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How to Replace Your CPAP in Only 666 Days

aphyr.com

21–30 of 273 posts

Re: How to Replace Your CPAP in Only 666 Days

#21

'don't buy anthem products, period, for any reason"

What's crazy is that Anthem is genuinely one of the least-bad insurance giants in America right now. The bar is incredibly fucking low.

I'll take the issues with Medicare (Australia) and the NHS (UK), both of which I have dealings with, over US healthcare problems any day of the week.

Every healthcare system has issues, but universal healthcare beats the pants off the US system any day of the week.

Re: How to Replace Your CPAP in Only 666 Days

#22

You can now understand why the UK is holding on the its NHS with white knuckles despite the Conservative push to dissolve it by stealth.

I completely agree.

I suffer from sleep apnea and I too had an issue with my CPAP machine. The NHS fixed it within a week.

I can’t imagine spending 2 years chasing different health providers to sort a simple repair.

Re: How to Replace Your CPAP in Only 666 Days

#23

It’s surprising to me that not only in my home country is the process of having a CPAP machine covered by insurance a long and complicated one. In my case, it took almost 12 months to receive my first CPAP machine, which then turned out to be refurbished. Initially, I had to visit a doctor, who had an available appointment in two months. He then referred me to a sleep laboratory (another two-month wait). After my sle…

After an initial round of bullshit with the local government insurance agency to get my CPAP including the multiple “two month wait for x”, then a 6 month wait to get the machine, and subsequently struggling to get it serviced, I bought my own for a few hundred EUR and been doing that for nearly 10 years now.

At least people who don't have your means have another option.

Re: How to Replace Your CPAP in Only 666 Days

#24

It’s surprising to me that not only in my home country is the process of having a CPAP machine covered by insurance a long and complicated one. In my case, it took almost 12 months to receive my first CPAP machine, which then turned out to be refurbished. Initially, I had to visit a doctor, who had an available appointment in two months. He then referred me to a sleep laboratory (another two-month wait). After my sle…

Sounds like you are in the US.

Haha, I’m in Germany

Re: How to Replace Your CPAP in Only 666 Days

#25
I move around a lot and have run into all kinds of weirdness when it comes to CPAP stuff. Any time you establish a new doc, if your CPAP prescription is more than 1-2 years old you need to do another sleep study, so I think I've done 6 different sleep studies over the years.

The other thing to remember about CPAP is that it's not just the machine, you have to get replaceable supplies - masks, air tubes, etc every so often.

While not nearly as bad as linked blog entry, my worst situation was with Kaiser in the SF Bay Area. I had gotten a CPAP through them and then a few years later moved to a different part of the Bay. I set up a new doc also with Kaiser, but the records don't easily transfer and since it's a different Kaiser respiratory team, I had to (of course) do another sleep study AND go through a CPAP orientation on how to use a CPAP despite me already owning and using a CPAP and just needing a new mask, etc.

Re: How to Replace Your CPAP in Only 666 Days

#26
This is too common. The author of the article asked for the wrong thing from the wrong people. He should have asked his sleep doctor (which he calls the sleep center) for a new CPAP. By asking for a repair from his insurance company, he caused himself lots of grief.

I doubt he has a list if his doctors that his insurance companies or doctors would agree with.

Re: How to Replace Your CPAP in Only 666 Days

#27

Earlier quoted context omitted.

After an initial round of bullshit with the local government insurance agency to get my CPAP including the multiple “two month wait for x”, then a 6 month wait to get the machine, and subsequently struggling to get it serviced, I bought my own for a few hundred EUR and been doing that for nearly 10 years now.

At least people who don't have your means have another option.

I don’t have much in the way of “Means”, I just enjoy breathing and set my priorities accordingly. Also, where I live the most expensive CPAP costs like 1800 EUR. Mine costs 900 EUR

Re: How to Replace Your CPAP in Only 666 Days

#28
From the article: > Listen, gobsmacked, as they explain that they decided your claim was in fact an appeal, and transferred it immediately to the appeals department. The appeals department examined the appeal and looked for the claim it was appealing. Finding none, they decided the appeal was moot, and rejected it.

Tell me why this is not fraud. Tell me why insurance company employees are not facing prison time.

Re: How to Replace Your CPAP in Only 666 Days

#29
post #21

Earlier quoted context omitted.

What's crazy is that Anthem is genuinely one of the least-bad insurance giants in America right now. The bar is incredibly fucking low.

I'll take the issues with Medicare (Australia) and the NHS (UK), both of which I have dealings with, over US healthcare problems any day of the week. Every healthcare system has issues, but universal healthcare beats the pants off the US system any day of the week.

I take resource constrained over purposefully obtuse system. I can understand that people and medicine is expensive and inefficient(compared to farming and factories or tech). But at least these public systems seem to attempt to do stuff. And not be piled with bureaucracy to avoid paying out or increasing the prices.

Re: How to Replace Your CPAP in Only 666 Days

#30
This was a nightmarish read. I'm glad he was eventually able to get the replacement paid for.

On top of your state's DOI, there are a few agencies that can (typically) be used to bring insurance and other companies more swiftly into compliance with the laws they're meant to proactively follow:

* Many state AGs are responsive to well-documented problems and will send a warning on official letterhead.

* This won't work for insurance, but the CFPB[1] has a relatively smooth complaint process for financial issues, and (anecdotally) generally produces a rapid outcome.

[1]: https://www.consumerfinance.gov/

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