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CPAP machines, Sleep Apnea surgery and dental appliances.

CPAP Supplies

Latest Activity

richard graham replied to ZolliStar's discussion New mouth device on the market
"If I thought something could work other than this lousy cpap that would be awesome"
May 22
richard graham posted a status
"I moved and have been sick a lot and can't use cpap because of cough and I'm depressed a lot"
Apr 26
Fred posted a discussion

CPAP - cure worse than the disease

It's ironic that before I was diagnosed with sleep apnea in 2000, I had no problem sleeping 8-9 hours a night. If I did wake up during the night, I had no problem falling right back to sleep, and I wasn't tired during the day.From the first night I brought home the CPAP I haven't had one decent night's sleep. Not one. I don't have any problem falling asleep, but I can't stay asleep. At first I was waking up after 4-5 hours and couldn't get back to sleep for a couple of hours. Now it's more like…See More
Apr 13
Fred updated their profile
Apr 13
ZolliStar posted a discussion

New mouth device on the market

I've been hearing advertising for this product over the past few days.  It's sold as something to help snoring, but as I look at the information it seems to me that it would work just as well as my mandibular advancement device (MAD).In other words, this could help some of us with sleep apnea.Read about it here.Anybody have any thoughts about this?  See More
Mar 31
99 replied to Mary Z's discussion AHI finally under five.
"Hi Richard I mainly use an empty humidifier as it reduces noise"
Feb 16
richard graham left a comment for richard graham
"When I can afford it I'd like to get New machine with heated tube"
Feb 10
richard graham replied to Mary Z's discussion AHI finally under five.
"I would like to see this forum active again as well. I will be more aware of what's going on"
Feb 10
ZolliStar posted a discussion

If you have trouble falling asleep....

I thought that when I got my sleep apnea diagnosis, that -- at last! -- all my sleep problems had come to an end.Ha!I have trouble falling asleep. Indeed, I rarely feel sleepy at night although I do feel tired. I even cut back on computer at night, etc., etc. (and installed f.lux on my computer) but I still had trouble. Now I'm doing something different: wearing special glasses (Uvex S1933X Skyper Safety Eyewear glasses). They block out the blue -- and they're making a difference! First I tried…See More
Feb 1
99 replied to 99's discussion colloidal silver
"i have purchased some silver the make my own colloidal silver"
Dec 21, 2014
99 replied to 99's discussion colloidal silver
"just add to the distilled water it is antimicrobial eg cleans your machine and is beneficial for keeping you healthy  from bugs germs viruses you get the picture and when you need to clean the humidifier out, put water on your plants the silver…"
Dec 21, 2014
Mary Z left a comment for richard graham
"If the heated tube works with your machine I would try that.  They also make covers for your tubing which may help some.  I think the heated tube may be your answer.  Keep us posted."
Dec 21, 2014
Mary Z left a comment for richard graham
"Richard, some folks just use the humidifier in a Passover mode.  They just don't turn it on, but let the air pick up moisture without heat."
Dec 21, 2014
Mary Z replied to 99's discussion colloidal silver
"99, where have you been?  Do you add the colloidal silver to your humidifier?"
Dec 21, 2014
Mary Z replied to Andy's discussion Resmed S8 AutoSet II - No Longer Collecting Data??
"I Andy, I realize I'm months behind your post.  I have no idea why your S8 would stoop collecting data.  I'm glad to hear  you're having such improvement with your apnea.  I have made great strides since I changed…"
Dec 21, 2014
Mary Z replied to Andy's discussion Resmed S10 AirSense - Anyone have one? Any feedback?
"Andy, just found your post.  I don't know anything about this new machine.  How are you liking your new ResMed?"
Dec 21, 2014
Mary Z left a comment for Kay Day
"Kay, I haven't been around myself and miss the old, active forum."
Dec 21, 2014
Mary Z left a comment for richard graham
"Hi Richard,  I don't bother with a humidifier.  Someone on the forum suggested not using it and I'm a lot less congested without it.  A good AHI is under 5.  I use the Wisp and have been since it came out.  I think…"
Dec 21, 2014
hifay replied to Mary Z's discussion Sleep apnea increases risk of osteoporosis
"Always something. Thanks for the information."
Dec 21, 2014
99 posted a discussion

colloidal silver

a humidifier can be used with colloidal silverthis can keep the humidifier clean for day maybe weeks or longer without the need to clean the humidifiersilver colloidal is antimicrobial and you could just top up your humidifier without cleaning and at the same time treat your bodyor you just put silver on it own into the humidifierSee More
Dec 20, 2014

