Post Reply 
So I took a clonopin and called the insurance company ....
Author Message
worn_out_in_lebanon Online

Advisory Members

Posts: 270
Joined: Jan 2015

Machine: Resmed A10 Autoset
Mask Type: Full face mask
Mask Make & Model: F20 (newest Resmed ffm)
Humidifier: Included, ClimateLine tubing
CPAP Pressure: 13-15, EPR:0
CPAP Software: SleepyHead

Other Comments: I.T. Project Manager. Started CPAP therapy March 16, 2015. Untreated AHI 39.

Sex: Male
Location: TN

Post: #11
RE: So I took a clonopin and called the insurance company ....
(04-16-2015 05:49 PM)Mark Douglas Wrote:  Sorry. Aprica. Remeber the clonopin :grin:

I understand. Smile

You will sometimes find Apria affectionately referred to as "Crapria" around there though...
04-17-2015 09:58 AM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
me50 Offline

Advisory Members

Posts: 2,559
Joined: Aug 2013

Machine: resmed S9 VPAP Auto
Mask Type: Nasal mask
Mask Make & Model: Wisp and Silicone Head gear
Humidifier: resmed H5i
CPAP Pressure: 18/8
CPAP Software: SleepyHead

Other Comments:

Sex: Undisclosed
Location: USA

Post: #12
RE: So I took a clonopin and called the insurance company ....
or not affectionately referred to as crapria
04-17-2015 10:23 AM
Find all posts by this user Post Reply Quote this message in a reply
iSnore Offline

Preferred Members-2

Posts: 148
Joined: Apr 2015

Machine: Phillips-Respironics DS560TS REMstar Auto
Mask Type: Nasal pillows
Mask Make & Model: ResMed AirFit P10
Humidifier: Phillips-Respironics DS6T Heated Tube
CPAP Pressure: 9-13 A-Flex 2
CPAP Software: SleepyHead EncoreBasic

Other Comments: SYSTEM ONE resistance set to X1 for P10

Sex: Male
Location:

Post: #13
RE: So I took a clonopin and called the insurance company ....
My three local TriCare approved DMEs are American HomePatient, Lincare, and Crapria. Which would ya'll recommend starting with first?
04-17-2015 10:31 AM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
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: #14
RE: So I took a clonopin and called the insurance company ....
(04-17-2015 07:53 AM)OpalRose Wrote:  Mark,
I can understand you not wanting to deal with the insurance mafia, but I have to agree with iSnore (previous post) that you don't know what type of machine you might need.

It is too expensive to buy outright, then find out it is not treating your specific apnea.
Have you looked into doing a home study? Talk to your doctor about your concerns, they have a lot of resources and can guide you.

Whatever you decide, it is way past time for you to make a decision and move on it.
Your health and well being are at stake, not just for you, but for those that love you!
Take care.

I agree I am to exhausted to clearly think.
Wife and I have joint appt with our GP next week and I have agreed to wait and see what his other CPAP patients are experiencing. I did talk with someone I have known and have great faith since divorce and he urges me to try to be patient and see what happens with ins BUT he also says he knows someone going through all the bad stuff and finally just bought an auto-pap and downloaded some free software he thinks from Australia and is gonna do it himself.
"Ya pays yor monies and ya take your chances"

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)
04-17-2015 10:43 AM
Find all posts by this user Post Reply Quote this message in a reply
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: #15
RE: So I took a clonopin and called the insurance company ....
(04-17-2015 08:25 AM)player Wrote:  If you do go to 800ccrap be sure you get the return insurance if offered.

!@#$ no they do not.
Does anyone?
If this cannot be discussed openly a hint or a PM would be welcomed....

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)
04-17-2015 10:47 AM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
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: #16
RE: So I took a clonopin and called the insurance company ....
(04-16-2015 05:35 PM)iSnore Wrote:  A couple thoughts… Are you sure the $1,000 mono-level automatic setup will be enough for you--and that you won't need a $2,000 bilevel setup? You can probably get that bipap setup gently used for the same $1,000. If you live north of the river, you might also pay sales tax in Mason. Edit: maybe not on medical gear.

So does this cover everything?

No head out the car window effect.
Runs on 12 vdc
gets good reviews
Sleepyhead support(?)
Brand new w % yr warranty

Quote:ITEM SUMMARY

IntelliPAP AutoBiLevel Machine with SmartCode
$1,342.39

+
Free Shipping
(Next day delivery available)
Shipping Policy
YOUR UPGRADES

Heated Humidifier
SmartLink Therapy Tracking Software
Snuggle Hose
Hose Elbow
Standard Diameter Tube Brush
ComfortLine Heated Tubing Kit

edit bad proofreading

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)
(This post was last modified: 04-17-2015 01:51 PM by Mark Douglas.)
04-17-2015 01:46 PM
Find all posts by this user Post Reply Quote this message in a reply
iSnore Offline

