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Re: letter justifying APAP with C-flex

Posted by Bird Watcher on May 22, 2006 at 14:01:42:

In Reply to: letter justifying APAP with C-flex posted by eyedoc on May 22, 2006 at 12:33:22:

In my experience, here's what you have to do to get an APAP paid for by insurance- In a large 8 X 11 mailing envelope (don't fold them over and stuff into a standard envelope), mail the folowing papers to the insurance company:

1. A proper copy of your insurance company's claim form, filled out completely by you, claiming the amount of the purchase, and stating your diagnosis.

2. Original receipt for the machine from the seller, showing price, description, and perhaps serial number of the machine. You can't get it paid for unless you first buy it.

3. Photo copy of the script tablet from the doctor that you sent to the seller. Be sure this says something like 'auto-cpap' or 'autoset cpap' or ' Remstar Auto'

4. Copies of all sleep reports that you have had in a lab in the past.

5. Letter from doctor saying that you suffer from at least mild apnea and benefit from auto cpap from a pressure of XX cm to XX cm (where the xx's are your needed limits).

That should work, if anything works. I've had an auto-cpap paid for by following those steps. The doctor's letter is less important then being sure all the other papers are included. Good Luck.


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