Post Reply 
Switched from APAP to CPAP
Author Message
linn Offline

Preferred Members

Posts: 102
Joined: Sep 2015

Machine: CPAP (Auto)
Mask Type: Nasal mask
Mask Make & Model: Resmed AirSense 10 Autoset for Her
Humidifier: unsure
CPAP Pressure: 7.6
CPAP Software: Not using software

Other Comments: Hashimoto's Disease, Sleep Apnea, Goiter

Sex: Female
Location: Canada

Post: #21
RE: Switched from APAP to CPAP
Thanks for the info everyone. My had a bad sleep last night and my throat is swollen and I've lost my voice.

I think it is thyroid related....hoping to get into the Dr. today.
11-19-2015 08:08 AM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
Riven Offline

Preferred Members

Posts: 23
Joined: Oct 2014

Machine: ResMed AirSense 10 AutoSet
Mask Type: Nasal mask
Mask Make & Model: ResMed Mirage FX
Humidifier: ResMed
CPAP Pressure: 8
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: Ontario, Canada

Post: #22
RE: Switched from APAP to CPAP
@ cate1898

"***NOTE: Rules for CPAP doctor's prescriptions vary from country to country. And within Canada, the province of Ontario has very specific rules which doctors MUST follow which dictates whether or not they 'qualify' for an Auto CPAP machine."


Just a small clarification on your signature comment above. There are two issues here. One is what the physician writes on the prescription(s). The second is how the physician completes the ADP (Assisted Devices Program) form.

In my case I was given two prescriptions. One for a CPAP and a second prescription for an APAP. Since a recent sleep test stated that I would not qualify for an APAP, the physician noted that on the form. Therefore, I got my prescription for an APAP, but an ADP form that would only support a CPAP purchase.

On a completely unrelated Apnea issue, I see you are a snowbird. I trust you are fully aware of the new Cross Border Initiative and realize that both the US and Canada now know exactly how many days you spend in each country, are within your 182 day limit and will file a timely form 8044.
11-19-2015 08:50 AM
Find all posts by this user Post Reply Quote this message in a reply
ramblingasian Offline

Preferred Members

Posts: 56
Joined: Aug 2015

Machine: Resmed Aircurve10 VPAP Auto
Mask Type: Nasal mask
Mask Make & Model: F&P Eson
Humidifier: Integrated
CPAP Pressure: IPAP 16, EPAP 12
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Toronto, Ontario, CANADA

Post: #23
RE: Switched from APAP to CPAP
(11-18-2015 10:38 PM)Riven Wrote:  If you fail to qualify for Ontario ADP funding for an APAP device, yes its going to be a lot more expensive! Even if you have private insurance, they may not pay if ADP won't. Also, once a vendor in Ontario knows you are not going through the ADP program, they are no longer forced to sell at the ADP controlled price and won't hesitate to tack on another $500. Also, you will still need a prescription for an APAP from you physician even though they know you failed to meet the ADP requirements.

There are plenty of DME's in Ontario, including some of the chains that are willing to sell the machines at the same price as the ADP dictates even if you were to pay for it yourself.
11-19-2015 04:48 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
cate1898 Offline

Advisory Members

Posts: 784
Joined: Aug 2015

Machine: PR System One 560BT Auto
Mask Type: Nasal pillows
Mask Make & Model: P10's/backup-DreamWear
Humidifier: PR attached
CPAP Pressure: 8.5 - 13. A-Flex 3
CPAP Software: SleepyHead

Other Comments: Began CPAP Therapy Sept. 11, 2015. Hx Hypertension, Post Graves Disease, chronic migraines.

Sex: Female
Location: Southern Ontario//SW Florida

Post: #24
RE: Switched from APAP to CPAP
(11-19-2015 08:50 AM)Riven Wrote:  @ cate1898
.....
On a completely unrelated Apnea issue, I see you are a snowbird. I trust you are fully aware of the new Cross Border Initiative and realize that both the US and Canada now know exactly how many days you spend in each country, are within your 182 day limit and will file a timely form 8044.

Yes we are careful about how many days we are in the US and keep track of it. But what is Form 8044?

