1] is easy enough. Most of today's leading CPAPs can easily be used in foreign countries w/minor adapters.
2] I don't know of any insurance form or questionaire that asks what "prescription required" devices you may be using. All I've ever seen them ask for is Dx'd problems and/or do you suffer from ....
Until everyone is required to "pass" an NPSG to get insurance, in the interest of fairness, I consider it fraud to punish those who are preventing disease in themselves while rewarding those choosing to foster disease in themselves. THAT, my friends, is TRUE insurance fraud--fraud perpetrated by the insurance industry on us all!
Not that I have strong opinions, or anything. :-)
I may be wrong, but I think the problem PD is getting at is how people who refuse to get diagnosed can continue to pay low insurance premiums while the people who get diagnosed and treated get punished financially for caring enough about their health to be proactive with taking care of themselves.
THAT part of the system is broken, in my opinion, since it rewards the ones who never get diagnosed and let their health deteriorate and punishes those who are working to prevent bad health.
As I understand it, the question asked by insurance is whether someone has been diagnosed with sleep apnea. Getting the treatment without the diagnosis is a way to remain truthful when answering the question yet still improve one's health all at the same time.
I agree it would be better healthwise to go through the diagnosis process. But I also agree the insurance system is stupid when it punishes those who do, so it may be better financially to avoid the busted system completely if you can find a way to do so safely.
Rock Hinkle said:Maybe I am missing something. I see nothing wrong with buying a machine abroad. My problem is with avoiding the whole diagnosis part. PD I understand that you are a PAP therapy pro whom has a very good idea of what is going on with yours and most machines. Even though you might not agree a certain level of education came with the Dx process. Whether it was on your own or from your DR./DME you were educated by this process. If you look at some of the members whose diagnosis process took short cuts(ie chris or Russ to name a few) they have been having more problems than the norm. I know that quite a few members had problems with this process, but it is not always like that. If the right people are in place to carry it out the system does work.