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Started By
Message
CPAP covered by insurance?
Posted on 4/24/14 at 10:33 pm
Posted on 4/24/14 at 10:33 pm
For all you sleep apnea guys. Did insurance pay any for your cpap machine or did you have to pay full cost. I want to just buy the machine and have to go through all the BS of a sleep study but the machines are pretty costly.
14
Posted on 4/24/14 at 10:34 pm to LSUWhoDat
Lose some weight fatty.
Posted on 4/24/14 at 10:35 pm to pooponsaban
Yeah only fat people snore. Pretty sure 160 is not fat
Posted on 4/24/14 at 10:37 pm to LSUWhoDat
Accoding to a friend, They won't sell it without a prescription. Can't get a prescription without a sleep study
Also get all your life insurance in place before you get prescribed. Makes your premiums much higher having that diagnosis
Also get all your life insurance in place before you get prescribed. Makes your premiums much higher having that diagnosis
This post was edited on 4/24/14 at 10:38 pm
Posted on 4/24/14 at 10:37 pm to LSUWhoDat
yes...that is why they are so common...
Posted on 4/24/14 at 10:42 pm to LSUWhoDat
All I have paid so far were three $30 co-pays. This included my sleep study and my device consultations. My insurance (BCBS) pays for the device as long as I wear it 21 days per month at a minimum of 4 hours per night. There is an SD card on the back that I have to bring to my appointments.
FWIW, I am 28 and not fat. I have snored as long as I can remember, and they said that the sleep apnea has more to do with neck length than anything else. It took me about two weeks to quit waking up constantly in the night. I no longer snore, and my light sleeping wife couldn't be happier.
FWIW, I am 28 and not fat. I have snored as long as I can remember, and they said that the sleep apnea has more to do with neck length than anything else. It took me about two weeks to quit waking up constantly in the night. I no longer snore, and my light sleeping wife couldn't be happier.
Posted on 4/24/14 at 10:43 pm to LSUWhoDat
How do you know you have sleep apnea?
Posted on 4/24/14 at 10:45 pm to LSUWhoDat
Check with your insurance carrier. I'm sure it depends. My brother in law's CPAP was at least partially covered. He did have to go through that sleep study crap though. It sounded like it sucked.
Posted on 4/24/14 at 10:46 pm to Vrai
I paid 40 for the study and the machine was free with insurance. Had to use it for 30 straight days for insurance to actually cover it.
Posted on 4/24/14 at 10:49 pm to LSUWhoDat
Paid all of it.... I think the sleep study ended up costing me 300ish out of pocket. In good physical condition and not over weight, but snore/gasp like a freight train! No throat blockage either, which is usually the case, especially if you are over weight.
Posted on 4/24/14 at 10:49 pm to Spankum
quote:
yes...that is why they are so common...
Honestly, it could easily be a money grab. My sleep study had a $30 co-pay for the initial portion. If they determined in the middle of the night that I was having enough sleep apnea events then it was another $30 co-pay to have them put the cpap machine on me.
The machine itself was $2000, but I paid nothing. Once you adjust to using the machine, there are no negative effects that I have found. Therefore, it very easily could be a giant money grab. Well, it at least could be very easy for a dishonest doctor to use it as a cash cow.
Posted on 4/24/14 at 10:56 pm to LSUWhoDat
Yes most insurance policies will cover up to 80 or 90%. There are generally two studies done. The first is a diagnostic study. If the diagnosis is confirmed, then there is what is referred to as a titration study, which is done to determine the minimum amount of pressure needed for you to sleep comfortably.
Don't listen to some of these smartass cracks. I know of folks who are as skinny as a rail that have apnea as well. There is more than one kind of sleep apnea. The obstructive kind is generally but not always associated with being overweight. There is a neurological variety as well as a mixed variety.
It is good that you are having this done. I still remember the untimely death of a friend who was not diagnosed because he didn't have the insurance or money. Long story short, his wife went to wake him the next morning and he was dead. Coroner's report projected that he probably was dead the night before when his wife came to bed (he generally went to bed before her).
