cost of your cpap machine?

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cost of your cpap machine?

Postby NightWatcher » Mon Oct 15, 2007 4:28 pm

Can folks tell me how much they paid for their cpap?

I have a REMstar Pro M Series with C-Flex with a humidifier and smart card.

My home health person told me cost $200 for 10 months (but that does not include the humidifer)

I had no idea the machine would be this expensive - over $2000! I don't have this kind of money (or insurance!)

is that what most of you paid?

thanks much for your help
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Postby juni88126 » Mon Oct 15, 2007 4:32 pm

The bill my dme sent the insurace company on mine was 1200
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Postby pseudonym » Mon Oct 15, 2007 4:34 pm

Hi NightWatcher, welcome!

Google up 'cpap' and you'll get a whole slew of online sellers. I didn't go look it up just now, but I believe your machine can be had online for around $600 shipped (in US), might be a bit more I can't remember if that is with or without humidifier. All you have to do is fax or mail a copy of your prescription and you can buy it all outright for a lot less than the DME wants.

Hope this helps, Blessings,
--pseudonym
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Postby NightWatcher » Mon Oct 15, 2007 6:27 pm

Holy Toledo!!! The company I am dealing with is ripping me and my insurance company off big time. Their cost for my machine, which the humidifer is over $2,500.

this cpap scam needs a lot more regulation .... or a lot less. After all, this is just a fancy air compressor.

not sure what I do now. turn it in and cut my losses or what ....

I appreciate all of you who responded. getting info from my provider was very hard.

not a satisfied customer, not satisfied at all,
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Postby bdz » Mon Oct 15, 2007 6:36 pm

Nightwatcher,
I had to forgo the insurance which I have... as I learned I could get it all so much cheaper... online. My supplier said, what about service. Well, I also got the card reader and software to go with my unit... I am still below what the insurance route would take me. When I can, I will purchase a small basic unit to use in case I have to send the regular one back/out for service (two year warranty) It was a scary move for me, but I feel good about it.

I only had it three weeks and would feel fine paying a one month rental fee.
Barb
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Postby SidecarMike » Mon Oct 15, 2007 10:13 pm

juni88126 wrote:The bill my dme sent the insurace company on mine was 1200

About the same here. I got my Respironics M-Series Bipap Auto from the insurance company but when I discovered how dependent I have become, I decided to buy a second one to keep in the camper. This way I don't take the chance of ruining or losing it on a camping trip. $1225 with the humidifier and 12 volt power cord for my motorcycle.
Gone
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Postby Bearded One » Mon Oct 15, 2007 10:44 pm

If you think CPAPs from DMEs are overpriced, compare the price of prescription drugs in the US with the price of the same drugs in other countries. It all comes down to greed and the ability of companies to buy laws that are beneficial to their business and to block laws that threaten their postion.
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Postby PuhJommies » Mon Oct 15, 2007 10:56 pm

What I don't understand is why the insurance companies pay the higher prices? Surely they must know they are being price gouged.... which means that we who already pay exorbinate health care premimums pick up the gouging slack right?

I don't get it though... why is charging more acceptable by insurance companies? They have the clout to bring fair pricing about. Take hospitals for instance -if you don't have insurance, you pay the hefty price. With insurance, the hospital will bill the hefty price but accept what the insurance companies pay them.
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Postby Bearded One » Tue Oct 16, 2007 5:33 pm

Insurance companies negotiate reduced rates. My insurance company's negotiated rate for my CPAP was less than half of the billed rate. It works the same way for many other medical expenses; this why many insurance policies have "participating providers".
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Postby graciel » Tue Oct 16, 2007 9:39 pm

You know, if you need a machine and you can't afford the $200 a month, you can keep an eye on Ebay. They are not supposed to sell them on there and I believe the auctions are removed if the powers that be at Ebay see them, or they are reported to them, because they are medical prescription devices and aren't supposed to be sold that way. But I looked tonight and there are two on there right now. I'd be very surprised if they go much over $300-400. You might not get the exact machine you want, but it'll be a CPAP machine if you are between a rock and a hard place.

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And I thought it was the insurance companies.

