If you are curious about the process of getting a CPAP machine, chances are you have already had a sleep study and have been diagnosed with obstructive sleep apnea. CPAP stands for continuous positive airway pressure. CPAP machines are the most effective treatment for obstructive sleep apnea, but the process of obtaining a CPAP machine involves several steps and can be confusing. Your doctor will work with you and with a third parry distributor to get you set up on a CPAP machine.
Verifying Insurance Coverage
The first question many people ask when they are going through the process of getting a CPAP machine is whether it will be covered by insurance. Many health care plans include coverage for durable medical equipment, although the coverage varies from plan to plan. Some policies cover a percentage, some cover the total cost and other plans may require that you have met your annual deductible. To determine your individual coverage, the best approach involves calling your insurance company.
Choosing a Durable Medical Equipment Company
After you have a prescription and have verified your coverage, you will need to choose a supplier. This company will provide you with the machine, mask, hoses, accessories, and support as long as you are using the machine. Your doctor should provide a list of companies in your area. Many insurance companies have relationships with specific durable medical equipment companies such that you may have to go to a designated company in order to obtain full coverage. This can be confirmed with either your insurance company or the durable medical equipment company. Other factors that may determine your choice of medical equipment company are location, support services offered, and reputation.
Ordering Your Machine
Once you have a prescription for a CPAP machine, verified your coverage, and have chosen a durable medical equipment company, you will need to order your equipment. This involves faxing or taking your prescription to the durable medical equipment company of choice. They will ask for your permission to obtain copies of your medical records from the prescribing physician in order to verify your diagnosis, type of machine ordered, and treatment settings. This process can take 7 to 10 days and varies from supplier to supplier.
Machine Set Up
Once the durable medical equipment company has received your order for CPAP and authorization from your insurance company and the prescribing physician, they will make an appointment with you to deliver the machine. According to CPAP.com, a basic CPAP setup consists of a CPAP machine, hose and CPAP mask. During the visit, a CPAP therapist will fit you with a CPAP mask, teach you how to put it on, give you instructions on how to operate and clean your machine, and answer any remaining questions. According to SleepMed.md, the durable medical equipment company will follow up with you in a few days and give instructions on any other follow-up care required by your insurance company.
Getting Started and Medical Follow-Up
The process of getting set up on CPAP is not yet over. After you have your machine, you must begin the process of using it and exploring your comfort level with it. In the first few days of use you may experience obstacles. It is important to stay in contact with your durable medical equipment company and to schedule a follow-up visit with your health care provider to complete the process.
