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Supplies Scam ?
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DVScott Offline

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Posts: 3
Joined: Feb 2015

Machine: Resumed 10
Mask Type: Nasal mask
Mask Make & Model: Rispironics Wisp
Humidifier: Unsure
CPAP Pressure: 6-15
CPAP Software: ResScan

Other Comments: Retired,

Sex: Male
Location: Park City,UT and Seattle, WA

Post: #1
Supplies Scam ?
I'm a new member, first post so forgive me if I'm doing something wrong.
My question: is the way I get my supplies kind of a Medicare scam? My sleep Doc only gave me one option where to go to get my machine. They set me up with a Resmed 10 with all the options and sent me on my way with a bunch of supplies. I've followed maintenance guidelines and still had a lot left when 3 mos later I received a bunch more replacement items, many of which I don't need. I'm not getting a bill so I assume the supplier (and the doc?) are billing Medicare a lot. So how do I get out of this cozy deal they have going.? I don't want to p*** off the doc since I need him. And, is this common?
02-21-2015 11:57 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: #2
RE: Supplies Scam ?
Some DME's do this. It's based on the Medicare replacement schedule. Medicare allows for you to have a new mask after a certain period of time, so the DME is proactively sending it to you. Some wasteful? Maybe so. But it's Medicare, and the manufacturer who are driving the boat.
02-21-2015 12:18 PM
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me50 Offline

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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: #3
RE: Supplies Scam ?
and some things like cushions and filters you should be getting every month instead of every 3 months but that's inconvenient for them so they're doing it for their convenience and according to Medicare guidelines No supplier is supposed to send any supplies to you their client without their approval first
02-21-2015 01:06 PM
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trish6hundred Offline

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Posts: 6,430
Joined: May 2012

Machine: Resmed S9 AutoSet for Her
Mask Type: Full face mask
Mask Make & Model: Fisher & Paykel Simplus
Humidifier: H5i Heated Humidifier
CPAP Pressure: 10 - 7-20 Cm H2O
CPAP Software: Not using software

Other Comments: I started CPAP in 2008. Totally blind since birth.

Sex: Female
Location: Missouri, USA

Post: #4
RE: Supplies Scam ?
Hi DVScott,
WELCOME! to the forum.!
Hang in there for more responses to your post and much success to you with your CPAP therapy.

trish6hundred
02-21-2015 01:37 PM
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Mike1953 Offline

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Posts: 134
Joined: Aug 2014

Machine: Resmed S9 Escape Auto
Mask Type: Nasal pillows
Mask Make & Model: Resmed P10
Humidifier: Resmed Hi5
CPAP Pressure: 12
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: Kansas USA

Post: #5
RE: Supplies Scam ?
(02-21-2015 11:57 AM)DVScott Wrote:  I'm a new member, first post so forgive me if I'm doing something wrong.
My question: is the way I get my supplies kind of a Medicare scam? My sleep Doc only gave me one option where to go to get my machine. They set me up with a Resmed 10 with all the options and sent me on my way with a bunch of supplies. I've followed maintenance guidelines and still had a lot left when 3 mos later I received a bunch more replacement items, many of which I don't need. I'm not getting a bill so I assume the supplier (and the doc?) are billing Medicare a lot. So how do I get out of this cozy deal they have going.? I don't want to p*** off the doc since I need him. And, is this common?

1 It's not a scam as others have said Medicare has a schedule of what and when supplies are delivered.
Medicare replacement frequency
Tubing 1/3 months
Filters:
a. non disposable (foam) 1/6 months
b. disposable 2/month
Mask 1/3 months
Mask Cushion 2/ month
Headgear 1/6 months
Chin Strap 1/6 months
Shell/Swivel=Mask 1/3 months

For free Medicare assistance for your state check out this page. http://www.seniorsresourceguide.com/directories/National/SHIP/
or here http://www.medicareinteractive.org/
02-21-2015 02:26 PM
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DVScott Offline

