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Connect Your MedicareApria Healthcare
Financial Breakdown
Coverage Details
This service is covered under your insurance plan. No deductible was applied to this claim. Medicare Coinsurance of $160.00 applies.
Cost Breakdown
Coverage Insights
- Durable Medical Equipment (DME) coverage applied
- Standard 20% coinsurance based on Medicare approved amount
💡 These insights are derived from Medicare's adjudication data to help explain your coverage details.
AI Summary
This claim is for the first month rental of a Continuous Positive Airway Pressure (CPAP) device. The provider charged $1,200.00, but the Medicare approved amount is $800.00. Medicare paid 80% ($640.00) and you are responsible for the 20% coinsurance ($160.00). This is a standard coverage rate for DME.
Risk Flags
Insights
- •Remember that Medicare rents CPAP machines for 13 months before you own them.
- •Ensure you use the device regularly, as Medicare requires proof of use for continued coverage.
- •{"title":"Medicare Coverage of DME (CPAP)","url":"https://www.medicare.gov/coverage/continuous-positive-airway-pressure-cpap-devices-accessories-therapy"}
Obstructive sleep apnea
Obstructive sleep apnea (adult) (pediatric). A sleep disorder where breathing stops and starts repeatedly. The muscles in the back of the throat relax too much to allow normal breathing.
Present on admission: No
CPAP device
CPAP device purchase or rental
Continuous positive airway pressure (CPAP) device. Used to treat obstructive sleep apnea by keeping airways open with gentle air pressure.
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