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Sleep Drs and DMEs
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Mark Douglas Offline

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Machine: Sys 1 (60) RemStar BiPAP Auto with Bi-Flex 760P Auto Bi-Level (Variabl
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Humidifier: PR Sys One heated
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CPAP Software: SleepyHead EncoreBasic

Other Comments: Hashimoto's thyroiditis.

Sex: Male
Location: SW Ohio

Post: #1
Sleep Drs and DMEs
This may be a naive question but I wonder how many sleep Docs also own all or part of a DME? Sleep Doc sent my instructions to a DME not in my ins (cigna) "network" . Now he has to know this so why would he do that?i

I use my PAP machine nightly and I feel great!
Updated: Philips Respironics System One (60 Series)
RemStar BiPAP Auto with Bi-FlexModel 760P -
Rise Time x3 Fixed Bi-Level EPAP 9.0 IPAP 11.5 (cmH2O)
04-28-2015 07:31 AM
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AlanE Offline

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Machine: ResMed AirSense 10 Autoset
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CPAP Pressure: 10-14
CPAP Software: ResScan SleepyHead

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Sex: Male
Location: Southwest Florida

Post: #2
RE: Sleep Drs and DMEs
They may have been at one time and doc didn't get the memo?



Using FlashAir W-03 SD card in machine. Access through wifi with FlashPAP or Sleep Master utilities.

I wanted to learn Binary so I enrolled in Binary 101. I seemed to have missed the first four courses. Big Grinnie
04-28-2015 07:43 AM
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Mark Douglas Offline

Advisory Members

Posts: 513
Joined: Apr 2015

Machine: Sys 1 (60) RemStar BiPAP Auto with Bi-Flex 760P Auto Bi-Level (Variabl
Mask Type: Nasal mask
Mask Make & Model: PR Wisp
Humidifier: PR Sys One heated
CPAP Pressure: RiseTime 3 Fxd E-9.0 / I-11.5
CPAP Software: SleepyHead EncoreBasic

Other Comments: Hashimoto's thyroiditis.

Sex: Male
Location: SW Ohio

Post: #3
RE: Sleep Drs and DMEs
(04-28-2015 07:43 AM)AlanE Wrote:  They may have been at one time and doc didn't get the memo?

Had not thought of that.
Unlike myself you must be a glass half full kinda guy. Wink

I use my PAP machine nightly and I feel great!
Updated: Philips Respironics System One (60 Series)
RemStar BiPAP Auto with Bi-FlexModel 760P -
Rise Time x3 Fixed Bi-Level EPAP 9.0 IPAP 11.5 (cmH2O)
04-28-2015 07:46 AM
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AlanE Offline

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Posts: 1,491
Joined: Mar 2015

Machine: ResMed AirSense 10 Autoset
Mask Type: Nasal pillows
Mask Make & Model: P10 & Mirage Liberty backup
Humidifier: Built-in
CPAP Pressure: 10-14
CPAP Software: ResScan SleepyHead

Other Comments: ʕ•ᴥ•ʔ So Long, and Thanks for All the Fish

Sex: Male
Location: Southwest Florida

Post: #4
RE: Sleep Drs and DMEs
heh I'm a hopeless pessimist. It could be either way. kick-backs are possible. With insurance, its a jumble of jumping between underwriters so they can get the best deal and resell to companies that are always adjusting policies, and what it will cover, to afford it.



Using FlashAir W-03 SD card in machine. Access through wifi with FlashPAP or Sleep Master utilities.

I wanted to learn Binary so I enrolled in Binary 101. I seemed to have missed the first four courses. Big Grinnie
04-28-2015 08:40 AM
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justMongo Offline

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Machine: ResMed VPAP Auto (S9)
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Post: #5
RE: Sleep Drs and DMEs
My sleep doc and DME are in the same building; and one does not have to exit to get from the doc to the DME; just follow the secret passage.
He sends my Rx electronically to them. He gets paid to interpret their PSG studies.
Is there an incestuous relationship between doctor and DME? I don't know.
But, it does beg the question.

