Is Big Brother Watching You Sleep?

Much as I hate the insurance industry, it is a business and they have to have some basis for paying out. For most things however, the doctor's diagnosis is enough. You don't need to deliver data on your treatment as well!

Maybe there is some concern about overdiagnosis to sell the machines? Since it is a fact of life now, that doctors get kickbacks for prescriptions, and device pays richer than pharma...

I also heard that if you upgrade to a better version of the cpap, where the name changes slightly, the insurance will not cover the purchase of the machine. (2k$)

Yeah. Atleast I know this information. Likewise, medicines intended to treat coughs, colds, and allergies are generally considered risk-free. The FDA, however, has "Inexpensive medicines are not always as risk-free as specifications call for" recalled over five hundred of these medicines. In announcing this recall, the FDA made a point the security of some of these medications is in question. Some were not tested at all, others were grandfathered into the industry. There is a trade-off in keeping prescription drugs' cost low. The security cost of developing medications in emerging markets could make security an even bigger concern.

Heres how mine works:

I rent the CPAP from the hospital; the hospital contacts the insurance. The insurance says the machine costs $x.00, they pay 50%. I then pay on a monthly basis the remaining 50%.

Heres how my insurance uses the chip. If the chip shows I use the machine at least 70% of the time they will continue to cover the usuage of the machine. If I don't I have to reinburst my insurance the other 50% and any new equipment is on me.

I use a CPAP and I have high deductable insurance policy ($6000) as well. When l first needed a CPAP I had regular insurace who paid a local provider $120/mnth for a cpap machine. When I changed jobs and got the high deductable policy I asked to buy the machine. They would not sell me the machine I was using but they would sell me me a new one for $2100. I looked on the internet and found a supplier(Texas) that would sell me the same unit for $450. I instead bought the higher end $700 unit that is easier to tolerate. I talked about this to my first provider. They used the lame excuse that the unit might not have a warrenty. Who cares if I don't have a warrenty if I can buy 3 to 4 for the same money.

This is another example of the weirdness of American medical care.

Love my CPAC it is like a turbo charger for the lungs. I feel so good after getting all the O2 , I will even use it during the day for a pick me up.