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Wife did a sleep study abt 2 years ago with an AHI of 6.9. Would insurance cover a
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Laser Offline

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Joined: Apr 2013

Machine: ResMed S9 Autoset
Mask Type: Nasal mask
Mask Make & Model: Respironics Wisp
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CPAP Pressure: 9
CPAP Software: SleepyHead

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Sex: Male
Location: New Mexico

Post: #1
Wife did a sleep study abt 2 years ago with an AHI of 6.9. Would insurance cover a
CPAP for that low an AHI. Her symptoms are very consistent with OSA. She is always exhausted even after getting 8-9 hrs of sleep. I'm guessing that she would need another sleep study to confirm diagnosis and get a machine. She has also put on some weight since her last sleep study so I would guess that would make the AHI go up. Trying to convince her to pull the trigger to see if it helps.
04-29-2013 08:41 PM
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PaulaO2 Offline
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Machine: S9 Autoset
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
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CPAP Pressure: 14-20
CPAP Software: SleepyHead

Other Comments: Ehlers-Danlos Syndrome, Hypermobility Type; chronic sarcasm

Sex: Undisclosed
Location: western NC, USA

Post: #2
RE: Wife did a sleep study abt 2 years ago with an AHI of 6.9. Would insurance cover a
She may have better luck with an oral appliance with an AHI of that "low". Problem with those is there's no way to track how it is working other than she feels better.

If the doctor recommends a CPAP, then the insurance should cover it.

PaulaO2
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Breathe deeply and count to zen.

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.
04-29-2013 10:48 PM
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Tez62 Offline

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Machine: Resmed S9 Autoset
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CPAP Software: SleepyHead

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Sex: Male
Location: Melbourne, Australia

Post: #3
RE: Wife did a sleep study abt 2 years ago with an AHI of 6.9. Would insurance cover a
Laser, can't help you with the insurance as I'm from Australia but 6.7 is mild sleep apnea, I would still think she needs a CPAP, I hope insurance covers it but if not you may need to think about paying for it. If you have looked up what sleep apnea can do, it is well worth it.
04-30-2013 04:28 AM
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PaulaO2 Offline
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Posts: 8,068
Joined: Feb 2012

Machine: S9 Autoset
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: H5i
CPAP Pressure: 14-20
CPAP Software: SleepyHead

Other Comments: Ehlers-Danlos Syndrome, Hypermobility Type; chronic sarcasm

Sex: Undisclosed
Location: western NC, USA

Post: #4
RE: Wife did a sleep study abt 2 years ago with an AHI of 6.9. Would insurance cover a
You can try Craigslist or Supplier #2.

Whatever you get however you get it, you want a data capable machine. Member Archangel has this article:
http://www.apneaboard.com/wiki/index.php...ne_Choices

PaulaO2
Apnea Board Moderator
www.ApneaBoard.com


Breathe deeply and count to zen.

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.
04-30-2013 10:24 AM
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cbramsey Offline

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Joined: Mar 2012

Machine: ResMed S9 Autoset
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Mask Make & Model: ResMed Mirage FX
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CPAP Software: ResScan

Other Comments: Supreme Overlord of Web Darkness

Sex: Male
Location: NC, USA

Post: #5
RE: Wife did a sleep study abt 2 years ago with an AHI of 6.9. Would insurance cover a
Depending on the insurance. My wife had a sleep study and was surprised with an AHI of 6. She had Medicare and they covered XPAP.

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.
04-30-2013 03:53 PM
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archangle Offline
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Machine: ResMed S9 AutoSet
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Mask Make & Model: ResMed Swift FX
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CPAP Pressure: 16-20
CPAP Software: ResScan SleepyHead EncoreBasic

Other Comments: Happy PAPper

Sex: Undisclosed
Location: USA

Post: #6
RE: Wife did a sleep study abt 2 years ago with an AHI of 6.9. Would insurance cover a
You'll just have to ask. They might require a new sleep study. And they might not pay for a new study.

Did she get recommended CPAP, refuse, or try and fail last time?

Get the free SleepyHead software here.
Useful links.
Click here for information on the main alternative to CPAP.
If it's midnight and a DME tells you it's dark outside, go and check it yourself.
05-06-2013 02:29 AM
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Tommy012175 Offline

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Joined: Apr 2013

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CPAP Software: Not using software

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Sex: Male
Location: OBX, NC

Post: #7
RE: Wife did a sleep study abt 2 years ago with an AHI of 6.9. Would insurance cover a
All depends on insurance. I know i had to get a referal from my primary doctor and his medical practice have their own sleep facility. So lucky i only had to pay copay for sleep study..

My insurance covers 70% of the cpap machine and accesories.

First 3 months its rented then the 4th month we get billed for the cost.
05-06-2013 01:13 PM
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Laser Offline

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Joined: Apr 2013

Machine: ResMed S9 Autoset
Mask Type: Nasal mask
Mask Make & Model: Respironics Wisp
Humidifier: H5i
CPAP Pressure: 9
CPAP Software: SleepyHead

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Sex: Male
Location: New Mexico

Post: #8
RE: Wife did a sleep study abt 2 years ago with an AHI of 6.9. Would insurance cover a
Just read the report and the doc did recommend an APAP with a pressure range. She didn't pursue it since the sleep study showed such a mild case. Now whenever I try to push her to get a new sleep study, she always pushes back that she doesn't need one. She already hit her out-of-pocket max so it's a perfect time to do it (in my opinion).
05-06-2013 01:25 PM
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