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2Sleepy

2Sleepy
Joined Mar 2015
2Sleepy
Joined Mar 2015

jo'

I did have a problem, but it was resolved in weeks, not months. The issue had to do with finding a supplier that accepted my insuance. It was very frustrating.

In my case what happened was that the Sleep Center sent my prescription to one of their regular durable medical equipment suppliers. That supplier did not accept my insurance, but no one contacted me. The prescription was then sent to a 2nd supplier. The 2nd supplier did not accept my insurance, so they discarded the prescription. What? No one told me. I had been told to expect the wait for the CPAP machine to be about 1 week to 10 days. At the 2 week point, I became insistent with the Receptionist in the Sleep Center that the problem get resolved. I also contacted my insurance company. My insurance costs a lot, and I felt they should help the customer who stops breathing at night. (Makes business sense, provided the CPAP machine in a timely manner to avoid the added costs of any complications that I could run into from not using a CPAP machine.

The insurance company told me the name of a supplier that was in my local area AND in their network.

The prescription was sent out for a 3rd time. I got a callback from that supplier, who said they would be in contact with me for delivery arrangements. My equipment was delivered 3 weeks from the time that the prescription was written.

I found this whole process very frustrating. The receptionist kept saying she would fax the order to a different supplier. I asked her to call before faxing. She was not happy, but I wasn't willing to be put off over and over again.

I later spoke with the Office Manager (supervisor of the office staff) at the Sleep Clinic and described the problem I had with communication and getting the doctor's order filled. The Office Manager listened to my complaint and said she would follow up with receptionist. I thought that was important, because that seemed to be the source of the problem. In every other way, I had been completely satisfied with the MD evaluation, and all other staff members. But, if the MD order is not filled, then it is a huge waste of time and money for all involved.

From your post, I can't tell whether you are having a problem with the supplier of the equipment or your insurance or both. If you are hitting a road block, I would suggest asking to speak to the supervisor of whoever is giving you the problem. State your problem calmly, and hold the supervisor accountable. Keep a record of who you spoke with, what they said they would do, and get a direct phone number for that person, in case you have further problems. If the person needs to "look into the situation," ask when you can expect a response, then call if you do not hear back in a timely manner.

Good luck.

Hi Honeybee,

I started CPAP, using nasal pillows just a couple of days after you. The RT had me start with a small mask. I had many and assorted issues with adjusting to the nasal pillows when using the device at home. In the sleep lab, it worked well and was (strange), but comfortable enough.

On 2 nights at home, I felt as if I was really struggling to breathe. After a fairly lengthy conversation with the RT who provided Customer Service through my DME supplier, she advised me to try the medium-size mask. That made a big difference because the nasal air openings were considerably larger. I also had issues with the mask shifting when I shifted position. I have been able to resolve that by adjusting the straps. There is also a diagram that shows proper positioning of the part of the device that has the air openings. It is not obvious to me whether that is lined up correctly, but through experience I have learned what "feels right" for the best airflow. I can now adjust that while in bed, if needed, after a position change. One of the 2 nights that I had trouble breathing, I later realized that I had the mask on upside down. Up vs. down is not obvious to me when looking at the device. On close inspection, I realized there is an embossed word..Resmed...that goes above the opening (on my particular device). It seems like a lot of work, but I am committed to working out the problems.

Today, I had an appointment with the nurse in the sleep lab, because I was still feeling very sleepy and as if I am in a brain fog some days. She did a print out from the machine, and increased the pressure level. I think that will make a positive difference for me.

Hope you are getting whatever help you need to get your CPAP device/mask working well for you.