012

Machine: ResMed AirCurve10 VAuto
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: HumidAir and SlimLine Hose
CPAP Pressure: MaxI 13.6 | MinE 5.2 | PS 4.4
CPAP Software: ResScan SleepyHead

Other Comments: Diagnosed Nov 2011. Conquered aerophagia.

Sex: Male
Location: Houston, Texas

Post: #12
RE: Respirionics System One Auto Flex Pressure Prpblem ??
It's been my experience that the PRS1 machines are a bit harder to auto-start than the the ResMed S9's.

Sleepster
Apnea Board Moderator
www.ApneaBoard.com


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.
12-09-2014 01:43 PM
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DocWils Offline

Members-b

Posts: 1,271
Joined: Jul 2012

Machine: Philips Remstar series 60
Mask Type: Nasal pillows
Mask Make & Model: ResMed P10
Humidifier: same as machine
CPAP Pressure: 5-15
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Switzerland

Post: #13
RE: Respirionics System One Auto Flex Pressure Prpblem ??
They require a few good hard breaths first, and I should imagine it would be even harder in a FFM. With nasal pillows I have to blow pretty hard and breath in pretty hard around three or four times, sometimes even then it won't start (but rarely) and I need to start it by hand after the 5th in breath. This is rare, and for me the habit of how to put it on is now automatic. Usually it is harder to start once you have had it on and taken it off once in the night, for any reason. Also, a wee tip, if you are using the humidifier - pre-heat (press down on the big dial button for about five seconds until a light comes on) - even a minute or two will allow the auto-start to come on easier.

The plus side on the Resmed machines is the auto on/off is very fast and easy, as opposed to the Remstars, where the auto on takes a few good puffs and the auto off waits a good minute after you have taken the mask off before it turns off (the Resmed turn off immediately). Other than that, I don't really see much difference - they have different algorithms for finding out where you should be pressure-wise and for recording incidents, but both are comfortable, quiet and well behaved. I think the Remstar has a better filter system, since it has a two stage system from the get-go, while Resmed you have to get a separate fine-particle filter, but I don't think you should have any "buyer's remorse" over your choice - I have used both machines, have the PRS myself and am rather happy with it. Just give it a few hard breaths while you are putting on your mask and adjusting it and it should do the trick.
12-09-2014 02:09 PM
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justMongo Offline

Monitors

Posts: 3,854
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: #14
RE: Respirionics System One Auto Flex Pressure Prpblem ??
Accepting, requesting, or requiring an upcharge with Medicare is defined as a crime. I am not a lawyer; but, I think you do not owe the upcharge; and could file a grievance with Medicare.
If they agreed to accept one dime from Medicare, then they must not charge more than the 20% copay -- which would be covered by a medigap plan.

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: 12-09-2014 02:15 PM by justMongo.)
12-09-2014 02:14 PM
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Ghost1958 Offline

Advisory Members

Posts: 957
Joined: Aug 2014

Machine: PRS1 Series Sixty Auto Aflex
Mask Type: Nasal mask
Mask Make & Model: F&P Eson
Humidifier: PRS1 with Heated Hose
CPAP Pressure: 10.5 min 16 max
CPAP Software: SleepyHead EncoreBasic

Other Comments: Moderate to Severe SA Obstructive. Rapid O2 desat off the machine.

Sex: Male
Location: KY

Post: #15
RE: Respirionics System One Auto Flex Pressure Prpblem ??
You DME if it accepts medicares plan is NOT allowed to upcharge you from what Medicare pays. By accepting Medicare they enter a contract to accept what medicare pays and medicare has a 20 percent copay of the amount Medicare or any Medicare plan pays. NOT what the DME charges.

That is the law and if your DME upcharged you they broke it. Your Medicare plan would be most interested in knowing this happened and a simple statement your thinking about checking about the upcharge with Medicare will result if a fast refund to you of the illegal upcharge.

Your DME will try to explain it away because they now know you do not know they cannot upcharge you. Until you show them different.

I am on medicare, I have the same machine. Medicare pays the same on that machine or a cpap brick machine. Well above the cost of any auto pap machine. I was not upcharged by my DME but they know I know the codes and regs for medicare and they are an honest DME. Maybe because of that I dont know.

You are being scammed by your DME. There is no doubt about that. I would get my upcharge back or report the upcharge to my medicare insurance plan who will get it back post haste for you. Your DME has committed a Federal Crime, they know they did so. They will crawdad very quickly once they realize you know they did and are about to report them.

Get your 300 bucks back. Its as good in your pocket as it is in the DMEs
12-09-2014 02:39 PM
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quiescence at last Offline

Advisory Members

Posts: 753
Joined: Nov 2014

Machine: REMstar System One with Autoflex
Mask Type: Full face mask
Mask Make & Model: Quattro AirFit F10
Humidifier: yes typical setting = 4
CPAP Pressure: 5-13 Autotritrating CPAP
CPAP Software: SleepyHead EncoreBasic

Other Comments: CMS-50F Plus oximeter /w SPO2 Assistant software. Avowed mouth-breather switching to nose-breathing

Sex: Male
Location: US

Post: #16
RE: Respirionics System One Auto Flex Pressure Prpblem ??
I noticed my APAP does have auto-start set to "on", but I never even tried to have it auto start, I just pushed the button. Well, about 4 days ago, I was making my preps for bed, and pre-fit my FFM and, all-a-sudden it started blowing on its own. That's ok I guess.

I usually start my machine and my oximeter simultaneously, so I can check for time drift (someone said the PRS 1 has a tendency to drift and I cannot change the clock on it.)

Good luck with yours.

Dedicated to QALity sleep.
You'll note I am listed as an Advisory Member. I am honored to be listed as such. See the fine print - Advisory Members as a group provide advice and suggestions to Apnea Board administrators and staff concerning Apnea Board operation and administrative policies. Membership in the Advisory Member group should not be understood as in any way implying medical expertise or qualification for advising Sleep Apnea patients concerning their treatment.
12-09-2014 03:01 PM
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