There may be some challenge to getting used to the equipment. The wrong thing is to quit using it. If you need some help on that issue hunt me down at markjulian5@gmail.com and I will be glad to offer whatever help I can.
Don't listen to some of these smartass cracks. I know of folks who are as skinny as a rail that have apnea as well. There is more than one kind of sleep apnea. The obstructive kind is generally but not always associated with being overweight. There is a neurological variety as well as a mixed variety.
It is good that you are having this done. I still remember the untimely death of a friend who was not diagnosed because he didn't have the insurance or money. Long story short, his wife went to wake him the next morning and he was dead. Coroner's report projected that he probably was dead the night before when his wife came to bed (he generally went to bed before her).
There may be some challenge to getting used to the equipment. The wrong thing is to quit using it. If you need some help on that issue hunt me down at markjulian5@gmail.com and I will be glad to offer whatever help I can.
Posted on 4/24/14 at 10:57 pm to SlimCharles140
quote:
NotSlimCharles140{/quote]
[quote]Had to use it for 30 straight days for insurance to actually cover it.
Posted on 4/24/14 at 10:58 pm to LSUWhoDat
The comment about getting life in force prior to your diagnosis is correct.
You'll get rated up, and pay a much higher premium.....No matter what the face value of your policy.
The thinking with underwriting is, you stop breathing at night.
You'll get rated up, and pay a much higher premium.....No matter what the face value of your policy.
The thinking with underwriting is, you stop breathing at night.
This post was edited on 4/24/14 at 10:59 pm
Posted on 4/24/14 at 11:00 pm to Peazey
quote:
He did have to go through that sleep study crap though. It sounded like it sucked.
To tell you the truth, sleep study is actually an oxymoron. You really don't get much sleep in those studies. Also, watch what you are doing in there. Even though you are alone, you're not. There is a camera in the room recording your every move so that they can look at what is actually happening if there is something of question on the monitoring results.
One example might be jerky legs. There was a time that I could have unknowingly kicked the living shite out of someone in my sleep before getting put on some meds to control that.
Posted on 4/24/14 at 11:03 pm to BRgetthenet
quote:
you stop breathing at night.
Which raises another issue. It is a good idea to have a machine that has an alarm on it to alert your bedmate if you stop breathing with the machine on. Most of the time a good nudge or knee in the back from the wife will start everything back up.
Posted on 4/24/14 at 11:05 pm to damnedoldtigah
For those who use the CPAP machine now... How much different do you feel now that you sleep all night and what made you go to the doctor. What problems were you having?
Posted on 4/24/14 at 11:09 pm to Bmath
quote:
The machine itself was $2000, but I paid nothing. Once you adjust to using the machine, there are no negative effects that I have found. Therefore, it very easily could be a giant money grab. Well, it at least could be very easy for a dishonest doctor to use it as a cash cow.
Illegal for a doc to sell the equipment. Unless illegal kickbacks are given, there is no incentive to over diagnose. And as a primary care doc, I won't refer to specialist that seem to over diagnose certain things or do unnecessary procedures. Part of my job is to be the patients advocate. I have no problems telling a specialist to get fricked and sending my patient somewhere else. Ultimately, the specialist refer to reflect on us. Essentially, we are vouching for them when we send them a patient. I have zero tolerance for bullshite.
Posted on 4/24/14 at 11:09 pm to TheDirty1
It's like night and day when I don't sleep with it.
Oh btw I'm 29, 6'2 and bounce between 195-205...not fat.
Oh btw I'm 29, 6'2 and bounce between 195-205...not fat.
Posted on 4/24/14 at 11:09 pm to damnedoldtigah
Yeah, it was kind of funny how he described it. They hooked all this crap up to him. Told him he had to sleep on his back, when he is used to sleeping on his side. Then told him to sleep in a strange place, when the entire reason why he was going in is because he had a lot of trouble sleeping. I guess it's for the best though.
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