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What is Common Practice
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FrankNichols Offline

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Posts: 714
Joined: Mar 2016

Machine: AirSense 10 Autoset
Mask Type: Full face mask
Mask Make & Model: Resmed F10 and/or P10
Humidifier: Builtin
CPAP Pressure: 17-19
CPAP Software: ResScan SleepyHead Other Software

Other Comments: I've figured out how to get my AHI down to 5, I quit sleeping!

Sex: Male
Location: Live Oak, Florida

Post: #1
What is Common Practice
I have Humana Medicare and they require that I rent the CPAP machine for 13 months - it is a rent-to-own process.

My question is, during that 13 months is it "normal" practice to REQUIRE me to replace the various parts (hose, humidifier, F10-Cushion) etc on the ResMed recommended schedule? Or is it up to me when to replace them?

Also, do most DMEs require you to purchase the parts through them?

And last (for now Smile ) does anyone know if medicare will reimburse me for those parts during the rental period if I purchase them online, or do I have to go through the DME I am renting the CPAP machine through?

I am trying to find a DME other than Apria in my area, and I am interested in what I can expect from a reputable company.
03-21-2016 02:00 PM
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FrankNichols Offline

Advisory Members

Posts: 714
Joined: Mar 2016

Machine: AirSense 10 Autoset
Mask Type: Full face mask
Mask Make & Model: Resmed F10 and/or P10
Humidifier: Builtin
CPAP Pressure: 17-19
CPAP Software: ResScan SleepyHead Other Software

Other Comments: I've figured out how to get my AHI down to 5, I quit sleeping!

Sex: Male
Location: Live Oak, Florida

Post: #2
RE: What is Common Practice
Well, this whole question has just been made unnecessary. I called a DME Supplier locally and was told they did not accept Humana, since I have Humana Medicare PPo my only choice of DME Suppliers is - ready for this - Aprea. They have the nationwide contract for Humana and are the only in network supplier. So, I have no choice if I want to use my insurance I will be using Aprea - that doesn't make me happy.

sigh...
03-21-2016 03:23 PM
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PaytonA Offline
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Posts: 3,005
Joined: Dec 2013

Machine: ResMed S9 VPAP Auto
Mask Type: Full face mask
Mask Make & Model: Resmed Mirage Quattro
Humidifier: H5i(distilled-top up)
CPAP Pressure: VAuto MinE14.0 MaxI 20.6 PS4.0
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: Orange County,California

Post: #3
RE: What is Common Practice
Apria can work pretty well if you use them properly. First, do not give them any credit card numbers or bank account numbers to keep on file. Second, do not expect any help from their Respiratory Therapists and if they do help you do an internal check on what they say to see if it really makes any sense. Apria is good at getting supplies for you as needed and allowed. They do often screw up orders but if you are in no rush for the hardware it is no big deal and they will fix it.

Best Regards,

PaytonA
(This post was last modified: 03-21-2016 03:30 PM by PaytonA.)
03-21-2016 03:30 PM
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stanleydean Offline

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Posts: 85
Joined: Aug 2014

Machine: Resmart CPAP
Mask Type: Full face mask
Mask Make & Model: Drive Medical Comfort Fit Deluxe
Humidifier: Resmart
CPAP Pressure: 10.5 cm H2O
CPAP Software: Not using software

Other Comments: No downloadable software available for Resmart. Partial data available via icodeconnect.com

Sex: Male
Location: Central Florida

Post: #4
RE: What is Common Practice
Hi Frank,

You are not alone, a few years ago, long before I discovered this excellent forum I experienced similar difficulties with the same DME. At the time I had been using a great locally owned, small DME but they were bought by Apria. Soon thereafter, I started having problems getting supplies. At the time I was on Medicare with BCBS supplemental via a plan provided by my prior employer for retirees. Through a series of changes I am now with Florida Blue (BCBS Medicare Replacement) and have a regional DME that leaves something to be desired but I can live with it.

I would have some flexibility to change DMEs but for now have opted to stay with "the devil that I know" instead of changing. Since they are all "for profit" we seem to be at their mercy. I think it is very difficult for a small, locally owned DME to survive these days. If you have other medical needs that are being adequately met by your present insurance you may just have to make the best of the DME issues.

