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CPAP Supplies

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99 replied to 99's discussion Five Day Cure obstructI've sleep apnea
"hi rock how are you"
Aug 10
RockRpsgt replied to 99's discussion Five Day Cure obstructI've sleep apnea
"Hello, 99"
Aug 10
Maggie Buehler updated their profile
Apr 18
ZolliStar replied to Dan Lyons's discussion CPAP & Dry Mouth
"Dan, Do you use a chin strap?  If you're a mouth breather, you may need a chin strap so that your mouth stays closed. It's important to keep it closed throughout the night for a lot of reasons -- mouth, dental, etc., etc. I've…"
Nov 24, 2016
99 replied to 99's discussion Five Day Cure obstructI've sleep apnea
"Wed 9  9 mg Thursday 10 missed  Friday 11 9mg have insomnia  going skip rest until insomnia goes away Just did maths had my five days"
Nov 11, 2016
99 replied to 99's discussion Five Day Cure obstructI've sleep apnea
"Day after tomorrow I mean trump day wed 9 9mg "
Nov 9, 2016
99 replied to 99's discussion Five Day Cure obstructI've sleep apnea
"Day two Monday 7 Nov 9mg very relaxed Day three Tuesday 8 Nov 9mg sniffles appears to have stopped  must reduce dose"
Nov 8, 2016
99 replied to 99's discussion Five Day Cure obstructI've sleep apnea
"Start treatment again  Nov 6 @ 2100 first day"
Nov 6, 2016
99 replied to 99's discussion Five Day Cure obstructI've sleep apnea
"Day 5 not quite there must quit treetment for non and have at least a five day break But even so my health has improved "
Nov 1, 2016
99 replied to 99's discussion Five Day Cure obstructI've sleep apnea
Nov 1, 2016
99 replied to 99's discussion Five Day Cure obstructI've sleep apnea
"Day three not so good with osa  DAY four better but still not quite there "
Oct 31, 2016
99 replied to 99's discussion Five Day Cure
"Day one immediate improvement to OSA but had insomnia and slight constapation Day two flatulence greatly reduced muscle tighten"
Oct 29, 2016
99 posted a discussion

Five Day Cure

I believe I have found a cure that only take five days which I am trialing now It has many benificial side effects as well by reducing snoring to name onePM ME as I do not want mainstream media to find out and have it banned as I fear that is how it will goWill try again after a little breakIn addition will increase omega 3And thirdly a chiropractic to realign atlas bone in spine is just a passing thought See More
Oct 28, 2016
liz4cps commented on liz4cps's group Prince William Co, VA support group
"BluePoint Medical* holding their next Remedy event on June 4 with Terry Cralle, RN on "Sleep in the Mordern Family".  They will also be checking CPAP machines and providing breakfast. Click on link above for more…"
May 7, 2016
Dan Lyons posted a discussion

CPAP & Dry Mouth

In recent months, I have developed extreme dry mouth as a result of the CPAP.  I am a mouth breather when using CPAP.Recently, I saw an advertisement for the symptoms of dry mouth, but as usual, when I need the information to have a discussion with both my primary care  physician and my dentist I haven't seen the ad. Has anyone else seen the ad and can anyone remember the info in the ad?Thanks in advance,DanSee More
Mar 30, 2016
richard graham posted a status
"My deductible is double what a machine is online but I can't get the machine set up. Any ideas?"
Mar 10, 2016
BeeAsleep posted a status
"Hi all. I am just checking in and saying hi after being gone for a long time. I am doing GREAT! Just got a new machine and mask. Feel like I"
Jan 23, 2016
BeeAsleep updated their profile
Jan 23, 2016
99 replied to Fred's discussion CPAP - cure worse than the disease
"Do not turn light on as this hinder you from falling asleep or choose red light instead which do not afect your sleep"
Oct 27, 2015
99 left a comment for Joan Williams Rice
"Hi Joan visiting pelham and I have osa"
Oct 27, 2015

I have been talking to my DME off and on all day.  Here's the deal, for our purposes let's just say that a CPAP costs $1000 and an APAP costs $2000 (because they told me the APAP is "about $1000 more than the CPAP).


The code for a CPAP and an APAP is the same code for medical billing.  My insurance would only reimburse my DME about $800 for the CPAP.  DME loses $200.  I need an APAP.  My insurance STILL only reimburses the $800.  DME loses $1200.  This is how it was explained to me today.  The girl I spoke to in billing was VERY nice.  She just had no authority.  She turned my case over to the owner of the DME and, last I heard, "He's working on it."


I am nosey.  I googled "wholesale cpap".  Lookie what I found:


That is EXACTLY what was prescribed to me.  I realize I would need the hose and the mask and headgear. 


This machine is about 1/4 of what she explained to me that mine will cost.


I'm pretty close to fired up.  Real close, in fact. 


They are supposed to call me in the morning. 


I would appreciate insights and suggestions.  I promise when I get all this taken care of I'll quit bugging the crap out of everyone and do normal posts.




Fired up in Bama

Views: 3161

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Sorry, I had to delete my previous reply and fix the wording, which was incorrect...

I am sure that you provide excellent support, however, the cost simply does not justify it. When the cost of a NEW machine mail order is FOUR TIMES less than the cost of one through a local company, I could EASILY have a second machine sitting there doing NOTHING, just waiting for the first one to fail before I use it. Then, when the 1st one fails I can figure out what to do.