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04-28-2015 10:49 AM
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Mike91326 Offline

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Joined: Nov 2014

Machine: ResMed S9 Autoset
Mask Type: Nasal mask
Mask Make & Model: F&P Eson
Humidifier: H5i
CPAP Pressure: 8 to 15
CPAP Software: SleepyHead

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Sex: Male
Location: Los Angeles, CA

Post: #6
RE: Sleep Drs and DMEs
(04-28-2015 10:49 AM)justMongo Wrote:  My sleep doc and DME are in the same building; and one does not have to exit to get from the doc to the DME; just follow the secret passage.
He sends my Rx electronically to them. He gets paid to interpret their PSG studies.
Is there an incestuous relationship between doctor and DME? I don't know.
But, it does beg the question.

Sounds like Disneyland and Disney World. You get off the ride and exit through the gift shop.
04-28-2015 11:31 AM
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retired_guy Offline

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Posts: 2,744
Joined: Jan 2014

Machine: ResMed S9 Autoset
Mask Type: Nasal pillows
Mask Make & Model: Resmed Airfit P10
Humidifier: ResMed
CPAP Pressure: 10.6/14, EPR 3
CPAP Software: ResScan SleepyHead

Other Comments: Is it bedtime yet?

Sex: Male
Location: Beautiful, albeit very wet Oregon Coast

Post: #7
RE: Sleep Drs and DMEs
Sort of like anytime there is a business selling eye glasses there is another separate business coincidentally in the same building testing eyes.

Yes, they establish relationships. However it probably isn't on the front burner in the Doc's business to know or care if the DME can participate in your specific insurance. But then, that's why God invented printers, so that the prescription can be printed out and you take it anywhere you wish.
04-28-2015 11:34 AM
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truetopath Offline

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Posts: 421
Joined: Feb 2015

Machine: PR system one 560p auto with a flex
Mask Type: Full face mask
Mask Make & Model: Resumed F10
Humidifier: PR system one
CPAP Pressure: 11
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Lake View, NY

Post: #8
RE: Sleep Drs and DMEs
Most docs and health care providers don't know which DME's work with what insurances. It is your responsibility to find out your coverage, and tell the doc where to send the script.
04-28-2015 11:49 AM
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Mark Douglas Offline

Advisory Members

Posts: 513
Joined: Apr 2015

Machine: Sys 1 (60) RemStar BiPAP Auto with Bi-Flex 760P Auto Bi-Level (Variabl
Mask Type: Nasal mask
Mask Make & Model: PR Wisp
Humidifier: PR Sys One heated
CPAP Pressure: RiseTime 3 Fxd E-9.0 / I-11.5
CPAP Software: SleepyHead EncoreBasic

Other Comments: Hashimoto's thyroiditis.

Sex: Male
Location: SW Ohio

Post: #9
RE: Sleep Drs and DMEs
(04-28-2015 11:49 AM)truetopath Wrote:  Most docs and health care providers don't know which DME's work with what insurances. It is your responsibility to find out your coverage, and tell the doc where to send the script.

I'm sorry but I disagree. If I call the Docs office and ask if they accept my ins plan as a condition to use his service, and they sell or recommend services ancillary to their own, it seems reasonable (to me at least) they not send me where I cannot be accommodated within that same network.

I use my PAP machine nightly and I feel great!
Updated: Philips Respironics System One (60 Series)
RemStar BiPAP Auto with Bi-FlexModel 760P -
Rise Time x3 Fixed Bi-Level EPAP 9.0 IPAP 11.5 (cmH2O)
04-28-2015 02:53 PM
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truetopath Offline

Preferred Members-2

Posts: 421
Joined: Feb 2015

Machine: PR system one 560p auto with a flex
Mask Type: Full face mask
Mask Make & Model: Resumed F10
Humidifier: PR system one
CPAP Pressure: 11
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Lake View, NY

Post: #10
RE: Sleep Drs and DMEs
(04-28-2015 02:53 PM)Mark Douglas Wrote:  
(04-28-2015 11:49 AM)truetopath Wrote:  Most docs and health care providers don't know which DME's work with what insurances. It is your responsibility to find out your coverage, and tell the doc where to send the script.

I'm sorry but I disagree. If I call the Docs office and ask if they accept my ins plan as a condition to use his service, and they sell or recommend services ancillary to their own, it seems reasonable (to me at least) they not send me where I cannot be accommodated within that same network.

With new DME's popping up daily, and insurance companies constantly changing coverages and plans, the logistics would be impossible. It would be convenient if they could know everyone's coverage, but unfortunately, this isn't feasible. Of course, the exception is if they own the DME, then they better know if they accept your insurance, but as far as free standing DME's it'll never be there responsibility.
04-28-2015 02:58 PM
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