Join Our Newsletter

New? Free Sign Up

Then check our Welcome Center to a Community Caring about Sleep Apnea diagnosis and Sleep Apnea treatment:

CPAP machines, Sleep Apnea surgery and dental appliances.

CPAP Supplies

Latest Activity

richard graham posted a status
"I feel like the humidifier is making me feel yucky and I'm waking up hacking and having to clear my throat a lot for a while."
Nov 3
richard graham posted a discussion

what's a good AHI?

I've been using and auto and it says my AHI HAS been between 4 and 6 and wondering what's a good range.
Nov 2
Andy posted a discussion

Resmed S10 AirSense - Anyone have one? Any feedback?

Hi All,I've just ordered a new Resmed S10 AirSense, and I was wondering if anyone here has used one?Any information or input would be appreciated!See More
Sep 29
Andy replied to Andy's discussion Resmed S8 AutoSet II - No Longer Collecting Data??
"Hi All, Well, I went to the sleep doc today, and he ordered a new S10 for me! I still don't know why my S8 is not tracking data anymore. Anyone have any ideas?"
Sep 29
Oscar Lemus updated their profile
Sep 25
liz4cps commented on liz4cps's group Prince William Co, VA support group
"Just found they have a Facebook for the REMedy event, 1st Class Sleep REMedy Wellness Health Fair."
Sep 25
liz4cps commented on liz4cps's group Prince William Co, VA support group
"Reminder: REMedy event is this Saturday, 10 am to 2pm.  Topics include: Nutrition and Weight Management with Sarah Kelly, Registered Nutritionist/Dietitian Oral Appliance Therapy for Sleep Apnea with Drs. Rena Vakay & Lara…"
Sep 25
Kay Day left a comment for Kay Day
"September 1, 2014 My apologies to Sleep Guide for not participating in a long time. In January 2012 I started classes at the local community college (my husband is an instructor there, and my tuition is refunded when my grades are above a C. My…"
Sep 1
Mary Z posted a discussion

Sleep apnea increases risk of osteoporosis

Sleep apnea/osteoporosis study finds “increased” health riskA recently published study may have found a connection between obstructive sleep apnea (OSA) and osteoporosis, marking yet another health…See More
Aug 23
Mary Z replied to ZolliStar's discussion Non-invasion approach that can relieve mild sleep apnea
"Hi ZolliStar, I've heard before that speech therapy, or singing lessons can help sleep apnea.  The problem at that time was there was no way to determine which exercises help.  Getting research done, rather than anecdotal would be…"
Jul 28
ZolliStar posted a discussion

Non-invasion approach that can relieve mild sleep apnea

Some people report that singing -- singing! -- really helps their sleep apnea. Dr. Stephen Park said that myology (which are exercises to strengthen muscles around the inside of one's mouth area) helps some. I think singing would be better.  If you read all the FAQs on this (click below), I think you'll agree that it makes sense for some. Maybe you. More
Jul 28
ZolliStar posted a discussion
Jul 20
liz4cps commented on liz4cps's group Prince William Co, VA support group
"I talked to Kimberlie at the Novant Sleep lab last week (at Prince William Hospital) and she said they would not be holding any meetings this year but are planning to start holding meetings again next year.  I'll let you know when we have…"
Jul 14
richard graham posted a status
"I just have mask called the Wisp. Hope it works. Anybody have experience with it. I have an ultra mirage nasal mask and get leaks at brid"
Jul 9
Andy posted a discussion

Resmed S8 AutoSet II - No Longer Collecting Data??

Hi All,First off, my apologies for not checking in for a long time.I've been using my Resmed S8 AutoSet II for almost 3 years! I feel great, have lost almost 30 lbs, am no longer sleepy during the day, sleep through the night, and have my short-term memory back.Yay!I've told my doctors that I'm the "poster child" for Sleep Apnea and CPAPs! It's been, and continues to be, such an amazing experience that I want everyone to know!Everything has been going well in CPAP-land, but in the last few…See More
Jul 7
hifay replied to richard graham's discussion mouth breathing
"What type of chin straps?"
Jul 6
Ginny Edmundson replied to Ginny Edmundson's discussion Scheduled for evaluation and possible procedure next day
"No real improvement in sleep study.  Just not having to use cervical neck color.  What a bummer. Surgeon wants another sleep study in about a month or so (home one) Not sure if will do or not. "
Jun 22
Mary Z replied to Ginny Edmundson's discussion Scheduled for evaluation and possible procedure next day
"Ginny, how are you doing after the tongue procedure?"
Jun 22
Mary Z posted a discussion

AHI finally under five.

I have been on CPAP since March 2008 and had a good AHI when I started therapy (under 5).Then my AHI started getting worse- for a while it stayed in the 20's, then we got it to the high teens.  Nothing we did would help.  My doctor said it was due to the meds I take.  For a couple of years I just tolerated the high AHI.  I did another sleep study and changed to an ASV machine.  For two years I still had a AHI around 11-13.  Then all of a sudden - a month ago I noticed my AHI was running five or…See More
Jun 22
ZolliStar replied to richard graham's discussion mouth breathing
"FWIW, I've been alternating between my mouth device and my APAP. I haven't used humidity at all when I use the APAP -- and don't miss it, either. "
Jun 14

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: 307

Reply to This

Replies to This Discussion

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

Reply to Discussion


© 2014   Created by The SleepGuide Crew.

Badges  |  Report an Issue  |  Terms of Service