Even local companies only provide the support during RENTAL. Once you actually PURCHASE the machine - if something happens to it, you are responsible for the cost. The sad fact is that these machine rent for outrageous sums of money - enough such that you could easily OWN it after only FOUR MONTHS. Why then, do insurance companies insist on 12 months of rental? Why would they do that? It seems to me they could easily lower their own costs and by doing so, lower the cost to the employer and ultimately, to the employee.

What has happened is that insurance companies have all become fat - fat because they simply pass along extra costs and MARK THEM UP. That's right - when they incur extra costs, they also make EXTRA PROFIT.

This model is broken badly. REAL HEALTH CARE REFORM is needed, not that crappy obamacare that will only help guarantee that more jobs will be moved overseas.

Sheri Fellat said:
Good morning,

As the sales manager for a reputable and ACCREDITED DME company, I would like to offer this comment.

There is a place for both on line as well as brick and mortar companies. What you may fail to realize is the we as a brick and mortar DME's, are required to become accredited. That means we must spend the time and resources to ensure not only that we provide excellent service and equipment, but that we do necessary follow-ups to ensure our patients get the most benefit from their treatment as well as their dollars! We perform downloads on a consistent basis and change masks out to ensure patient comfort acceptance and successful therapy. Online operations are not held to the same standards, typically wont file insurance and don't accept mask changes or perform downloads. They also don't have anyone to fit you properly! Those marks you get on your face are typically a result of a poor fit. Wasted money and time!!!!! We talk the masks back and ensure your comfort through our mask guarantee!

The other major distinction that has never been discussed here is that the insurance companies typically follow Medicare guidelines. What does this mean?
They require that we RENT to PURCHASE over 13 months!!!! That includes all the supplies necessary, typically sent quarterly but only with the patients consent.
Not only must we wait to be paid, but we must assure the patient is compliant and by downloading reports that reflect the patient is using their machine for a minimum of 4 hours per day for a period of 30 consecutive days. Then they must have face to face follow up visits with their doctors. We, the DME are responsible to maintain these records to ensure we remain accredited or the insurance companies will NOT PAY!!! Online companies don't have to do any of this. We also keep the doctors aware of their patients treatment an to help keep them aware of technology advances and benefits for the patient. If a patient was prescribed a cpap, but fails and needs to be moved to bi-level therapy, how would the unit you bought from the online company help you there? They would not, why? You own the unit, and they will gladly seel you another bi-;pap at your expense. We on the other hand, will exchange the unit, and continue to assist you in your therapy to ensure your success.

We take alot of pride in what we do as well as being tremendous patient advocates.

When is the last time an online provider came to your house on Sunday evening because your cpap failed? I do it all the time.


j n k said:
Ms. Hertel,

I've been reading posts on apnea boards for a while, and yours ranks right up there as one of the most beautifully worded, most informative, and bravest posts I've ever read. It actually brought a lump to my throat. Good stuff.

Personally, I don't mind the arrangements from the honest brick-and-mortar DMEs when they actually provide something to the patients that keeps the patients happy and compliant and successful. I only resent the places that lie and milk the patients and do more to make the patients unhappy, non-compliant, and unsuccessful than to help. It is obvious that you are one of the good guys and gals.

Is there any chance you would be willing to go further on record to explain the following statement and make any suggestions about how to do it? (Not for me; I already buy online and get reimbursed, but not exactly by an insurance company.) It might help those in circumstances who need to do so.

"Most insurance companies will reimburse you if you pay cash."

Thanks. Truly a VERY nice post. And I'm not easily impressed. :-)

Carl, Well said. The worst is yet to come thanks to our corrupt governments.
Good lord you guys! Maybe some of you should go over seas with those jobs. All you guys ever do is bitch.
Did you try adjusting the Apnea and Hypopnea settings? You can set the IntelliPAP Auto to respond more aggressively to both events.

Donald R. Byrd said:

I'm a RRT for a Home care company, DME, I also use Cpap therapy to treat my OSA.

My Company provides a fair amount of cpap and service to many patients each month. I always put the patient first in every situation. My Company believes patient care must be first and is a core value that we practice every day.

Our patient cpap compliance rate is very high (you probably wouldn't believe me if I told the %) we are successful because we realize most people need clinical support initially and ongoing in order to treat OSA successfully.

Know what you’re buying. All CPAP machines are not equal, some cpap machines will treat your apnea better than others. Please trust that I'm telling you the truth, if you spend $500 on a machine that is not going to meet your needs well this is money that has been wasted and most importantly has not meet your health care needs. In all fairness I must say a percentage of patients may benefit from this type of unit, but it is a gamble, a gamble I would choose to avoid myself.

I believe an experienced Healthcare provider must support your every step starting at the beginning of cpap therapy. Insurance reimbursement decline is definitely affecting the quality of healthcare which is unfortunate for all us. without sufficient support most people will fail CPAP therapy which will result in poor quality of life and increase healthcare cost.

I was able to try the CPAP machine you are considering purchasing its brand new technology from this Manufacturer. A Representative let me have a cpap machine, I tried it for 4 days, it did not prform well for me. My OSA symptoms returned i.e., frequent awakenings, increased AHI, daytime naps :( so I switched back to my previous CPAP machine. My life is much better now.

A lot’s been said here I hope it helps you.

P.S. a happy patient is the best.

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