Difference between revisions of "Purchasing a CPAP"
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# estate sales | # estate sales | ||
# want ads | # want ads | ||
| + | # sleepapnea.org [https://www.sleepapnea.org/community/cpap-assistance-program/ cpap-assistance-program] Generally older machines that | ||
# Gumtree (Australia) | # Gumtree (Australia) | ||
| + | # Sleepoz.org provide a [https://www.sleepoz.org.au/products/used-cpaps members' buy and sell page], though it is not very active. (Australia) | ||
Many of these sources exist because, unfortunately, many people refuse to treat their apnea and sell their machines. Usage and condition may vary from brand new, sealed units to having many thousands of hours on them (know how to check Run hours not user hours which can be reset) | Many of these sources exist because, unfortunately, many people refuse to treat their apnea and sell their machines. Usage and condition may vary from brand new, sealed units to having many thousands of hours on them (know how to check Run hours not user hours which can be reset) | ||
Revision as of 01:38, 4 December 2018
How to acquire a CPAP.
UNITED STATES
With Insurance
The common path with health insurance is to
- Make an appointment with a Sleep Doctor
- Get an appointment for a Sleep Study to Test for the presence of a sleep disorder, commonly Sleep Apnea, and determine what type of Apnea you have and how bad it is.
- Get an Appointment for a Titration Sleep Study to determine settings for your new CPAP machine
- Get prescription for the CPAP machine of your choice, Preferably an Auto-CPAP (More Flexibility in use), is recommended by your Sleep Doctor.
- Visit your DME to pick up your CPAP machine from the DME
Purchase Considerations:
- Fully Data Capable, you want data with which to soundly make changes
- Compatible with Sleepyhead (for other data system) to produce detailed Daily Charts
- Get the right machine for your apnea
- To treat obstructive apnea and minor hypopnea and for most initial treatments a standard Auto CPAP such as AirSense AutoSet (or for her) is appropriate.
- To treat obstructive apnea and hypopnea, and a standard Auto CPAP is insufficient the treatment of choice is the Aircurve 10 Vauto (has higher pressure and greater Pressure Support (PS) (similar to EPR) available
- To treat central and/or complex apnea, the only appropriate therapy would be the Aircurve 10 ASV
- To treat obstructive or pulmonary restriction including hypoventilation, would be the Aircurve 10 ST
- Auto mode (This provides Flexibility)
- Zero or low total run hours (not usage hours which can be reset). See the setup manuals for how to. Note: DMEs have been known to deliver used machines as new
It is strongly suggested that you post a full copy, not just the summary, of your Sleep Study(s) (with personal information redacted) to the Apnea Board Forum so that you know what kind of CPAP would be best for you. For pure Obstructive Sleep Apnea (OSA) this is typically an Auto-CPAP which is flexible and fully compatible with The best software available for you to monitor your therapy. Note that these studies often indicate or hint at more complicated apneas which may need a more advanced version of a CPAP than is initially recommended to treat.
Without Insurance
The reasons for purchasing without insurance boil down to two reasons, you do not have insurance, or you are choosing to purchase out of pocket.
Note: Legally the US Requires a Prescription to purchase any CPAP or any CPAP mask. That said it is possible to make a purchase without a prescription.
Caution: It is preferred / safer to purchase through storefronts either brick and mortar or on the internet. Many locations in the list end with a person selling a single unit which they are likely not familiar with. Note the Purchase Considerations below for product eveluation. These sources may change frequently, use this list as a guide.
Where to Purchase, not in any particular order
- Always first choice The Apnea Board Suppliers List but they usually require a Prescription (ask) (supplier #2 and Supplier #33 have good prices and ship internationally).
