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Cystic Fibrosis Forum (EXP)

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for those of you with a VEST

Solo

New member
I don't know if my insurance covers the vest or not. My advice is to talk to your social worker at your CF center. My social worker made sure I got the Vest- no strings attached. A few years later the machine stopped working and Hill-Rom sent me another one no questions asked! I definetly reccomend the Vest opposed to chest PT. When I hear "Chest PT" it makes me think of the 80's before we had the luxury of self-percussion my parents had a therapy table and used to beat on me like twice a day. Thank goodess for the Vest, I don't know where I'd be without it.
 

Solo

New member
I don't know if my insurance covers the vest or not. My advice is to talk to your social worker at your CF center. My social worker made sure I got the Vest- no strings attached. A few years later the machine stopped working and Hill-Rom sent me another one no questions asked! I definetly reccomend the Vest opposed to chest PT. When I hear "Chest PT" it makes me think of the 80's before we had the luxury of self-percussion my parents had a therapy table and used to beat on me like twice a day. Thank goodess for the Vest, I don't know where I'd be without it.
 

Solo

New member
I don't know if my insurance covers the vest or not. My advice is to talk to your social worker at your CF center. My social worker made sure I got the Vest- no strings attached. A few years later the machine stopped working and Hill-Rom sent me another one no questions asked! I definetly reccomend the Vest opposed to chest PT. When I hear "Chest PT" it makes me think of the 80's before we had the luxury of self-percussion my parents had a therapy table and used to beat on me like twice a day. Thank goodess for the Vest, I don't know where I'd be without it.
 

Solo

New member
I don't know if my insurance covers the vest or not. My advice is to talk to your social worker at your CF center. My social worker made sure I got the Vest- no strings attached. A few years later the machine stopped working and Hill-Rom sent me another one no questions asked! I definetly reccomend the Vest opposed to chest PT. When I hear "Chest PT" it makes me think of the 80's before we had the luxury of self-percussion my parents had a therapy table and used to beat on me like twice a day. Thank goodess for the Vest, I don't know where I'd be without it.
 

Solo

New member
I don't know if my insurance covers the vest or not. My advice is to talk to your social worker at your CF center. My social worker made sure I got the Vest- no strings attached. A few years later the machine stopped working and Hill-Rom sent me another one no questions asked! I definetly reccomend the Vest opposed to chest PT. When I hear "Chest PT" it makes me think of the 80's before we had the luxury of self-percussion my parents had a therapy table and used to beat on me like twice a day. Thank goodess for the Vest, I don't know where I'd be without it.
 

chrissyd

New member
My dr told me I might have a hard time...but I didn't at all. The problem being the insurance bulking at the price...but they didn't! She gave me an RX and they got it for me. And my CF dr is not even my primary dr.

Good Luck getting yours!

<img src="i/expressions/rose.gif" border="0">
 

chrissyd

New member
My dr told me I might have a hard time...but I didn't at all. The problem being the insurance bulking at the price...but they didn't! She gave me an RX and they got it for me. And my CF dr is not even my primary dr.

Good Luck getting yours!

<img src="i/expressions/rose.gif" border="0">
 

chrissyd

New member
My dr told me I might have a hard time...but I didn't at all. The problem being the insurance bulking at the price...but they didn't! She gave me an RX and they got it for me. And my CF dr is not even my primary dr.

Good Luck getting yours!

<img src="i/expressions/rose.gif" border="0">
 

chrissyd

New member
My dr told me I might have a hard time...but I didn't at all. The problem being the insurance bulking at the price...but they didn't! She gave me an RX and they got it for me. And my CF dr is not even my primary dr.

Good Luck getting yours!

<img src="i/expressions/rose.gif" border="0">
 

chrissyd

New member
My dr told me I might have a hard time...but I didn't at all. The problem being the insurance bulking at the price...but they didn't! She gave me an RX and they got it for me. And my CF dr is not even my primary dr.

Good Luck getting yours!

<img src="i/expressions/rose.gif" border="0">
 

SaltyAndSweet

New member
I got my Vest a loooong time ago. I had to fight, a little, to get it covered by insurance because it was so new. It only took a letter from my doctor and maybe a phone call to get it done.