New Members

Posts: 3
Joined: Feb 2015

Machine: Resumed 10
Mask Type: Nasal mask
Mask Make & Model: Rispironics Wisp
Humidifier: Unsure
CPAP Pressure: 6-15
CPAP Software: ResScan

Other Comments: Retired,

Sex: Male
Location: Park City,UT and Seattle, WA

Post: #6
RE: Supplies Scam ?
Perhaps "scam" is too strong. I'm suspicious of caregivers supplying based on Medicare guidelines ever since a physical therapist charged me $800 for a wrist brace I can buy at Walgreen's for $20 because "That's what Medicare will pay".
02-21-2015 03:07 PM
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Mike1953 Offline

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Posts: 134
Joined: Aug 2014

Machine: Resmed S9 Escape Auto
Mask Type: Nasal pillows
Mask Make & Model: Resmed P10
Humidifier: Resmed Hi5
CPAP Pressure: 12
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: Kansas USA

Post: #7
RE: Supplies Scam ?
Medicare has a set scale of what they pay for every medical item you receive. For example, Medicare will only pay a set price for any Xpap machine no matter what it is. Same for X-Rays, shots, anything. If you do not like what Medicare is doing for you drop out of Medicare and pay for everything yourself, and just pray you have no medical problems the rest of your life.

For free Medicare assistance for your state check out this page. http://www.seniorsresourceguide.com/directories/National/SHIP/
or here http://www.medicareinteractive.org/
02-21-2015 03:15 PM
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me50 Offline

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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: #8
RE: Supplies Scam ?
when it comes to Medicare the supplier is not supposed to send the client any supplies without their previous approval for what supplies will be sent I do not believe the OP is complaining about Medicare itself but that there are supplies being sent that are not needed also there are Medicare Advantage plans that still go by Medicare guidelines but sometimes their coverage is better but you'll have to pay extra for that over and above what is paid for medicare.
(This post was last modified: 02-21-2015 09:30 PM by me50.)
02-21-2015 03:46 PM
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Sleeprider Online
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Advisory Members

Posts: 3,319
Joined: Dec 2014

Machine: Resmed Aircurve 10 Vauto
Mask Type: Nasal pillows
Mask Make & Model: Resmed Airfit P10
Humidifier: Resmed Climateline
CPAP Pressure: Auto Bilevel 18/9, PS 3
CPAP Software: ResScan SleepyHead EncoreBasic

Other Comments:

Sex: Male
Location: Where they make Respironics

Post: #9
RE: Supplies Scam ?
DVScott, just call the DME and tell them not to automatically send supplies without your prior authorization. If you need something, get it. Otherwise, you will end up with a stash of masks, hoses and humidifier chambers you will never use.

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02-21-2015 07:51 PM
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lab rat Offline

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Posts: 138
Joined: Nov 2014

Machine: Airsense 10 Autoset
Mask Type: Nasal pillows
Mask Make & Model: Resmed Airfit P10
Humidifier: Resmed Airsense 10 Autoset
CPAP Pressure: 8-16
CPAP Software: Not using software

Other Comments: Satisfied Resmed customer since March 1996

Sex: Male
Location: Australia

Post: #10
RE: Supplies Scam ?
No problem.

Sell them on ebay and state "Only ships to Australia" or something. That way you are not breaking any US reselling laws.

I live in Australia and I buy from this very method. I search "Resmed Airfit 10 mask" or "Resmed airfit 10 pillows" and lo and behold a mask costing a Resmed controlled price of $280 in Australia can be had for $99 plus postage from ebay sellers in the US.

These supplies come in plastic bags and not the Resmed retail boxes. Clearly you guys are offloading the stuff you don't need.

Here let me show you: (scroll down to the bottom of the listing where he says it's only for Australians)

http://www.ebay.com.au/itm/Resmed-Airfit...2a4c7ac316
(This post was last modified: 02-23-2015 07:56 AM by lab rat.)
02-23-2015 07:55 AM
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