Goofproof wrote: ↑Fri Dec 21, 2018 4:00 pm
Padlock your credit card, until you find out what your cost will be, sounds like Big Money drives Service. Make sure you can live with the deal. Jim
Thanks, Jim. Rest assured that my supplier does not have my credit card. I receive my regular supplies from them under Medicare and my Medigap policy. My existing machine was covered in full in December of 2011, and I was entitled to a replacement if needed in, if I recall correctly, 2016 but I was content to keep using it as long as it kept working
without any warnings. Of course, Medicare provides that if a machine reaches its five-year life expectancy, is in good working order and meets the patient’s medical needs, it should not automatically be replaced. Like my original machine, this one will be a ResMed ASV for my central apnea, with heated tubing. I hope I like it as well as I liked my existing machine, until this warning came up, which I consider equivalent to Mean Time Before Failure in computer parlance.
According to SleepyHead and Rescan, I have a 98% compliance rate with an Average Hours per night of 8.25. Even one night without it, which has happened only a few times over the past 7 years, makes me absolutely miserable for days, so I don't want to take any chances. And as a long, long time computer user, I have always taken MTBF numbers and warnings seriously, considering the alternative consequences, and the fact that I have a heart condition and a pacemaker.
The replacement machine is an AirCurve 10 VPAP ASV W/ ClimateLineAir Tubing.
Medicare provides that if a PAP machine is replaced following the five-year RUL, there must be a face-to-face evaluation by the treating physician documenting that the patient continues to use and benefit from the PAP machine. By coincidence, I had this about a month or two ago. There is no requirement for a new sleep test or trial period.
Best wishes to all for a Merry Christmas and a Happy New Year.
Regards, Nate

Central sleep apnea AHI 62.6 pre-VPAP. Now 0 to 1.3
Present Rx: EPAP: 8; IPAPlo:11; IPAPHi: 23; PSMin: 3; PSMax: 15
"I've had a perfectly wonderful evening, but this wasn't it." —Groucho Marx