It doesn't affair if you lot accept used a CPAP for slumber apnea for years. Unless you lot tin convince Medicare you lot postulate the machine, they won't pay for your CPAP.
Your Dr. says you lot postulate a CPAP.
The AASM (American Academy of Sleep Medicine) says you lot accept OSA (Obstructive Sleep Apnea).
But until Medicare says you lot postulate a CPAP, they won't pay for it.
Until 2013, getting Medicare Part B to encompass the terms of a CPAP was non a problem. But inwards 2009 the Obama management ordered the IAG to review claim payments past times Medicare to make upward one's heed ways to eliminate waste, fraud as well as abuse.
The IAG study, released inwards June of 2013, said the following.
"beneficiaries receiving CPAP handling may accept received to a greater extent than supplies than were medically necessary"
The written report farther stated,
Even though the written report showed that the release of supplies did non top the recommended replacement schedule it too stated that if mortal DID have to a greater extent than supplies than necessary that would live on wasteful spending.
Let that sink inwards for a moment.
Medicare is ever looking for ways to relieve money. Problem is, their agency is to shift to a greater extent than of the terms of tending to folks who tin to the lowest degree afford to pay.
Most Medicare beneficiaries accept pre-paid for their benefits over many twelvemonth via FICA payroll taxes. Now that nosotros accept reached the historic menstruum where nosotros accept earned a correct to collect, DC is finding ways to deny us access to Medicare benefits.
For to a greater extent than information on the challenges of getting Medicare to encompass the terms of your care, read Does Medicare Pay for CPAP?
#CPAP #Medicare #Apnea #OSA