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out of the emergency room, no insurance. what are my options?
#1
out of the emergency room, no insurance. what are my options?
Hello, this has been an emotional few days, so bare with me. I am an 28-year old male, obese and dealing with apnea issues. I've had chronic nasal blockage (breathing though one alternating nostril while the other is heavily congested) for several years now, which has caused me to snore pretty loudly. People who have lived with me have noticed and were constantly worried about me, and while I did previously check with a doctor about potential allergies or sinus issues, things didn't really progress from there.

My sleeping issues have felt pretty mild up until very recently, where I was noticeably getting less and less sleep overall. It came to the point where, very recently, I couldn't breathe or sleep at all. I was self-admitted to the emergency room of my local hospital and told my story. The general conclusion is that I likely have OSA caused by my large tongue falling back into the airways (on top of  my previous nose issues). I've been told that fat affects the general area of where OSA happens and that weight loss will help fix up things, though I'm still concerned about my nasal blockage (mostly because I'm unsure if weight loss will help in that regard). I was prescribed an over-the-counter nasal steroid and was referred to an ENT and sleep specialist.

Sounds hopeful at least, but here's where things get complicated. I have no insurance (was removed from my parents' insurance a while back & was recently laid off from my job), and I live in a state where I'm unable to qualify for medicaid or medicare. Even worse, the marketplace options that are available are well beyond what I or my family are willing to pay, due to our collectively low income. This all feels overwhelming and scary, but I'm not ready to give up just yet. Right now, I'm focusing on diet & exercise, but is there anything else I could do?
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#2
RE: out of the emergency room, no insurance. what are my options?
An inexpensive option to improve your positional apnea is to use a soft cervical collar. A great deal of apnea is caused by "chin-tucking" and the soft cervical collar is a proven solution, on or off CPAP. If you want proof it may work for you, just sit in a comfortable chair and allow yourself to fully relax. As you become more relaxed, let your chin drop towards your chest, and you will probably feel your airway is progressively restricted, or obstructed as you fully relax. This position becomes common at night, whether you are on your back or your side. If you can keep your chin elevated, the very heavy clusters of apnea can be prevented. http://www.apneaboard.com/wiki/index.php...cal_Collar

There are organizations that will provide a free or low-cost CPAP to qualified individuals. These are generally donated or surplus devices from individuals, clinics and hospitals that are cleaned tested and distributed to those that need them. Facebook Marketplace, Craigslist and other person to person market places also are good sources for reasonably priced machines. Since the Philips recall, machines have been in increased demand and prices have unfortunately doubled in some cases. Hopefully we can return to something more normal soon, but right now prices are high as you observed.
Sleeprider
Apnea Board Moderator
www.ApneaBoard.com

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#3
RE: out of the emergency room, no insurance. what are my options?
To add to Sleeprider's comments, there was (is) an entity posing as a CPAP provider for users with financial hardships.  It will request that you make a small donation ($100 USD) before being considered.  Don't Donate!  To date, I have not found one person that ever received a CPAP from them.  Of course, the name escapes me at the moment.  Just perform a search using the term, "cpap for the financially disadvantaged".

Another consideration is to contact the many suppliers on our Supplier's list.  Some may offer financing.

- Red
Crimson Nape
Apnea Board Moderator
www.ApneaBoard.com
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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.
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#4
RE: out of the emergency room, no insurance. what are my options?
Well there are cheap CPAP brands like bmc, resvent they are good CPAP machine you may consider them as your options
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#5
RE: out of the emergency room, no insurance. what are my options?
If OP is a veteran, the VA will help you.
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