Good luck,

Stan
03-21-2016 04:02 PM
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FrankNichols Offline

Advisory Members

Posts: 714
Joined: Mar 2016

Machine: AirSense 10 Autoset
Mask Type: Full face mask
Mask Make & Model: Resmed F10 and/or P10
Humidifier: Builtin
CPAP Pressure: 17-19
CPAP Software: ResScan SleepyHead Other Software

Other Comments: I've figured out how to get my AHI down to 5, I quit sleeping!

Sex: Male
Location: Live Oak, Florida

Post: #5
RE: What is Common Practice
I am very happy with my experience so far with Humana, nothing to complain about. So far. I just turned 66, so I have only been with them a year (via Medicare).

PaytonA, how do I not give them my credit card info? I assume that means I go into their store to pick up supplies? That would be fine, I don't mind that as opposed to having them drop shipped to me. But, what do I say when they say (I assume they will) that they have to have my CC number on file for reason xyz. Since they are the ONLY DME I can use my insurance with, I don't have a lot of leverage to just leave...
03-21-2016 05:07 PM
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PoolQ Offline

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Posts: 986
Joined: Jul 2015

Machine: AirCurve 10 VAUTO
Mask Type: Full face mask
Mask Make & Model: Amara View
Humidifier: Integrated
CPAP Pressure: 6.2, 15, PS4.0
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Sillicon Valley

Post: #6
RE: What is Common Practice
I have my supplies delivered to the local office and direct to me. When they are in I drive 10 minutes and pick them, paying cash. For me 3 months worth of masks and filters has run $36 every three months.
03-21-2016 05:14 PM
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FrankNichols Offline

Advisory Members

Posts: 714
Joined: Mar 2016

Machine: AirSense 10 Autoset
Mask Type: Full face mask
Mask Make & Model: Resmed F10 and/or P10
Humidifier: Builtin
CPAP Pressure: 17-19
CPAP Software: ResScan SleepyHead Other Software

Other Comments: I've figured out how to get my AHI down to 5, I quit sleeping!

Sex: Male
Location: Live Oak, Florida

Post: #7
RE: What is Common Practice
(03-21-2016 05:14 PM)PoolQ Wrote:  I have my supplies delivered to the local office and direct to me. When they are in I drive 10 minutes and pick them, paying cash. For me 3 months worth of masks and filters has run $36 every three months.

That is exactly what I wanted to hear. Thank you.

Since I am renting the CPAP machine, I assume I am renting from them, I also assume I will need to setup a payment method for that - sigh. I hate not being able to trust someone I have to deal with. I wonder if I could just pay the 13 monthly rental payments all at once up front also.
03-21-2016 05:21 PM
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justMongo Offline

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Posts: 3,841
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: #8
RE: What is Common Practice
"I don't have a credit card; but, I can send you a US Postal Money Order."

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.
03-21-2016 05:37 PM
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FrankNichols Offline

Advisory Members

Posts: 714
Joined: Mar 2016

Machine: AirSense 10 Autoset
Mask Type: Full face mask
Mask Make & Model: Resmed F10 and/or P10
Humidifier: Builtin
CPAP Pressure: 17-19
CPAP Software: ResScan SleepyHead Other Software

Other Comments: I've figured out how to get my AHI down to 5, I quit sleeping!

Sex: Male
Location: Live Oak, Florida

Post: #9
RE: What is Common Practice
(03-21-2016 05:37 PM)justMongo Wrote:  "I don't have a credit card; but, I can send you a US Postal Money Order."

Love it - lol... great idea.
03-21-2016 06:11 PM
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GrammaBear Offline

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Posts: 381
Joined: May 2012

Machine: ResMed S9 AutoSet
Mask Type: Nasal pillows
Mask Make & Model: Air Fit P10
Humidifier: ResMed H5i heated humidifier
CPAP Pressure: 12.2 - 16.2
CPAP Software: SleepyHead

Other Comments: Type 1 diabetes - using Tandem T-slim insulin pump, Dexcom G4 CGM

Sex: Female
Location: northern Illinois

Post: #10
RE: What is Common Practice
(03-21-2016 05:37 PM)justMongo Wrote:  "I don't have a credit card; but, I can send you a US Postal Money Order."

Lol......enjoy reading your response.
03-21-2016 06:25 PM
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