BUT.... long term wise, it has caused problems. First, trying not to confuse things ahead of time, I got the Vest when I was directly covered under my dad's insurance policy. Now his policy is secondary to my own.

When my dad's insurance was primary, I was first told that our insurance would not be charged. But they were. The cost of the Vest was way beyond my Lifetime Maximum of Durable Medical Coverage (DME, I think it was $10,000). I believe that the Vest company picked up the extra. But, since I maxed out my DME, anything I need now is out of pocket. For instance, an insulin pump is DME, and I will have to pay out of pocket for it (about $5,000).

Now that I have my own insurance coverage, his is secondary to mine. I can use my insurance for DME but if there is any deductible or co-pay, his will not pick it up since my DME coverage was effectively used up. My insurance should cover the insulin pump, but is refusing (a whooole different issue) so I will have to pay the whole $5,000 out of pocket.

Not sure if this is a state thing, or how it is regulated, but the last employer I worked for had GreatWest Healthcare and I was able to get DME coverage for some stuff, which applies to my lifetime maximum. My new employer also has GreatWest. I was worried that the my use of the "Lifetime Maximum coverage" would follow me, but it did not. Since it was a new policy I got to start from scratch and the amounts I used with the previous policy would not count against me.

I suggest you check out your Lifetime maximum coverage for DME with your insurance, and also make sure any promises are in writing. (like how I was promised they would not charge my insurance). Also, if you may be thinking of changing jobs/insurance policies, get your DME purchased before you make the move. That way you can start fresh with a new "allowance".
 

SaltyAndSweet

New member
I got my Vest a loooong time ago. I had to fight, a little, to get it covered by insurance because it was so new. It only took a letter from my doctor and maybe a phone call to get it done.

BUT.... long term wise, it has caused problems. First, trying not to confuse things ahead of time, I got the Vest when I was directly covered under my dad's insurance policy. Now his policy is secondary to my own.

When my dad's insurance was primary, I was first told that our insurance would not be charged. But they were. The cost of the Vest was way beyond my Lifetime Maximum of Durable Medical Coverage (DME, I think it was $10,000). I believe that the Vest company picked up the extra. But, since I maxed out my DME, anything I need now is out of pocket. For instance, an insulin pump is DME, and I will have to pay out of pocket for it (about $5,000).

Now that I have my own insurance coverage, his is secondary to mine. I can use my insurance for DME but if there is any deductible or co-pay, his will not pick it up since my DME coverage was effectively used up. My insurance should cover the insulin pump, but is refusing (a whooole different issue) so I will have to pay the whole $5,000 out of pocket.

Not sure if this is a state thing, or how it is regulated, but the last employer I worked for had GreatWest Healthcare and I was able to get DME coverage for some stuff, which applies to my lifetime maximum. My new employer also has GreatWest. I was worried that the my use of the "Lifetime Maximum coverage" would follow me, but it did not. Since it was a new policy I got to start from scratch and the amounts I used with the previous policy would not count against me.

I suggest you check out your Lifetime maximum coverage for DME with your insurance, and also make sure any promises are in writing. (like how I was promised they would not charge my insurance). Also, if you may be thinking of changing jobs/insurance policies, get your DME purchased before you make the move. That way you can start fresh with a new "allowance".
 

SaltyAndSweet

New member
I got my Vest a loooong time ago. I had to fight, a little, to get it covered by insurance because it was so new. It only took a letter from my doctor and maybe a phone call to get it done.

BUT.... long term wise, it has caused problems. First, trying not to confuse things ahead of time, I got the Vest when I was directly covered under my dad's insurance policy. Now his policy is secondary to my own.

When my dad's insurance was primary, I was first told that our insurance would not be charged. But they were. The cost of the Vest was way beyond my Lifetime Maximum of Durable Medical Coverage (DME, I think it was $10,000). I believe that the Vest company picked up the extra. But, since I maxed out my DME, anything I need now is out of pocket. For instance, an insulin pump is DME, and I will have to pay out of pocket for it (about $5,000).

Now that I have my own insurance coverage, his is secondary to mine. I can use my insurance for DME but if there is any deductible or co-pay, his will not pick it up since my DME coverage was effectively used up. My insurance should cover the insulin pump, but is refusing (a whooole different issue) so I will have to pay the whole $5,000 out of pocket.