Seniors: New Medicare Rule Makes It Impossible For Oral Appliance For Sleep Apnea To Be Covered

Medicare started covering oral appliances for sleep apnea in January, 2011 if certain conditions were met. These conditions included a face-to-face meeting with a doctor who prescribed a sleep study, a Medicare approved oral appliance, etc.

I met the conditions in 2011, and my regular dentist made the device. I self-filed to Medicare, and, after 6 months, Medicare finally paid. A close relative of mine met the conditions in mid-2012, and his dentist made the appliance. He self-filed, and after many months, Medicare paid him.

We had to self-file, because dentists do not accept Medicare, and Medicare did not pay for dental procedures until it started covering for oral appliances.

My wife recently met all the conditions, but Medicare informed me that a rule had recently changed, and he was required to read the new rule to me. This new rule is what makes it impossible (or, almost so) for an oral appliance to be covered.

This is the new rule: Dentists must be the ones to file for payment. To do so, a dentist must apply to Medicare to be a "Medicare Durable Medical Equipment (DME) Supplier". The agent told me Medicare does not have a list of dentists who are DME suppliers, and I will have to call around. I had no luck after many calls, so I wrote to one of sites that supply expert answers for a fee. Below is the response from the expert what explains the reality of the situation:

Expert:  Mark Bornfeld, DDS replied 1 day ago.

Hello-- I'm Mark Bornfeld, DDS. Welcome, and thank you for putting your trust in me!

 "Your search for a dentist registered as a "Medicare Durable Medical Equipment (DME) Supplier" is almost certainly doomed to be futile. This is because registration as a Medicare supplier brings a dentist under the significant and onerous burden of compliance with a wide list of Federal regulations. Although it makes sense and seems self-evident that bringing dental service under the Medicare program is the right thing to do, dentists as a rule are grateful that we are not bound by Medicare regulations. And because the provision of oral sleep appliances is such a relatively small aspect of clinical dental care, there would be almost no incentive to assume the burden of Medicare regulation."

 

It is reasonable to conclude that Medicare knows this and has deliberately put up a blockade to keep Seniors from being covered in order to save money. Or, a scheme to force dentists to join. 

 

Views: 362

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Mindful that Medicare was going to cut benefits as a result of ObamaCare (and its associated costs), I started pursuing getting a dental device in the summer of 2013. My dentist is Barry Chase, DDS located in Long Island, New York with an office in New York City. (I've seen him at both locations.)

I now use a device and alternate between it and my APAP. The device is great for travel: it fits in my handbag!

I will notice a downside, however: I think the jaw advancement has had a slightly negative effect. I often feel enough pain near the ear area when I use my APAP that I have to switch back to the mouth device in the middle of the night. I suspect the ear pain has been caused by a misalignment of my jaw courtesy of the device.

A few notes about getting a device:

1.  I was evaluated by Steven Y. Park, M.D. for a device. Some do not have appropriate mouth and throat structures to benefit from the use of a MAD (Mandible Advancement Device) but, fortunately, I do. Dr. Park was able to assess this via examination.

2.  I suspect (and will return to the dentist to check on this) that use of the device has slightly altered my bite. (I already mentioned the pain problem that I believe may have been caused by a slight misalignment.) If I'm right on these two counts, this is Not Good.

Still, overall I am pleased with the MAD. This is the case even though I am very pleased with my APAP and have no problems using it. Indeed, I feel a certain comfort just from "strapping up" with my mask, chin strap, et cetera for the night. I think this is because I know I'll be rewarded with a good night of sleep!

I hope this helps.

need  to claim grandfather rights

and say this is not what i sign up for and challenge their decision

by claiming grandfather rights

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