I live in B.C. trust me when I say no script needed, and I live near the US border, so you know I am not to rural a area, 3 large cities within 2 hour drive, Vancouver is 4 hours. 2 sleep places in our small town, well one that is a sleep place and one that offers the same thing but sells med equipment as well. no sleep clinic where you send the night. that is a city trip
there is a testing place called IRS, they give you a recorder machine that looks at hart rate and o2 for 1 night, a doc looks at the data captured and charges IRS $50 for his opinion. IRS then contacts you with a combined quick verbal report of both IRS and doc , basically saying you need a machine or not, if you need one they set you up with a plain cpap that has a built in cell phone interface that IRS can call and adjust settings. they call you and ask how the night went and if they think it needed adjusting they phone machine and make some changes. you have a week, 2 max if they think it needed to try the machine. they have other machines setup the same way if you complain about breathing against the pressure, you take in the simple machine and get a higher end one.
then comes the sales pitch to get you to buy one of their machines, but the med supply store also sells them and they did not ask if I had any script, walk in and buy, there is some sort of trained guy there as well for same type of testing if your wanting but I could have just bought the machine over the counter with out any testing at all.
back east many things are paid for/ covered, some dental, child care, cpap machines and probably a host of other things, out west you pay pay pay, most of the time we are even paying for your stuff back east as we have been for the most part a HAVE province and had to send money to you guys back east to pay for you guys extra perks, here there is no free ride, I asked if anything would be covered my gov med insurance, nothing, zip, nota. so I do not know who you talked to, but I having ask the guys that would sell a boat load more machines if insurance did cover it, I am sure they are in the know, and yes I ask every one involved with cpap I came in contact with. the sleep study if ordered by a doc is covered, but unless your totally disabled you pay, or have some employer insurance or other extra insurance plan that covers cpap, the B.C. insurance plan for sure does not cover even a cent of cost for machine or supplies. trust me I have asked every one in the know
BTW the one day test that IRS does is free, anyone can walk in and they will run the test, I know, as I had them run a test on my wife, no doc involved, just asked if I could get my wife tested to see if she had apnea at all, she snores a tad, and does have times where she struggles to breath, then gasps. I bought a testing recorder machine for o2, hart and breathing, yes it tests more things then the IRS recorder machine does. will start her testing tonight.
if you are coming out west, you will see how the poorer side lives, health care has long wait lines, poor service, doc with attitude, BTW the specialist are the worst, I have waited over 1.5 years for a doc appointment, had to finely get my doc to push and get me in faster, not sure how long that wait would have been with out my doc pushing, MRIs, 8 month wait, and I was a rush job, not emergency, or life threatening, but still a specialist rush as he needed it done ASAP. you may be in for a shock by coming out west.
(03-19-2014 12:25 PM)SnuffySleeper Wrote:
(03-18-2014 11:27 PM)space45 Wrote: in Canada we can just buy a machine, they offer a testing service to see if you could be helped by buying one.
This is not true, as the rules for pap machines and acquiring them differ from province to province. Saying one rule is all of Canada is wrong.
In Ontario you need a prescription from a doctor with a sleep study done by a certified sleep lab. This may be because the Ontario government under the adp program pays for your Cpap machine or there are plenty of doctors and sleep labs in the urban areas of the province.
British Columbia works similar as I will be moving there shortly and looked into it. Some provinces (even more rural areas in ontario or bc) are more liberal with the rules as there's not enough sleep labs or doctors so they don't require a prescription, but that's only because of lack of sleep doctors and they don't want people driving hours to do sleep studies and doctors visits.