Postby TedG954 » Tue Oct 16, 2007 11:59 pm

I bought a brand new Respironics Apap on line for $200. My insurance company paid more than $2000 for my Fisher-Pykel 601. When I realized what the insurance was going to pay, I called them to inform them of the inflated price. No one cared. It was the DME that was the thief in this situation. They lied to me one time telling me that my insurance no longer paid for a Hybrid mask. When I called the insurance company, they didn't know anything about it. Then, after calling the DME again, they said they meant "they" weren't handling it anymore. Liars and thieves. I dumped them.

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Postby Vicki » Wed Oct 17, 2007 12:16 am

Nightwatcher,

Do a cost analysis. Figure out your out-of-pocket cost if you bought your CPAP online and then submitted a claim form with the receipt to your insurance company. Your insurance will reimburse you, but you will reimbursed at the out-of-network rate. Then find out your out-of-pocket cost if you go through your DME. With my recent purchase, my out of pocket expense was less if I went through my horrid DME but it almost wasn't worth it because of my mental anguish.

Another crazy thing I discovered was to shop around the various DMEs my insurance contracts with because each DME has a different contract with the insurance company depending on the zip code the DME is located in.

Vicki
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That which does not kill you makes you stronger-Friedrich Nietzsche
Friedrich must of had apnea.
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Postby NightWatcher » Wed Oct 17, 2007 5:59 am

Vicki, glad to hear someone else has had a lousy experience with a DME (what does that stand for anyway? I honestly do not know. LOL!

I don't have anything against the person I am seeing (twice now), and I would like to see someone face to face. However, she has avoided the tougher questions - perhaps by law or company policy. For example, she could not tell me if using dentures is good or bad for masks - nor could she tell me the effects of common medications on sleep apnea. Like I say, it's probably company policy, but it would sure make her fees seem worth it if she could answer more questions. I don't think my person even knows about the humidfier recall, and every DME should.

The companies really need to include a DVD in the package. There was a good dvd playing in the sleep lab the nights I was there. I asked for a copy. Nope, it was not for patients outside the clinic A DVD would be very helpful. But, at this stage they must be happy with having mainly DMEs give the knowledge. Today's consumer wants to be more involved.

I really appreciate a board like this. I get info from real people who actually use the product. I appreciate everyone's effort who is trying to learn how to live with this. You can't get this information anyplace else except on a handful of sleep apnea forums.
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Postby pseudonym » Wed Oct 17, 2007 7:23 am

Hi NightWatcher,

DME = Durable Medical Equipment.

The questions you asked your rep at the DME, answering those could be construed as giving medical advice, she was right not to answer them. She should have encouraged you to ask your doctor, though. Did she?

I understand what you mean about a DVD, and I think some people would find it helpful. In my opinion a lot of folk would just chuck them, though. I see posts on this board all the time, asking the same questions that were just answered in the previous thread. I'm not knocking anyone for that. I think a lot of people would prefer to have help one on one rather than do their own research -- they could have used the search feature or read the FAQ here but they posted for help instead. This board is a Godsend for many, some have even posted that :-)

That being said it would be nice if the DMEs had the video you spoke of, an 'orientation video' if you will, to show new customers before mask fitting, etc. It would have to be somewhat generic as far as mask fit issues, but can address things like locating the CPAP lower than the bed and why, how to clean and fill the humidifier, cleaning mask and hoses, cleaning filters, things of that nature. Each time I have been at my DME the RT has gotten a call on what to do about condensation in the mask, or how do I clean this stuff again?

Just my $0.02 USD.

Blessings,
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Postby NightWatcher » Thu Oct 18, 2007 6:20 pm

Thanks pseudonym!

But, I thought my RT was a nurse and could give medical advice! She does not model the masks or really do much. To be fair I think there are a lot of scripts being written for these machines and the few RTs out there are working their tails off delivering machines. Too many patients, not enough RTs?

Again, I think they should be able to give out some common advice about the equipment. I imagine most of the questions are pretty standards.

Plus, I don't see my sleep doc for another month. And, he only schedules 10-13 min with each patient (I over heard him talking to his receptionist) Almost all specialists are like that.

thanks again,
"Good Thoughts, Good Words, Good Deeds"
Zarathushtrian Motto Since 2000 BC
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Remstar M Plus with Humidifer
Flexfit HC405 Mask
using cpap since Aug. 2007
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