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Remember that even a dataless CPAP machine is a marvellous, life saving device. It's just that a fully data capable CPAP machine is a much more wonderful device that will save many more lives if used properly.
==New vs Used Machines==
We have seen used machines dispensed to individuals both as initial dispensing and as replacements. This has been the case with both private insurance and Medicare. In most cases where the recipient identifies the machine as used before accepting delivery, and refuses delivery, the machine is replaced with a new one. I am not aware of anyone that complained about a used machine prior to delivery, that did not have a satisfactory outcome. Relatively few patients are either aware of knowledgeable about this issue and how to deal with it, and it is very difficult to leverage a return once the machine is accepted and used.
Protect yourself by knowing what machine make and model you want, and making it clear that is what you want dispensed. Before picking up your machine, educate yourself on how to access and use the settings. As a member of Apnea Board, you can request you own copy of the [[https://www.apneaboard.com/adjust-cpap-pressure/change-cpap-pressure-settings-adjusting-your-machine-with-a-clinician-setup-manual|CPAP Setup Manual]], and learn how to access the "Run-Hours" of the machine to verify it is new. If you are offered a machine that is not the make and model you expected, or that has significant prior usage, it is important to complain, explain the basis of the complaint, and not accept the machine until the problem is satisfactorily resolved. Once you agree to pay for a machine and take possession, you will have much less leverage to obtain an exchange. Some insurance policies and Medicare do not stipulate a machine must be new, and DMEs will not hesitate to box up a returned rental. It is entirely on the patient to verify a machine is what they expected and is not a used machine, before accepting delivery and signing for the machine.
Buying a used or reconditioned machine is a smart way to save money, especially for under-insured patients or to have a second, stand-by machine. We don't believe patients that are paying full-price or being dispensed initial machines through insurance should have to worry whether the machine they are receiving has prior use. Learn how to protect yourself from this common practice that is generally considered legal by insurance and DMEs filling prescriptions under insurance.
==CPAP Machines==
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