Insurance stuff

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
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Barbee
Posts: 210
Joined: Thu Jan 25, 2018 7:07 pm

Re: Insurance stuff

Post by Barbee » Wed Jun 19, 2019 8:07 pm

zonker wrote:
Wed Jun 19, 2019 6:00 pm
Barbee wrote:
Wed Jun 19, 2019 10:49 am


So now I need an idea of what supplies I can order and how often. I believe the former DME used the Medicare schedule. I wont need supplies that often but dont want to order something too soon.

I feel free :lol:
:lol:

well, i think i may be misunderstanding this part. do you mean how often you should order supplies or how often they will want you to order supplies?

if the later, dunno. if the former, i think you've been on board here long enough to know we don't blow through supplies all that often.

and just browse through cpap.com and see what they have on hand.
I mean how often can i order masks, pillows, humidifier, hoses, etc. i dont need near the schedule my DME used but will need to stay within their guidelines of what they will pay...which I believe might be the medicare schedule. I know I’ve seen that schedule on here somewhere

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zonker
Posts: 11048
Joined: Fri Jun 19, 2015 4:36 pm

Re: Insurance stuff

Post by zonker » Wed Jun 19, 2019 10:08 pm

Barbee wrote:
Wed Jun 19, 2019 8:07 pm

I mean how often can i order masks, pillows, humidifier, hoses, etc. i dont need near the schedule my DME used but will need to stay within their guidelines of what they will pay...which I believe might be the medicare schedule. I know I’ve seen that schedule on here somewhere
okay, cool. didn't want you to turn into some sort of hoarder or anything!

:lol: :lol: :lol:
people say i'm self absorbed.
but that's enough about them.
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prodigyplace
Posts: 1766
Joined: Mon Mar 27, 2017 5:45 pm
Location: Central Virginia

Re: Insurance stuff

Post by prodigyplace » Thu Jun 20, 2019 2:18 am

The Medicare schedule is listed in this article but you insurance limits may be different. I remember with my Anthem insurance some things are “as needed” instead of every 6 months. My DME sent me a humidifier tank after 1 month.

https://www.sleepapnea.org/treat/cpap-t ... equipment/

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Barbee
Posts: 210
Joined: Thu Jan 25, 2018 7:07 pm

Re: Insurance stuff

Post by Barbee » Thu Jun 20, 2019 5:15 am

prodigyplace wrote:
Thu Jun 20, 2019 2:18 am
The Medicare schedule is listed in this article but you insurance limits may be different. I remember with my Anthem insurance some things are “as needed” instead of every 6 months. My DME sent me a humidifier tank after 1 month.

https://www.sleepapnea.org/treat/cpap-t ... equipment/
Thanks. Exactly what Im looking for

Janknitz
Posts: 8438
Joined: Sat Mar 20, 2010 1:05 pm
Location: Northern California

Re: Insurance stuff

Post by Janknitz » Thu Jun 20, 2019 1:41 pm

prodigyplace wrote:
Thu Jun 20, 2019 2:18 am
The Medicare schedule is listed in this article but you insurance limits may be different. I remember with my Anthem insurance some things are “as needed” instead of every 6 months. My DME sent me a humidifier tank after 1 month.

https://www.sleepapnea.org/treat/cpap-t ... equipment/
Did you NEED a humidifier tank after 1 month, or was the DME maximizing their sales?
What you need to know before you meet your DME http://tinyurl.com/2arffqx
Taming the Mirage Quattro http://tinyurl.com/2ft3lh8
Swift FX Fitting Guide http://tinyurl.com/22ur9ts
Don't Pay that Upcharge! http://tinyurl.com/2ck48rm

prodigyplace
Posts: 1766
Joined: Mon Mar 27, 2017 5:45 pm
Location: Central Virginia

Re: Insurance stuff

Post by prodigyplace » Thu Jun 20, 2019 2:09 pm

Janknitz wrote:
Thu Jun 20, 2019 1:41 pm
prodigyplace wrote:
Thu Jun 20, 2019 2:18 am
The Medicare schedule is listed in this article but you insurance limits may be different. I remember with my Anthem insurance some things are “as needed” instead of every 6 months. My DME sent me a humidifier tank after 1 month.

https://www.sleepapnea.org/treat/cpap-t ... equipment/
Did you NEED a humidifier tank after 1 month, or was the DME maximizing their sales?
Lin(don't)Care was trying to maximize their sales.
They have been fired and the tank for which I paid 20% of the cost is still unopened.

_________________
Machine: AirSense 11 Autoset
Mask: AirFit™ P10 Nasal Pillow CPAP Mask with Headgear
Additional Comments: ClimateLineAir Heated Tube & Sleepyhead software
Please visit our sponsor, CPAP.com at https://www.cpap.com/ for all your CPAP needs.