CPAP

CONTINUOUS - POSITIVE - AIRWAY - PRESSURE 

A CPAP machine is a device commonly used by individuals suffering from sleep apnea. This device is important to individuals with sleep disorders because it delivers an even stream of pressurized air throughout the night. This is fundamental because your airway will be open thus enhancing the quality of your sleep. Below are the key benefits of a CPAP machine.

Getting to know the Phillips Respironics Dream Station

MORE INFORMATION ABOUT THE DREAMSTATION

Guided meditation for CPAP users by 

Cassandra Carlopio 

For more information regarding our concierge CPAP Services, or to place an order, please click on the link below to connect with Dr. Shahryar Barzegar

DR. SHAHRYAR BARZEGAR, PHARM.D

CPAP DME & Sleep Consultant

Shahryar received his B.S. in Biochemistry from U.C.L.A. and Doctorate in Pharmacy (Pharm.D.) from California Northstate University. After doing a post-undergraduate externship at Beverly Hills Cancer Center, he decided to pursue his love for biochemistry and medicine by choosing a career in Pharmacy. During his education, he grew a fascination for the effect that drugs have on the body (Pharmacodynamics), and the study of the way in which drugs move through the body during absorption, distribution, metabolism and excretion (Pharmacokinetics).

 INSURANCE VS. OUT-OF POCKET OPTIONS FOR OBTAINING A CPAP THE INSURANCE ROUTE

Many insurance companies now require prior authorizations (lengthy process/waiting time) to verify that a certain treatment, such as CPAP, is medically necessary. They will usually require a prescription and a level 1-3 sleep study (in lab and/or use of respiratory effort belt) confirming a diagnosis of moderate or severe sleep apnea,using very strict criteria. Eventually your claim will reach their internal reviewers (who are generally not medical professionals) to determine the medical necessity of the CPAP treatment. Mild sleep apnea, UARS, and many home sleep studies usually do not qualify for insurance coverage of a CPAP. It should be noted that the co-pay for alevel 1-3 sleep study can be more expensive than paying for CPAP directly. The insurance route is often a time consuming, frustrating, and unnecessarily complicated process, especially for people unfamiliar with the intricacies of medical billing and insurance.

CAN I PAY OUT-OF-POCKET (Cash/CC) FOR MY CPAP and GET IT SOONER

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Of course! This is why we offer the option to buy your CPAP directly from a DME provider. Our practice is proud to have partnered with our in-house pharmacist/DME consultant, Dr. Shahryar Barzegar to offer concierge care and special cash rates for CPAP devices and supplies. We joined force in order to provide our patients withmore timely service (within 2-5 business days), and to save you the hassle of dealing with insurance companies and the long wait times (~2-8+ weeks) associated with obtaining a prior-authorization. Please note that you may of course choose a DME provider of your choice, and that a prescription and recent sleep study report are still required even for cash purchases.

HOW MUCH DOES CPAP MACHINE COST 

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Average prices for CPAP machines range from about $750 – $1500+, with anestimated average price around $900 depending on brand, insurance and/or service provider. A brochure with detailed pricing information will be provided to you.

CONSENTFOR PATIENTS AWAITING INSURANCE AUTHORIZATION/COVERAGE

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By signing below, you are indicating that you would like to pursue insurance coverage and thatyou understand that there is an approximate wait time of 2-8+ week authorization process.Additionally, you understand that TBI's role is to provide a RX only. 

Please Note: The information on this site is solely for purposes of general patient education, and may not be relied upon as a substitute for professional medical care. Consult your own physician for evaluation and treatment of your specific condition.
 
© 2020 Soroush Zaghi, M.D. All Rights Reserved.