- Amazon
- eBay
- craigslist
- Letgo
- Facebook Market Place
- Offerup
- garage sales
- estate sales
- want ads
- sleepapnea.org cpap-assistance-program Generally older machines that
- Gumtree (Australia)
- Sleepoz.org provide a members' buy and sell page, though it is not very active. (Australia)
Many of these sources exist because, unfortunately, many people refuse to treat their apnea and sell their machines. Usage and condition may vary from brand new, sealed units to having many thousands of hours on them (know how to check Run hours not user hours which can be reset)
Purchase Considerations:
- Fully Data Capable, you want data with which to soundly make changes
- Compatible with Sleepyhead (for other data system) to produce detailed Daily Charts
- Get the right machine for your apnea
- Auto mode (This provides Flexibility)
- Zero or low total run hours (not usage hours which can be reset)
- Used by a non-smoker in a non-smoker house
- Recommend replacing the filter(s), Mask, Tubes, and Humidifier chamber
AUSTRALIA
Diagnosis & testing
If you believe you might have sleep apnea, ask your GP for a referral for a sleep study. Studies are conducted at specialist clinics, usually attached to hospitals in capitals and major regional cities.
Prescription requirements
There is no legal requirement for a prescription to purchase a CPAP machine or supplies in Australia. Notwithstanding this, some sleep doctors try to pretend there is a requirement and some suppliers (such as CPAP Australia which is owned by Resmed) require a prescription.
Insurance and Medicare
Sleep test:
Medicare will cover some or all of the cost, depending on the exact nature of the test and whether the patient is an adult or child. Many sleep clinics will bulk bill the procedure cost, but check first.
If you have the test as a public patient at a public hospital, there should generally be no cost but there may be a long waiting list and not all public hospitals have sleep test facilities.
For private facilities, your private health insurance may cover some or all of the facility cost for the overnight stay. This will vary depending on the type of facility, your health fund and which table you are on. Check with the fund and facility prior to committing.
Machine
Medicare does not cover the cost of a CPAP machine, though there may be special payments available if you are in financial difficulties. Check with your friendly CentreLink office.
CentreLink may provide a subsidy towards the running cost of a machine (currently $157 pa) - Essential Medical Equipment Payment
Many energy suppliers also provide substantial discounts for eligible users - eg Synergy in WA offer up to $300 pa
Your health fund will make a one-off payment towards the purchase of a machine. This varies from $150 to $1,000 depending on the individual fund and the table you are on. Some funds require a doctor's prescription or statement of medical necessity. A few require proof of compliance. As always, check with your fund before committing.
DVA Gold and Silver Card holders may be eligible for a free machine. Check with DVA.
Suppliers
Most sleep clinics also supply machines. This can lead to a conflict of interest so consider if it is better to buy from an independent supplier. You are under no obligation to buy from your sleep doctor or sleep clinic.
There are many on-line suppliers in Australia, usually with well designed web sites which make buying simple. Prices and services vary a lot, so shop around.
Many pharmacies also supply CPAP machines and supplies, along with some form of diagnostic and advisory services.
Check if your supplier has a free trial period or rental arrangement, to ensure your machine is suitable before purchasing.
Used machines
Most online suppliers will also have used machines for sale.
For general considerations about purchasing a used machine refer to the United States section.
Gumtree
There are many new and used machines on Gumtree. Many of the private seller machines are over-priced.
Sleep Disorders Australia
Sleepoz.org provide a members' buy and sell page, though it is not very active.
Buying from outside Australia
It is often cheaper (sometimes substantially so) to purchase a machine from the United States rather than Australia. See the Apnea Board Supplier List
Some clinics will try to tell you it is illegal to import a machine - it is not.
Many American suppliers require a prescription which can be provided by your GP.
When comparing prices take into account the current exchange rate and shipping charges. CPAP is GST exempt, but will likely attract a Customs fee (currently around $80.00).
Remember also that if you have any problems you may need to refer back to your overseas supplier. You will not get warranty cover here in Australia, even if your machine was manufactured here.
Canada
Diagnosis and testing
Prescription requirements
Insurance and (Government health system)
Suppliers
Used machines
Buying machines outside Canada
United Kingdom
Diagnosis and testing
Prescription requirements
Insurance and NHS
Suppliers
Used machines
Buying machines outside the UK
Donate to Apnea Board