APNEABOARD - A great place to be if you're a hosehead!! Rolleyes

-------------------------------------------------------------------------------------------------
EVERY ACCOMPLISHMENT BEGINS WITH THE DECISION TO TRY!
11-19-2015 05:02 PM
Find all posts by this user Post Reply Quote this message in a reply
Riven Offline

Preferred Members

Posts: 23
Joined: Oct 2014

Machine: ResMed AirSense 10 AutoSet
Mask Type: Nasal mask
Mask Make & Model: ResMed Mirage FX
Humidifier: ResMed
CPAP Pressure: 8
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: Ontario, Canada

Post: #25
RE: Switched from APAP to CPAP
(11-19-2015 05:02 PM)cate1898 Wrote:  Yes we are careful about how many days we are in the US and keep track of it. But what is Form 8044?

This IRS form allows you to claim an exception if you meet the Substantial Presence Test. Since this is not a sleep disorder related issue, I will send you a private message with more details.
(This post was last modified: 11-19-2015 10:59 PM by Riven.)
11-19-2015 10:43 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
Riven Offline

Preferred Members

Posts: 23
Joined: Oct 2014

Machine: ResMed AirSense 10 AutoSet
Mask Type: Nasal mask
Mask Make & Model: ResMed Mirage FX
Humidifier: ResMed
CPAP Pressure: 8
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: Ontario, Canada

Post: #26
RE: Switched from APAP to CPAP
(11-19-2015 04:48 PM)ramblingasian Wrote:  There are plenty of DME's in Ontario, including some of the chains that are willing to sell the machines at the same price as the ADP dictates even if you were to pay for it yourself.

I agree, but I had to contact three DME's before I found one that would sell at the ADP price. The first two were well known and they were between $400 and $600 more for an APAP unit.
11-19-2015 10:59 PM
Find all posts by this user Post Reply Quote this message in a reply
nuggie Offline

Members

Posts: 4
Joined: Jan 2016

Machine: ResMed AirSense 10
Mask Type: Nasal mask
Mask Make & Model: ResMed AirFit N10 / AirFit P10 (alternate)
Humidifier: AirSense built in + ClimateLine heated hose
CPAP Pressure: 8
CPAP Software: Not using software

Other Comments: Started therapy February 2016

Sex: Male
Location: Toronto, Canada

Post: #27
RE: Switched from APAP to CPAP
Newbie here, looking to get a CPAP or APAP machine in the very near future and learning a lot from this board!

I'm unclear on what the actual issue is (from the doc's perspective, as well as ADP's perspective) with getting an APAP machine which can run as a CPAP. From checking out a few GTA vendors' websites, it looks like the difference between say a ResMed A10 Auto (APAP) vs an Elite (CPAP) is less than $100. In some cases less than $40!

So is cost really the main issue, or is there something else?

Or is it just that the ADP regulations were written at a time when the cost difference between CPAP and APAP was substantially more, and the government (rightfully, at that time) didn't want to shell out a ton more for a higher-end product that wasn't needed?

Thanks!
01-29-2016 06:57 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
ramblingasian Offline

Preferred Members

Posts: 56
Joined: Aug 2015

Machine: Resmed Aircurve10 VPAP Auto
Mask Type: Nasal mask
Mask Make & Model: F&P Eson
Humidifier: Integrated
CPAP Pressure: IPAP 16, EPAP 12
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Toronto, Ontario, CANADA

Post: #28
RE: Switched from APAP to CPAP
(01-29-2016 06:57 PM)nuggie Wrote:  Newbie here, looking to get a CPAP or APAP machine in the very near future and learning a lot from this board!

I'm unclear on what the actual issue is (from the doc's perspective, as well as ADP's perspective) with getting an APAP machine which can run as a CPAP. From checking out a few GTA vendors' websites, it looks like the difference between say a ResMed A10 Auto (APAP) vs an Elite (CPAP) is less than $100. In some cases less than $40!

So is cost really the main issue, or is there something else?

Or is it just that the ADP regulations were written at a time when the cost difference between CPAP and APAP was substantially more, and the government (rightfully, at that time) didn't want to shell out a ton more for a higher-end product that wasn't needed?

Thanks!

It's cost. Nothing more and nothing less. The cost on screen may be X amount, but everyone knows that a CPAP machine costs significantly less than an APAP. Vendors like that as well, as they get more profit with a CPAP machine than with an APAP, as they pay more for an APAP from the suppliers.

