Apnea Board Forum - possible DME problem ??

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Can anyone explain to me if I am overlooking an obvious problem with my DME provider? A representative called from their office which is headquartered in another city from where I live. She said it was time for me to order CPAP supplies and wanted to know how my 'therapy' was going? I told her fine and then she told me what Medicare said I am eligible for. Since I only needed the AirFit P10 pillows I told her that was all I needed.

When the box came today it had 5 pillows in it and I am wondering if Medicare is restricting the number of pillows we are allowed to have? I thought that Medicare allows 2 pillows per month which would make the number of pillows come out to be 6....right ??? I detest the idea of having to call their office and explain myself since perhaps they can't do math very well........or is it me that doesn't know how to add?
If you are dealing with Crapria and it sounds like you are, that type of thing is not unusual at all. I requested mask cushions and got a whole new mask........A completely wrong mask. Not just the wrong size but the wrong model and the wrong manufacturer. Make them fix it. it is the only way to try to get them to fix their own problems.

Best Regards,

PaytonA
Maybe they actually sent you an extra, as in an every-other-month shipment?
(07-18-2015, 04:44 PM)Mosquitobait Wrote: [ -> ]Maybe they actually sent you an extra, as in an every-other-month shipment?

If they did the every-other-month shipment thing, they are most definitely making money on it. The invoice that came with my package says they have billed my insurance company $304.50 for 5 pillows making each one cost $60.90. My Dad would have called that practice "robbery-without-a-gun."

Are they sending you supplies for say 2 or 3 months at a time? I would try to find out what you are being charged for, or how many pillows they are billing your insurance for.

They either sent you a 2 month supply with 1 extra, or they sent you a 3 month supply with 1 shortage.

My DME never calls me, I have to call them every month if I want something. And even then, they manage to mess it up.
this is why I order monthly. GrammaBear, did they send you a mask even though you didn't ask for it? if so, the cushion that comes with the mask counts as one in their world maybe. If they didn't send the mask, then I have no clue what they are doing. Either way you look at it, when you get supplies in any combination for whatever time period, you should have an even number of cushions.
(07-18-2015, 04:51 PM)GrammaBear Wrote: [ -> ]
(07-18-2015, 04:44 PM)Mosquitobait Wrote: [ -> ]Maybe they actually sent you an extra, as in an every-other-month shipment?

If they did the every-other-month shipment thing, they are most definitely making money on it. The invoice that came with my package says they have billed my insurance company $304.50 for 5 pillows making each one cost $60.90. My Dad would have called that practice "robbery-without-a-gun."

They only get paid the "approved" amount for that item, and it will be considerably less. However, if they mange to get you to accept more items that what is allowed, the customer gets to pay the full price without insurance discount.
(07-18-2015, 05:15 PM)me50 Wrote: [ -> ]this is why I order monthly. GrammaBear, did they send you a mask even though you didn't ask for it? if so, the cushion that comes with the mask counts as one in their world maybe. If they didn't send the mask, then I have no clue what they are doing. Either way you look at it, when you get supplies in any combination for whatever time period, you should have an even number of cushions.

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.

(07-18-2015, 05:50 PM)GrammaBear Wrote: [ -> ]
(07-18-2015, 05:15 PM)me50 Wrote: [ -> ]this is why I order monthly. GrammaBear, did they send you a mask even though you didn't ask for it? if so, the cushion that comes with the mask counts as one in their world maybe. If they didn't send the mask, then I have no clue what they are doing. Either way you look at it, when you get supplies in any combination for whatever time period, you should have an even number of cushions.

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.

One pillow is being held hostage.
I would call 1-202-456-1414 and complain.
Say: "Who's the moron that's holding my pillow hostage?"
(07-18-2015, 05:50 PM)GrammaBear Wrote: [ -> ]I don't look forward to trying to prove to them over the phone that there are just the 5 pillows.

does the paperwork say they sent 6? I have received the wrong things and wrong quantity before and called and they fixed the problem but I no longer deal with apria and when I did, I ended up going to the district manager because nobody else would return calls and the local DME was almost as bad.
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