Anyone lose CPAP machine due to compliance

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
User avatar
DeeCPAP
Posts: 441
Joined: Mon Dec 14, 2015 11:32 pm

Anyone lose CPAP machine due to compliance

Post by DeeCPAP » Sat Jun 23, 2018 3:33 pm

1 -- I'm wondering if scores aren't good initially, does Medicare (or any insurance company) take back the CPAP gear?

2 -- Does effort count?

_________________
Machine: ResMed AirSense™ 10 AutoSet™ CPAP Machine with HumidAir™ Heated Humidifier
Mask: DreamWear Nasal CPAP Mask with Headgear
Humidifier: XT Heated Humidifier
Additional Comments: My headgear varies (STILL!)
Resmed S9 with humidifier and in need of the right mask.

User avatar
Goofproof
Posts: 16087
Joined: Mon Dec 05, 2005 3:16 pm
Location: Central Indiana, USA

Re: Anyone lose CPAP machine due to compliance

Post by Goofproof » Sat Jun 23, 2018 3:56 pm

Do you mean by count, if dying in your sleep is in your future, poorer health, even less brain use than you have now. Or maybe just the reward of not paying for your XPAP not to be used. I'm sure they have, you should also have to pay back the INS for the costs involved in your wasting their time. (Sleep Test & Equiptment.) If you don't want to get better others shouldn't have to pay the cost. Jim

If you broke your leg (Compound Break) went to the ER, had a Dr and X-Ray, then refused to have a cast put on, should you have to pay the bill! YES!
Use data to optimize your xPAP treatment!

"The art of medicine consists in amusing the patient while nature cures the disease." Voltaire

User avatar
palerider
Posts: 32300
Joined: Wed Dec 16, 2009 5:43 pm
Location: Dallas(ish).

Re: Anyone lose CPAP machine due to compliance

Post by palerider » Sat Jun 23, 2018 4:20 pm

. wrote:
Sat Jun 23, 2018 3:33 pm
1 -- I'm wondering if scores aren't good initially, does Medicare (or any insurance company) take back the CPAP gear?

2 -- Does effort count?
"scores?" what "scores"?

All insurance companies care about is the abysmally low bar of 'compliance', If you can't put in at least that much effort, then they take it back, because it's not doing any good.

Not that 100% "compliance" means it's doing any good at all either, but they don't care.

_________________
Mask: Bleep DreamPort CPAP Mask Solution
Additional Comments: S9 VPAP Auto
Get OSCAR

Accounts to put on the foe list: dataq1, clownbell, gearchange, lynninnj, mper!?, DreamDiver, Geer1, almostadoctor, sleepgeek, ajack, stom, mogy, D.H., They often post misleading, timewasting stuff.

User avatar
LSAT
Posts: 13229
Joined: Sun Nov 16, 2008 10:11 am
Location: SE Wisconsin

Re: Anyone lose CPAP machine due to compliance

Post by LSAT » Sat Jun 23, 2018 5:14 pm

All Medicare cares about is usage. To be compliant, you must use the machine at least 4 hours a night 70% of the time during a 30 day period within 90 days. That should be a no brainer.

_________________
Machine: ResMed AirSense™ 10 AutoSet™ CPAP Machine with HumidAir™ Heated Humidifier
Mask: Fisher & Paykel Vitera Full Face Mask with Headgear (S, M, or L Cushion)
Additional Comments: Back up is S9 Autoset...... Buckwheat hull pillow

User avatar
Goofproof
Posts: 16087
Joined: Mon Dec 05, 2005 3:16 pm
Location: Central Indiana, USA

Re: Anyone lose CPAP machine due to compliance

Post by Goofproof » Sat Jun 23, 2018 5:41 pm

LSAT wrote:
Sat Jun 23, 2018 5:14 pm
All Medicare cares about is usage. To be compliant, you must use the machine at least 4 hours a night 70% of the time during a 30 day period within 90 days. That should be a no brainer.
I think you hit it on the head, a No Brainer, that could be a problem. :lol: Jim
Use data to optimize your xPAP treatment!

"The art of medicine consists in amusing the patient while nature cures the disease." Voltaire

User avatar
chunkyfrog
Posts: 34377
Joined: Mon Jul 12, 2010 5:10 pm
Location: Nebraska--I am sworn to keep the secret of this paradise.

Re: Anyone lose CPAP machine due to compliance

Post by chunkyfrog » Sat Jun 23, 2018 6:12 pm

A word to the wise: the hours you see on the display may be rounded up,
If you do not go to at least 4.1 hours, it will possibly NOT COUNT (to insurance, Medicare, etc.)
You need to get up to using cpap ALL the time you are sleeping for it to be a significant benefit.

_________________
Mask: AirFit™ P10 For Her Nasal Pillow CPAP Mask with Headgear
Additional Comments: Airsense 10 Autoset for Her

Snoregone Conclusion
Posts: 210
Joined: Thu Jun 07, 2018 10:28 pm
Location: Issaquah, WA

Re: Anyone lose CPAP machine due to compliance

Post by Snoregone Conclusion » Sat Jun 23, 2018 7:10 pm

chunkyfrog wrote:
Sat Jun 23, 2018 6:12 pm
A word to the wise: the hours you see on the display may be rounded up,
If you do not go to at least 4.1 hours, it will possibly NOT COUNT (to insurance, Medicare, etc.)
You need to get up to using cpap ALL the time you are sleeping for it to be a significant benefit.
From what you just stated, it sounds like it is actually rounded down, unless you’re stating the machine says 4.0 when it’s actually over 3.9 but under 4.0. Floating point issues make writing correct code so much fun ;) (they should use number of seconds and display that, so there’s no more than a second off).

(To OP and people in general, not Chunkyfrog)
Though to me, if you sleep more than 4 hours but don’t use xpap for as much of that time as possible, I wonder what the point is. While I await the results of the 3 day take-home sleep study (not certain how accurate it’ll be, or if they’ll determine I need a titration study or just send me off with the APAP) I wish I could even sleep 4 hours non-stop without waking: I can’t do that as of now, and it doesn’t seem to matter how tired I am.

Don’t cheat yourself by not working at it enough to achieve compliance and then some: that’s just plain stupid suicide-in-slow-motion. Insurance companies don’t pay for things if they can avoid it, because that affects their profit margins/budgets, so don’t give them a valid reasom to write you off. Logically, if you aren’t compliant, they’ll spend far more money on you (not sure what they can do other than not cover xpap stuff if you aren’t compliant) as a side-effect of the other health issues for remaining untreated: they’d rather at least not waste money on you by paying for the equipment you don’t use, knowing they’re statistically certain to lose more money because of the other health problems.

_________________
Machine
Additional Comments: 3B Elara FFM
Sleep, sleep monster, sleep!

User avatar
chunkyfrog
Posts: 34377
Joined: Mon Jul 12, 2010 5:10 pm
Location: Nebraska--I am sworn to keep the secret of this paradise.

Re: Anyone lose CPAP machine due to compliance

Post by chunkyfrog » Sat Jun 23, 2018 8:25 pm

You only cost them more money if you do not get treatment (as in dying)
I noticed awhile back that medicare and supplement premiums tend to be lower in rural areas.
--like far enough away from a hospital that you might perish on the way there.

_________________
Mask: AirFit™ P10 For Her Nasal Pillow CPAP Mask with Headgear
Additional Comments: Airsense 10 Autoset for Her