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Re: The Insurance-DME secret


Posted by Liz A on February03, 2000 at 23:43:45:

In Reply to: Re: The Insurance-DME secret posted by Dan on February03, 2000 at 17:09:33:

The Preferred Provider has to jump thru a lot of hoops required by the insurance co and so their prices are higher. It kind of reminds me of why defense contractors charge so much for stuff -- the govt requires all kinds of hoops...

I think the insurance co is trying to make sure anything they buy is actually used, but I'm actually much more cynical about all this than this note sounds. But I thought I ought to be fair about the DME hoops. There are two techs who have sleep apnea themselves and come to our AWAKE support group meetings. The extra $$$ pays for the service you get and paperwork they're required to do to document the rest of what they do.

I think it's all pretty crazy. My biggest irony was repeatedly calling an HMO to see if they'd approved my CPAP and repeatedly being told it was in review. While on hold all those times, they were playing a recording about sleep apnea!!! Turned out that they didn't have my sleep study results and that held it up from May to September (1997), but they wouldn't tell me that... The DME volunteered to call and the lady there called me back 10 mins later to say they didn't have the sleep study results... Sigh! I couldn't get the doctors office to call...

-Liz

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