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Hi Friends. I Turn 65 In December And I Have A Question About Medicare Covering My CPAP Machine Supplies.
I remember seeing a post where someone said Medicare requires a new sleep study when you become eligible for Medicare before they will cover CPAP supplies. I have very few apneas but I need the machine to help keep my 02 sats up when I sleep. Thanks for your input.
Answer Summary
Members shared their experiences with Medicare coverage for CPAP machines when turning 65, with many confirming that Medicare does require... Read more
I have discovered all of this Medicare, funding, grants, and zero pay, it all depends on who is handling the paperwork! Make sure you have someone qualified and who does this type work everyday. My Physician's office takes care of it for me! I could never do it on my on and I have had people in Physician's office who are not reliable to do this type work. Tell your doctor what you need and if they can't provide the financial help you need change doctors. Or should I say add a doctor to your team who can get it done. We are ill we can't fight this financial battle on our on and we should not have too! Ask Jesus to help you seek the help you need!
Yes, I had to do a second sleep test when I turned 65 and when I turned 70 and was due for new equipment I had to have another sleep study. We have to give them something to do!
@A myPHteam Member Be aware that your grant money counts towards your qualifying for the "Catastrophic" phase of Medicare C and D. It SHOULD be automatic...but check with your Medicare pharmaceutical coverage provider and see if your grants brought you up to the level to qualify for zero co-pays for the rest of the year. Tier 5 medications like Opsumit and Adempas, etc only have to meet the $3,500 threshold for you to qualify...other medications have to total up to 8K. Next year the threshold will be lower.
I crossed into the catastrophic phase when it was still January!
Hi Melanie! I have a Medicare Advantage Plan - PPO. I usually get into the donut hole in or around Sept. This year I fell into that hole in March!! I was devastated by the co-pays going sky high. Not qualifying for special help from Medicare or an agency that helps I had to find another way. Isn't it just like our FATHER GOD when I cried out HE answered with the foundations and now the 3 most costly meds are free of charge to me and they deliver to my door! It's a beautiful and timely blessing. My doctors don't get samples and I had no where else to turn - but GOD!! I love the Lord!
Way to go Michelle 506! I have Medicare C plan, an HMO type of Advantage Plan. I never had any problems getting supplies, but I always had a co-pay. The co-pay did become smaller as the year went along, and then they start all over again Jan 1.
Blessings to you!
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