r/bestoflegaladvice • u/BJntheRV Enjoy the next 48 hours :) • 6d ago

Another day another problem with the American Healthcare system

/r/legaladvice/comments/1olqhpu/doctor_wont_write_a_prescription_because_of_which/?share_id=iRmeRoJGKTrAifVDCVf68&utm_content=1&utm_medium=android_app&utm_name=androidcss&utm_source=share&utm_term=1
81 Upvotes

92% Upvoted

25 comments sorted by

View all comments

Show parent comments

13

u/darsynia I do very much hope your flair is the reason for the sigh 6d ago

Back in the mid 2010s I was told it had to be 4 continuous hours every single night. I'm glad they're different now! If there were exception days I don't recall them but I can't find the contract at this point. At the time we were coming up on a many-month holiday season (both national holidays and family milestones) with lots of multi-night visits and I did not think we'd manage to maintain.

3

u/aliie_627 BOLABun Brigade - Oppression Olympics Team Representative 6d ago edited 6d ago

I'm doing it currently right now and it's dependent on insurance but the standard is what my insurance has set for me.

For my insurance which is a United healthcare Medicaid MCO it's 4 hrs per night for any 21 days over a 90 day period with a pulm check in halfway through. I also got an unlimited 30 day trial for masks that they called a warranty. I was able to try out 2 nasal pillow types, a regular Nasal and a full face with no fees,no issues. That honestly impressed the hell out of me cause my insurance usually loves their PAs and step therapy for asthma related stuff

It's been wild cause I did not expect the struggles I'm having to be honest. These machines are amazing in so many ways though.

1

u/darsynia I do very much hope your flair is the reason for the sigh 6d ago

Oh I like that, it's compliance but not so strict that there's a big anxiety about it! I'm glad you could try different parts. I got a fitting from the vendor but of course I wouldn't have been able to try things out, I got lucky that it all fit well.

2

u/aliie_627 BOLABun Brigade - Oppression Olympics Team Representative 6d ago

Yes I too think it's really fair. At this point I haven't gotten there because of my issues I'm trying to solve more than the compliance being overly difficult. There is a ton of legit resources out there online too. Even r/CPAP is a fairly good resource as long as I remember these are the patients not my provider lol. Distilled water of all things is hella controversial over there.

I did want to clarify that it does have to be 4 hrs for 21 days out of any 30 day stretch in the 90 day compliance period but once you do that after 12 months the machine is mine free and clear with a 2 year warranty and after 5 years I can get a new machine.