What’s the difference between device purchase and rental? Whether you are getting ready to use your first CPAP machine or you’re a seasoned user about to get the latest CPAP model (have you checked out the new machines with wireless modems??) it’s important to understand these options. Who determines if I pay for my … Read More »
What to do if Your Insurance Company Won’t Pay For Replacement CPAP Supplies Because You’re Not Compliant.
This the is second post in a series about the most common reasons why health insurance companies are not covering CPAP supplies. As an equipment provider for many health plans, medical groups and IPAs in Southern California, we’re seeing that coverage for replacement CPAP supplies is changing and the process is becoming more difficult. We’re … Read More »
Our patients get extremely frustrated when they contact us to order replacement supplies- at the usual 90 to 120 day intervals- but their health insurance company won’t pay. It’s especially hard because we’ve been saying- since the initial set-up- how important it is to regularly replace CPAP equipment, like the mask, cushions, filters and tubing. Your … Read More »
Did you know that if you don’t use all of your health insurance benefits this year, you lose them forever? You may have met your deductible for 2016 already. If so, you can take advantage of lower (or no) out-of-pocket expenses for medical services such as sleep studies, PAP or supplies (learn about insurance coverage for … Read More »
PAP (positive airway pressure) therapy treats obstructive sleep apnea by delivering pressurized air into the airways to keep it open during the night while sleeping. PAP can reduce or completely eliminate sleep apnea (learn more about how PAP therapy works here). There is significant evidence that treating sleep apnea with PAP therapy improves quality of … Read More »
The patient clearly has sleep apnea, but it’s not severe enough for the insurance company to cover therapy. Why? Unfortunately, there are varying opinions about how sleep apnea is diagnosed and when CPAP is the appropriate therapy. Primarily, the difference is between how Medicare (CMS) and the American Academy of Sleep Medicine (AASM) define a diagnosis … Read More »
1. You don’t have health insurance. This is a no-brainer. If you don’t have health insurance, but have sleep apnea, you will need to pay cash for your machine and supplies. If you’re having a hard time making ends meet, check out the organizations listed in this post that offer free or low-cost CPAP and … Read More »
Like iPhones, CPAP machines have changed a lot over the past few years. The latest models are even starting to look like Apple devices. These changes in the form and function of CPAPs serve very important purposes. (1) If a CPAP machine is more attractive and user-friendly, someone diagnosed with sleep apnea is more likely … Read More »
Are you enrolled in Medicare or have patients who are? We reviewed Medicare coverage for sleep studies here. In this post, learn about Medicare Part B coverage for CPAP and other PAP therapy (Part B covers certain doctor’s services, out patient care, medical supplies and preventative services). Does Medicare cover CPAP and other PAP therapy for sleep … Read More »
Are you enrolled in Medicare or have patients who are? Learn about Medicare Part B coverage for sleep studies (Part B covers certain doctor’s services, out patient care, medical supplies and preventative services).