cost of your cpap?

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
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Nightwatcher
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cost of your cpap?

Post by Nightwatcher » Mon Oct 15, 2007 2:26 pm

Can folks tell me how much they paid for their cpap?

I have a REMstar Pro M Series with C-Flex with a humidifier and smart card.

My home health person told me cost $200 for 10 months (but that does not include the humidifer)

I had no idea the machine would be this expensive - over $2000!

is that what most of you paid?

thanks much for your help. this is a great board.

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ApNoob
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Re: cost of your cpap?

Post by ApNoob » Mon Oct 15, 2007 2:32 pm

Nightwatcher wrote:Can folks tell me how much they paid for their cpap?

I have a REMstar Pro M Series with C-Flex with a humidifier and smart card.

My home health person told me cost $200 for 10 months (but that does not include the humidifer)

I had no idea the machine would be this expensive - over $2000!

is that what most of you paid?
Are you paying out of pocket or is that the amount billed to insurance?


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sleepyWI
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Post by sleepyWI » Mon Oct 15, 2007 3:18 pm


ApNoob
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Post by ApNoob » Mon Oct 15, 2007 3:37 pm

sleepyWI wrote:This will be enlightening.....

https://www.cpap.com/advanced-find-cpap ... ting-CPAPS
Not as enlighting as this:

https://www.cpap.com/productpage-bundle ... undle.html
M Series Pro C-Flex CPAP Machine, Heated Humidifier
Travel Friendly, Easy Breathing C-Flex, Software Ready
Regular Price: $629.00
Bundle Discount: -$70.00
Your Price: $559.00

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Slinky
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Post by Slinky » Mon Oct 15, 2007 3:53 pm

ApNood asked that question because there is a BIG difference between what the insurance is billed and what they actually pay. Insurances contract w/local DME suppliers w/an agreed upon set price for CPAPs, including AutoPAPs, and another set price for the Bi-levels. In addition, billed and actual reimbursement amounts can vary in different regions of the country.

As a for instance: in Michigan Medicare allows a "billable" amount of $135 a month, but the "allowed" amount is only $74.96 a month of which Medicare pays only 80% or $59.97 a month with the patient's 20% copay being $15.99 a month for a 13 month capped rental. At the end of the 13 months the xPAP is considered paid for and becomes the sole property of the patient.

So the "billed" amount is $1755 for the xPAP whether a bare-bones, compliance data only capable CPAP, a fully data capable CPAP or a fully data capable AutoPAP. BUT the local DME supplier is "only" being paid $974.48 for that same CPAP or AutoPAP. I don't have any figures for the Bi-levels but do know the rates are considerably higher.


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sharon1965
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Post by sharon1965 » Mon Oct 15, 2007 4:01 pm

i'm in canada, so my experience may not be relevant, but interesting at least:

my insurance was billed $1800.00 for the remstar pro 2 with cflex, and i had to pay another $300 out of pocket

can you say "rip off"?

(then again, i had been given the f&p 234 and used it almost every night for 9 months; the dme finally agreed to upgrade my machine and took it back, giving me the pro 2 with me only paying that $300...knowing i could have purchased it from cpap.com for around $550 doesn't make me happy, but without a rx from my doc it was the best i could do...better than keeping the bare bones machine and letting them bill insurance for $1200 on a machine that is around $300 on cpap.com...maddening)

If you always do what you've always done, you'll always get what you've always got...

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ColoradoDreamer
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Post by ColoradoDreamer » Mon Oct 15, 2007 7:50 pm

If you are not insured, RUN! Buy it out of pocket.
If you are insured(sounds like you might be), the figure you quoted is not unreasonable. Mine was about $1800, not including humidifer. My insurance agreed to about half that amount. Since they paid 90% of it It cost me less $10/mo over 10 months. Insurance wanted $500 for the humidifer but I ended up paying less than $2.50/mo.

If you are insured and are concerned about what your out of pocket expenses will be, call your insurance provider and they will tell you what your monthly expenses will be. That's what I did when I saw what the DME invoice.


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FirstTimer
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Post by FirstTimer » Tue Oct 16, 2007 12:12 pm

My insurance said they would pay 400.00 for a CPAP machine. I would have to pay the rest. I had a co-worker who had a machine that her husband could not use. She wanted 400.00 for it. I had the Home Care people check the CPAP machine out for me. They was able to program the CPAP for me to use. Some I payed her the money. It has been a blessing for me.



fredpb
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Post by fredpb » Thu Oct 18, 2007 12:19 am

Got my new Respironics M Series Auto with aflex today. It was $607 .

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KimberlyinMN
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Post by KimberlyinMN » Thu Oct 18, 2007 7:48 am

My BiPAP machine didn't cost ME anything out-of-pocket but that was only because by the time my rental period was up, I had already met my $1500 out-of-pocket limit for the year. (It was a bad year medically-speaking.) However I think they had billed my insurance about $2200.

I had my flu shot yesterday. I could have paid $30 upfront and then sent in the forms or they would bill my insurance (which covers the shot) for $58. Although I think the most they will be paid is $30 and they have to "forgive" the rest.

Kimberly