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+--- Thread: new trend in insurance payments on machines (/Thread-new-trend-in-insurance-payments-on-machines)
new trend in insurance payments on machines - zimlich - 12-05-2012
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
RE: new trend in insurance payments on machines - JJJ - 12-05-2012
(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.
RE: new trend in insurance payments on machines - zimlich - 12-05-2012
I called Medicare and they said I could buy from any DME that took Medicare.
Thanks for your response.
Mary
RE: new trend in insurance payments on machines - PaulaO2 - 12-05-2012
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.