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possible DME problem ??
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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: #21
RE: possible DME problem ??
(07-18-2015 08:01 PM)Mosquitobait Wrote:  
(07-18-2015 05:50 PM)GrammaBear Wrote:  All of my orders up to this time have been for every 3 months. And No, they did not send me a mask, just the 5 pillows. I don't look forward to trying to prove to them over the phone that there are just the 5 pillows.

Well, there's your answer then. Call them and tell them that they owe you a pillow. You shouldn't have to prove anything. It's not your fault that the warehouse messed up your order. It happens. If it was a pattern, that would be a different story.

I just got called Friday for my first re-supply - just pillows and filters. It will be interesting to see what I actually get. I didn't think to request Resmed specific - I'll have to remember that next time. Generic fine filters never come up to scratch compared to the ones provided by a machine manufacturer. They do make a difference unless you already use an air cleaner.

I didn't know that Medicare would pay for pillows AND cushions! That's good. My next mask will be a full mask (to use when nose is sore) and then I can get replacement parts for both. Do you know if you are required to buy the mask from the Medicare DME or can you buy your own mask somewhere else and just have the Medicare DME provide replacement cushions?

Cpap masks are sort of expensive, in my opinion, and Medicare pays for one and for the pillows that go with it. I'm not sure how often I am allowed to get a new mask, it seems to depend on which person I am talking to on the phone when I reorder. I believe other DMEs are a bit more organized than the one I happen to use.
07-19-2015 07:53 AM
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me50 Offline

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Posts: 2,559
Joined: Aug 2013

Machine: resmed S9 VPAP Auto
Mask Type: Nasal mask
Mask Make & Model: Wisp and Silicone Head gear
Humidifier: resmed H5i
CPAP Pressure: 18/8
CPAP Software: SleepyHead

Other Comments:

Sex: Undisclosed
Location: USA

Post: #22
RE: possible DME problem ??
(07-19-2015 07:50 AM)AlanE Wrote:  Aerocare. I just have the one mask.

my bad for not reading your profile to see what mask you are using.
07-19-2015 08:49 AM
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me50 Offline

Advisory Members

Posts: 2,559
Joined: Aug 2013

Machine: resmed S9 VPAP Auto
Mask Type: Nasal mask
Mask Make & Model: Wisp and Silicone Head gear
Humidifier: resmed H5i
CPAP Pressure: 18/8
CPAP Software: SleepyHead

Other Comments:

Sex: Undisclosed
Location: USA

Post: #23
RE: possible DME problem ??
I change my cushions and filters 2 times per month to keep infections, etc. down. I see the importance of that in my situation after having an issue recently that could have been more life threatening that it was.
07-19-2015 08:51 AM
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me50 Offline

Advisory Members

Posts: 2,559
Joined: Aug 2013

Machine: resmed S9 VPAP Auto
Mask Type: Nasal mask
Mask Make & Model: Wisp and Silicone Head gear
Humidifier: resmed H5i
CPAP Pressure: 18/8
CPAP Software: SleepyHead

Other Comments:

Sex: Undisclosed
Location: USA

Post: #24
RE: possible DME problem ??
http://oig.hhs.gov/oei/reports/oei-07-12-00250.pdf
07-19-2015 08:57 AM
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GrammaBear Offline

Advisory Members

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: #25
RE: possible DME problem ??
(07-19-2015 08:57 AM)me50 Wrote:  http://oig.hhs.gov/oei/reports/oei-07-12-00250.pdf

Thank You for the link. That is more information than I ever received from the DME.
07-19-2015 09:17 AM
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AlanE Offline

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Posts: 1,496
Joined: Mar 2015

Machine: ResMed AirSense 10 Autoset
Mask Type: Nasal pillows
Mask Make & Model: P10 & Mirage Liberty backup
Humidifier: Built-in
CPAP Pressure: 10-14
CPAP Software: ResScan SleepyHead

Other Comments: ʕ•ᴥ•ʔ So Long, and Thanks for All the Fish

Sex: Male
Location: Southwest Florida

Post: #26
RE: possible DME problem ??
Yes, thanks for the link. That's pretty close to the schedule the DME gave me. Personally I feel that if it really needs to be changed every two weeks they need to give you like a 90 day supply instead of having to order every single month.



Using FlashAir W-03 SD card in machine. Access through wifi with FlashPAP or Sleep Master utilities.

I wanted to learn Binary so I enrolled in Binary 101. I seemed to have missed the first four courses. Big Grinnie
07-19-2015 10:03 AM
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me50 Offline

Advisory Members

Posts: 2,559
Joined: Aug 2013

Machine: resmed S9 VPAP Auto
Mask Type: Nasal mask
Mask Make & Model: Wisp and Silicone Head gear
Humidifier: resmed H5i
CPAP Pressure: 18/8
CPAP Software: SleepyHead

Other Comments:

Sex: Undisclosed
Location: USA

Post: #27
RE: possible DME problem ??
(07-19-2015 10:03 AM)AlanE Wrote:  Yes, thanks for the link. That's pretty close to the schedule the DME gave me. Personally I feel that if it really needs to be changed every two weeks they need to give you like a 90 day supply instead of having to order every single month.

I could get a 90 day supply and I may switch to that schedule after September. I personally need to replace cushions every 2 weeks because of allergies and other issues that have caused me problems. It just keeps potential problems at bay by replacing them that often. I think that those with a low immune system and other health issues that some members have, that it is beneficial to change them that often. I think that is why that schedule is as it is because they take into account potential problems and it is not easy to have separate schedules for every situation so they have the schedule for the worst possible situation and leave it up to the individual to decide when they want supplies. If people don't need/want them at this stage, then they won't order them. The option is there if there are changes in their health that they benefit from changing cushions every 2 weeks.
(This post was last modified: 07-19-2015 05:27 PM by me50.)
07-19-2015 10:56 AM
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me50 Offline

Advisory Members

Posts: 2,559
Joined: Aug 2013

Machine: resmed S9 VPAP Auto
Mask Type: Nasal mask
Mask Make & Model: Wisp and Silicone Head gear
Humidifier: resmed H5i
CPAP Pressure: 18/8
CPAP Software: SleepyHead

Other Comments:

Sex: Undisclosed
Location: USA

Post: #28
RE: possible DME problem ??
This is a better link I think. It has only what we need to know and just a little extra.


http://www.resmed.com/content/dam/resmed...sories.pdf
07-19-2015 05:26 PM
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