As an example, my VPAP was I believe only $50 more than an CPAP out of pocket. However, that VPAP costs way more than the cost difference between both machines.

I've said it before on this forum and on others - although I was eventually given a VPAP due to my diagnosis, if enough people push for ADP to provide APAP machines, they could change the rules. I'm not sure the vendors will like it though.
01-29-2016 07:06 PM
Find all posts by this user Post Reply Quote this message in a reply
cate1898 Offline

Advisory Members

Posts: 784
Joined: Aug 2015

Machine: PR System One 560BT Auto
Mask Type: Nasal pillows
Mask Make & Model: P10's/backup-DreamWear
Humidifier: PR attached
CPAP Pressure: 8.5 - 13. A-Flex 3
CPAP Software: SleepyHead

Other Comments: Began CPAP Therapy Sept. 11, 2015. Hx Hypertension, Post Graves Disease, chronic migraines.

Sex: Female
Location: Southern Ontario//SW Florida

Post: #29
RE: Switched from APAP to CPAP
(01-29-2016 07:06 PM)ramblingasian Wrote:  I've said it before on this forum and on others - although I was eventually given a VPAP due to my diagnosis, if enough people push for ADP to provide APAP machines, they could change the rules. I'm not sure the vendors will like it though.

Great idea, but exactly how do you propose one would do this?

APNEABOARD - A great place to be if you're a hosehead!! Rolleyes

-------------------------------------------------------------------------------------------------
EVERY ACCOMPLISHMENT BEGINS WITH THE DECISION TO TRY!
01-31-2016 07:47 AM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
GPSMapNut Offline

Advisory Members

Posts: 175
Joined: Nov 2015

Machine: DreamStation Auto
Mask Type: Nasal pillows
Mask Make & Model: Resmed AirFit P10 and PR DreamWear
Humidifier: DreamStation + heated hose
CPAP Pressure: 9-16
CPAP Software: SleepyHead EncorePro Other Software

Other Comments: Used Respironics REMstar Pro with C-Flex for 11 years and ResMed S9 Elite loaner for 3 months

Sex: Male
Location: Mississauga, ON, Canada

Post: #30
RE: Switched from APAP to CPAP
The only way to push ADP may be increasing the numbers of APAPs vs CPAPs prescribed.
In majority cases, a CPAP with high enough pressure that brings AHI down to acceptable level is prescribed and ADP covers 75% and doesn't have to pay anything for the next 5 years.
APAPs are prescribed mostly as a result of an additional, APAP oriented sleep study ordered by the doctor. These studies are ordered (I think) in most cases at patient request. If doctors were more eager to order an APAP oriented study, there would be a lot of cases where ADP would be funding an APAP machine before 5 years is up which would mean the cost to them would go up. Possibly than, somebody at ADP would see the light and figure that it may be cost efficient to relax the rules regarding APAP qualification or, at the minimum, they would would fund the CPAP portion of the machine and allow users to pay for the difference and get an APAP.

Everything I post on this board is nothing more than an opinion expressed by an apneak. Normally, it's based on facts and experience but sometimes, I may get things wrong or not have all the facts.
I reserve the right to change my mind. Why? Because tomorrow I may know better.
01-31-2016 12:30 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
  Medicare Advantage Coverage for APAP Evie 4 244 12-05-2016 09:49 PM
Last Post: Evie
  cpap and apap not effictive Ezil71 109 3,144 11-05-2016 11:19 AM
Last Post: sonicboom
  Unable to clear throat while on APAP NorthernGuy 5 313 10-17-2016 08:18 PM
Last Post: Sleeprider
  Apap I_will_never_sleep_again 2 293 10-14-2016 02:58 PM
Last Post: trish6hundred
  Travel to Australia with Apap. Newbee2016 10 547 09-24-2016 12:06 PM
Last Post: SharonN
  Looking for complete list of AUTO apap's compatible with Sleepyhead Lanco 9 479 09-21-2016 08:08 PM
Last Post: Sleepster
  Had to STOP APAP Roy289 13 1,057 09-18-2016 08:52 AM
Last Post: Roy289

Forum Jump:

Who's Online (Complete List)