Hello Guest, Welcome to Apnea Board !
As a guest, you are limited to certain areas of the board and there are some features you can't use.
To post a message, you must create a free account using a valid email address.

or Create an Account


New Posts   Today's Posts

new trend in insurance payments on machines
#1
Hi everyone. I am on Medicare with Supplemental policy- this year Anthem, next year Humana and I bought into my partners work health insurance. But the thing is both Humana and Anthem (don't know about my policy through my partner's insurance) are not paying the machines off in 13 months. Medicare only pays for 13 months and then I don't know what happens- my medicare supplements state they will continue to pay as long as you posess the machine. Now my DME doesn't seem to know this so maybe...

Another weird thing. I have not gotten a bill from my DME since April. We have talked at length about this "computer glitch" and they assured me they would start billing in November. I guess that bill will come this month. Truthfully I have worked so hard to get them to start billing me (fearing they would ask for all the unbilled months would be due at one time) that if I don't get a bill I will assume I've fallen off the grid and leave it alone. (Gosh, someone picked that machine months ago and neglected to give me paperwork).

Also has anyone with Medicare found that you cannot get your machine from one DME and your supplies from another? I'll call and try to find out, but thought someone might know.
Mary
Post Reply Post Reply
#2
(12-05-2012, 10:12 AM)zimlich Wrote: Also has anyone with Medicare found that you cannot get your machine from one DME and your supplies from another? I'll call and try to find out, but thought someone might know.

I got my machine and my first two masks from one local DME, then returned it, bought a used machine on Craigslist, then bought a new mask from another local DME. Medicare had no problem with any of it. Except for the machine on Craigslist, all I ever paid was the co-pay.
Post Reply Post Reply
#3
I called Medicare and they said I could buy from any DME that took Medicare.
Thanks for your response.
Mary
Post Reply Post Reply


#4
After the 13 mos, the machine is yours. There used to be a continuing rental policy to cover any problems with the machines but Medicare actually got smart and realized the error. My S7 fell into that policy and when I got my S9, they (the DME) actually took the S7 from me because it technically wasn't mine after 7 yrs.
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.




Post Reply Post Reply


Possibly Related Threads...
Thread Author Replies Views Last Post
  DME and accepting machines. jokinawa 8 220 02-13-2017, 09:19 AM
Last Post: jerrydaw
  Newbie so confused between 2 machines Matzaball2016 23 1,459 12-24-2016, 09:57 PM
Last Post: Adoniscmj
  Insurance Compliance Problem fotomatt1 9 506 12-21-2016, 01:49 AM
Last Post: DeepBreathing
  Switching Machines owlgirl63 4 364 12-04-2016, 05:11 AM
Last Post: kwhenrykerr
  Insurance won't pay for power cord? CharlotteYork 13 1,143 11-17-2016, 11:58 PM
Last Post: tzk321
Sad Help Finding A Machine, No Insurance SJGino 23 1,165 11-17-2016, 09:03 PM
Last Post: SJGino
Angry INSURANCE RECORDS: DO YOU REALLY WANT TO KNOW? srlevine1 5 738 11-15-2016, 06:31 PM
Last Post: Galactus

Forum Jump:

New Posts   Today's Posts




About Apnea Board

Apnea Board is an educational web site designed to empower Sleep Apnea patients.

For any more information, please use our contact form.