Preferred Members-2

Posts: 148
Joined: Apr 2015

Machine: Phillips-Respironics DS560TS REMstar Auto
Mask Type: Nasal pillows
Mask Make & Model: ResMed AirFit P10
Humidifier: Phillips-Respironics DS6T Heated Tube
CPAP Pressure: 9-13 A-Flex 2
CPAP Software: SleepyHead EncoreBasic

Other Comments: SYSTEM ONE resistance set to X1 for P10

Sex: Male
Location:

Post: #17
RE: So I took a clonopin and called the insurance company ....
(04-17-2015 01:46 PM)Mark Douglas Wrote:  
(04-16-2015 05:35 PM)iSnore Wrote:  A couple thoughts… Are you sure the $1,000 mono-level automatic setup will be enough for you--and that you won't need a $2,000 bilevel setup? You can probably get that bipap setup gently used for the same $1,000. If you live north of the river, you might also pay sales tax in Mason. Edit: maybe not on medical gear.

So does this cover everything?...

I don't know enough about that to say. I don't think it supports an integrated heated tube though, and I'm not sure SleepyHead supports the bilevel version of this. If it were me, I'd spend a bit more on a Respironics DS760TS. And then I might find that it changes my predominantly OSAs to CSAs and I really needed an ASV.
04-17-2015 02:23 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
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: #18
RE: So I took a clonopin and called the insurance company ....
What are the odds of converting an OSA patient to CSA or something else?
http://www.sleepapnea.org/learn/sleep-apnea/central-sleep-apnea.html - doesn't seem too likely.
Being born is AFAIK a death sentence. Life has taught me I seldom get a fight for which I am prepared so I will learn what I can and wait until Tuesday and see what I learn there.

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)
04-17-2015 02:43 PM
Find all posts by this user Post Reply Quote this message in a reply
trailrider Offline

Preferred Members-2

Posts: 304
Joined: Feb 2015

Machine: A10 Autoset for Her
Mask Type: Nasal mask
Mask Make & Model: Eson or P10
Humidifier: autoset
CPAP Pressure: 6-12 DME, 7-13 me
CPAP Software: SleepyHead

Other Comments: engineer. EPR at 3, unheated hose, humidity at 2. Routine hose entanglement.

Sex: Female
Location: Ontario

Post: #19
RE: So I took a clonopin and called the insurance company ....
My 3 cents worth (Cdn): If you can hang on to your appt, then wait. Your doc could recommend a DME to you and give you an initial/temporary Rx. The DME could give you a loaner (or cheap rental) to get you started and get used to the mask, hose, and the joyful PAP experience of rolling over in bed and hitting the dog with the device. (That's what my doc and DME did) It got me prepared for titration study so that I was able to sleep and not be disrupted by the equipment. Then the study will tell you what your "true" prescription should be. Then the DME gives you a nice pretty new model and hose and mask, and you argue with insurance about co-pays, etc.

Or, just order a cheaper autoset now, buy the attachments outright and start using it. If you need something else later, it can always be a backup for you, or your travel machine, or sell it.

Or, since you have a (old) prescription, just wave it at a supplier and tell them your current machine died or is in for repair and you need a simple replacement while awaiting permission to get a new one from your insurer..blah, blah, blah.

I realize you are hungry for a solution, but the medical establishment and insurance don't work fast. SO maybe just get a cheaper travel type as a starter kit.
04-17-2015 02:58 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
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: #20
RE: So I took a clonopin and called the insurance company ....
Good thoughts TR.
I mean even some of the ins cos are going to home study with an auto-pap and as someone wrote their doc even said sleep studies in facilities were passé
Good thoughts TR.
I mean even some of the ins cos are going to home study with an auto-pap and as someone wrote their doc even said sleep studies in facilities were passé

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)
(This post was last modified: 04-17-2015 05:10 PM by Mark Douglas.)
04-17-2015 05:09 PM
Find all posts by this user Post Reply Quote this message in a reply
Post Reply 


Possibly Related Threads...
Thread: Author Replies: Views: Last Post
  Insurance won't pay for power cord? CharlotteYork 13 897 11-17-2016 11:58 PM
Last Post: tzk321
Sad Help Finding A Machine, No Insurance SJGino 23 782 11-17-2016 09:03 PM
Last Post: SJGino
Angry INSURANCE RECORDS: DO YOU REALLY WANT TO KNOW? srlevine1 5 553 11-15-2016 06:31 PM
Last Post: Galactus
  [CPAP] Insurance / Getting first CPAP rjbbjr 14 626 11-11-2016 01:06 PM
Last Post: Mosquitobait
  can company keep parts from kit? KarKat 15 831 08-15-2016 10:57 PM
Last Post: PsychoMike
  Insurance woes: Who has my "compliance" and "post pap" documentation? luminous 8 1,295 08-15-2016 12:09 AM
Last Post: SaldusMiegas
  ASV and Insurance Question rozenbob 15 715 08-06-2016 08:43 PM
Last Post: DeepBreathing

Forum Jump:

Who's Online (Complete List)