Advance supplies for extended vacation Medicare and Supplemetal

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
KML2022
Posts: 4
Joined: Tue Feb 08, 2022 7:01 am

Advance supplies for extended vacation Medicare and Supplemetal

Post by KML2022 » Thu Jan 09, 2025 10:10 pm

Medicare pays for my quarterly CPAP supplies, and an Anthem Supplemental pays for the 20% Medicare does not pay. I am leaving for an extended stay in Europe and will need my supplies before I return. Medicare will not approve supplies in advance and APRIA will not send me supplies in advance (unless I self pay) because Medicare will not approve. My doctor even wrote an authorization for pre-ordering. Medicare still will not approve. I can’t understand that. Does anyone else have this issue or a solution to the problem? Any recommendation would be much appreciated.

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zonker
Posts: 11204
Joined: Fri Jun 19, 2015 4:36 pm

Re: Advance supplies for extended vacation Medicare and Supplemetal

Post by zonker » Thu Jan 09, 2025 11:47 pm

KML2022 wrote:
Thu Jan 09, 2025 10:10 pm
Medicare pays for my quarterly CPAP supplies, and an Anthem Supplemental pays for the 20% Medicare does not pay.
while we wait for the answer to your question, please pardon this question.

what quarterly CPAP supplies do you think you need?
people say i'm self absorbed.
but that's enough about them.
Oscar-Win
https://www.apneaboard.com/OSCAR/OSCAR-1.5.1-Win64.exe
Oscar-Mac
https://www.apneaboard.com/OSCAR/OSCAR-1.5.1.dmg

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Dog Slobber
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Joined: Thu Feb 15, 2018 2:05 pm
Location: Ontario, Canada

Re: Advance supplies for extended vacation Medicare and Supplemetal

Post by Dog Slobber » Fri Jan 10, 2025 8:02 am

You don't need quarterly supplies.

The DMEs have convinced you, you do. The insurance schedules is the minimum frequency that insurance will pay for supplies, *not* the frequency that they should be replace.

The next time you're due for replacements, order them, but don't use them. Due this twice, now you'll have a working set, and two sets of spares.

As far as you current situation, hopefully when your last set of items were replaced, you didn't throw out the old ones.

Take your items and spares, you'll be fine, masks, hoses, tanks, last *A LOT* longer than the insurance schedules.

twin rivers
Posts: 29
Joined: Wed Mar 29, 2017 7:31 am

Re: Advance supplies for extended vacation Medicare and Supplemetal

Post by twin rivers » Fri Jan 10, 2025 8:26 am

Dog Slobber wrote:
Fri Jan 10, 2025 8:02 am
You don't need quarterly supplies.

The DMEs have convinced you, you do. The insurance schedules is the minimum frequency that insurance will pay for supplies, *not* the frequency that they should be replace.

The next time you're due for replacements, order them, but don't use them. Due this twice, now you'll have a working set, and two sets of spares.

As far as you current situation, hopefully when your last set of items were replaced, you didn't throw out the old ones.

Take your items and spares, you'll be fine, masks, hoses, tanks, last *A LOT* longer than the insurance schedules.
Not true if you use the Bleep.

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zonker
Posts: 11204
Joined: Fri Jun 19, 2015 4:36 pm

Re: Advance supplies for extended vacation Medicare and Supplemetal

Post by zonker » Fri Jan 10, 2025 12:30 pm

twin rivers wrote:
Fri Jan 10, 2025 8:26 am


Not true if you use the Bleep.
which is another reason why I won't use the bleep.
people say i'm self absorbed.
but that's enough about them.
Oscar-Win
https://www.apneaboard.com/OSCAR/OSCAR-1.5.1-Win64.exe
Oscar-Mac
https://www.apneaboard.com/OSCAR/OSCAR-1.5.1.dmg

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Dog Slobber
Posts: 4124
Joined: Thu Feb 15, 2018 2:05 pm
Location: Ontario, Canada

Re: Advance supplies for extended vacation Medicare and Supplemetal

Post by Dog Slobber » Fri Jan 10, 2025 2:14 pm

twin rivers wrote:
Fri Jan 10, 2025 8:26 am
Dog Slobber wrote:
Fri Jan 10, 2025 8:02 am
...
Not true if you use the Bleep.
Of course it doesn't include daily single use supplies.

Still true for the tank and hose.

twin rivers
Posts: 29
Joined: Wed Mar 29, 2017 7:31 am

Re: Advance supplies for extended vacation Medicare and Supplemetal

Post by twin rivers » Fri Jan 10, 2025 2:35 pm

Dog Slobber wrote:
Fri Jan 10, 2025 2:14 pm
twin rivers wrote:
Fri Jan 10, 2025 8:26 am
Dog Slobber wrote:
Fri Jan 10, 2025 8:02 am
...
Not true if you use the Bleep.
Of course it doesn't include daily single use supplies.

Still true for the tank and hose.
Went to New Zeland about 1 1/2 years ago and my very nice DME gave me my supplies and took care of it when when it was time. Not going to tell you who my DME is.