There aren't a lot of online sellers who will file insurance but there are a few.we just have to get some of them to come on board. Pugsy (bless her heart) said: What we need right now until we can get the brick and mortar DMEs on board is an online seller who will file insurance in lieu of payment up front for the Bleep. I am sorry but I don't have a list of who all is stocking the Bleep but I will ask Stuart if he knows of any that will also file insurance for the patient and accept assignment. What we need right now until we can get the brick and mortar DMEs on board is an online seller who will file insurance in lieu of payment up front for the Bleep.
When they special order something they usually will just order from some place like and while I don't remember the exact allowable amount for a replacement nasal pillow.I am pretty sure it is less than $40 and if that is the case there is zero profit margin.Īnyone recently had Medicare pay for a nasal pillow? How much did they allow and then pay 80% of? Right now the brick and mortar DMEs aren't stocking the Bleep.big hurdles get them to get out of the dark ages and try something new. The problem is suppliers are afraid that the cost if they special order the box of ports is going to cost them more than insurance (or Medicare) will allow as an allowable charge and providers who are participating members with Medicare can't accept any more than what Medicare allows. Medicare will allow the same dollars for the ports as they do for the nasal pillow. Insurance pays by HCPCS billing code.name or brand doesn't matter.
BLEEP DREAMPORT MASK CODE
It's the same HCPCS billing code as the disposable nasal pillows that Medicare allows 2 per month. Insurance (including Medicare) will indeed pay for the disposable ports. Looks like $75/month and I don't think any insurance will pay for a disposable. Has anyone else who wants to use this wonderful new product found it similarly difficult to impossible to obtain through their insurance? Has anyone been lucky enough yet to find a provider who will cover it with Medicare and a supplemental insurance? If so, I would most definitely love to hear that news.Īt this point, I am almost ready to throw in the towel, and suck it up with my current mask. I do hope that BleepSleep is working on making this more readily available to people who need to have it covered by insurance. I wish I could just order it to try for myself, but I am really unable to pay $80 per month for the ports, without any coverage at all, and no provider that I have found seems willing to order it. Long call in which I found out nothing new or helpful, except the Associate was going to send me a list of CPAP Providers. So, my next call was to Blue Cross, Blue Shield, asking for any suggestions. The lady I spoke with said the same thing - no one is willing to do special orders like this, as they will be out of pocket.
Medicare gave me the name of an approved provider in Coldwater, Ohio, which happened to be a hospital that has a DME section. When Medicare says "allows for" they do not mean they will cover it in full, which explains the reluctance of providers to order the BleepSleep DreamPort for their customers. A7034 allows for a new part piece every three months. Medicare said that the codes I was given by BleepSleep allow for the following: A7033 allows for 2 boxes of the ports per month. If I were, in fact, lucky enough to find a Home Care Provider willing to cover the BleepSleep DreamPort, I would have to have all my medical supplies ordered from that same provider, which would require a doctor's prescription to change. Probably also not possible because of the phone call I had with Medicare. I called Direct Home Medical yesterday, and was told they did not file insurance, but I could do it myself. Today we had another conversation, and I asked if they could special order it, and I would pay the difference of what was not covered by Medicare and Blue Cross/Blue Shield. Finally, I was told that their reluctance was based on the likelihood that what Medicare covers would leave them out of pocket for a large chunk. I have been contacting my Home Care Provider regularly to see if they can obtain the BleepSleep DreamPort for me. This is a long saga of my determined attempts to obtain the new BleepSleep DreamPort and have Medicare and Blue Cross Blue Shield cover it.
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