Not sure if this is a state thing, or how it is regulated, but the last employer I worked for had GreatWest Healthcare and I was able to get DME coverage for some stuff, which applies to my lifetime maximum. My new employer also has GreatWest. I was worried that the my use of the "Lifetime Maximum coverage" would follow me, but it did not. Since it was a new policy I got to start from scratch and the amounts I used with the previous policy would not count against me.

I suggest you check out your Lifetime maximum coverage for DME with your insurance, and also make sure any promises are in writing. (like how I was promised they would not charge my insurance). Also, if you may be thinking of changing jobs/insurance policies, get your DME purchased before you make the move. That way you can start fresh with a new "allowance".
 

SaltyAndSweet

New member
I got my Vest a loooong time ago. I had to fight, a little, to get it covered by insurance because it was so new. It only took a letter from my doctor and maybe a phone call to get it done.

BUT.... long term wise, it has caused problems. First, trying not to confuse things ahead of time, I got the Vest when I was directly covered under my dad's insurance policy. Now his policy is secondary to my own.

When my dad's insurance was primary, I was first told that our insurance would not be charged. But they were. The cost of the Vest was way beyond my Lifetime Maximum of Durable Medical Coverage (DME, I think it was $10,000). I believe that the Vest company picked up the extra. But, since I maxed out my DME, anything I need now is out of pocket. For instance, an insulin pump is DME, and I will have to pay out of pocket for it (about $5,000).

Now that I have my own insurance coverage, his is secondary to mine. I can use my insurance for DME but if there is any deductible or co-pay, his will not pick it up since my DME coverage was effectively used up. My insurance should cover the insulin pump, but is refusing (a whooole different issue) so I will have to pay the whole $5,000 out of pocket.

Not sure if this is a state thing, or how it is regulated, but the last employer I worked for had GreatWest Healthcare and I was able to get DME coverage for some stuff, which applies to my lifetime maximum. My new employer also has GreatWest. I was worried that the my use of the "Lifetime Maximum coverage" would follow me, but it did not. Since it was a new policy I got to start from scratch and the amounts I used with the previous policy would not count against me.

I suggest you check out your Lifetime maximum coverage for DME with your insurance, and also make sure any promises are in writing. (like how I was promised they would not charge my insurance). Also, if you may be thinking of changing jobs/insurance policies, get your DME purchased before you make the move. That way you can start fresh with a new "allowance".
 

SaltyAndSweet

New member
I got my Vest a loooong time ago. I had to fight, a little, to get it covered by insurance because it was so new. It only took a letter from my doctor and maybe a phone call to get it done.

BUT.... long term wise, it has caused problems. First, trying not to confuse things ahead of time, I got the Vest when I was directly covered under my dad's insurance policy. Now his policy is secondary to my own.

When my dad's insurance was primary, I was first told that our insurance would not be charged. But they were. The cost of the Vest was way beyond my Lifetime Maximum of Durable Medical Coverage (DME, I think it was $10,000). I believe that the Vest company picked up the extra. But, since I maxed out my DME, anything I need now is out of pocket. For instance, an insulin pump is DME, and I will have to pay out of pocket for it (about $5,000).

Now that I have my own insurance coverage, his is secondary to mine. I can use my insurance for DME but if there is any deductible or co-pay, his will not pick it up since my DME coverage was effectively used up. My insurance should cover the insulin pump, but is refusing (a whooole different issue) so I will have to pay the whole $5,000 out of pocket.

Not sure if this is a state thing, or how it is regulated, but the last employer I worked for had GreatWest Healthcare and I was able to get DME coverage for some stuff, which applies to my lifetime maximum. My new employer also has GreatWest. I was worried that the my use of the "Lifetime Maximum coverage" would follow me, but it did not. Since it was a new policy I got to start from scratch and the amounts I used with the previous policy would not count against me.

I suggest you check out your Lifetime maximum coverage for DME with your insurance, and also make sure any promises are in writing. (like how I was promised they would not charge my insurance). Also, if you may be thinking of changing jobs/insurance policies, get your DME purchased before you make the move. That way you can start fresh with a new "allowance".
 
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