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[Cpap Outlet] CPAP Devices

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  • Jul 11th, 2018 10:14 pm
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Mar 12, 2013
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EDMONTON
Common price for CPAP from dealers in AB is still $2500 w/ mask. Brother in law owns a clinic and insurance is still happy to pay it.

You can buy a machine online and most places will program it for $100-200 if you take it into them but you'll get 0 followup and have to pay the fee again for adjustments/data readouts to see how it's working.
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Jun 7, 2001
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Alberta
Piddles wrote:
Jul 7th, 2018 1:49 pm
Common price for CPAP from dealers in AB is still $2500 w/ mask. Brother in law owns a clinic and insurance is still happy to pay it.

You can buy a machine online and most places will program it for $100-200 if you take it into them but you'll get 0 followup and have to pay the fee again for adjustments/data readouts to see how it's working.
Why pay anyone to program it? Use free software Sleepyhead and you are better off doing it yourself with assistance from fellow Cpaptalk or Apnea forum members. It's like teaching one to fish for him or herself and he or she can fish for themselves. It takes like only a few minutes to make any changes.

DME often overcharge....$2500 for the same online at under $1000. I don't mind a bit of profit, but that's price gouging IMO.

Dave
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Apr 9, 2009
410 posts
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Calgary
What do you guys recommend for a first time cpap user. Buying everything online or going to a dealer? If online, how do I figure out what products I need and should buy including masks and fittings?
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Phlav wrote:
Jul 7th, 2018 2:17 pm
What do you guys recommend for a first time cpap user. Buying everything online or going to a dealer? If online, how do I figure out what products I need and should buy including masks and fittings?
You need the results of a sleep study and a prescription from a doctor. The machine should be an automatic adjusting unit. Resmed and Philips Respironics are top two brands for APAP units.

Buying the right mask is the tricky part. One can go thru one or a dozen before the right mask is found. Trial and fit is best....hard to do online without spending a lot of money.

Dave
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Apr 9, 2009
410 posts
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Calgary
I just did the sleep study a few nights ago where I took home the device and slept with it on. Awaiting the results now. So for best results as a first time user is to go through a dealer that way I can get the proper fitting then.
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Phlav wrote:
Jul 7th, 2018 2:36 pm
I just did the sleep study a few nights ago where I took home the device and slept with it on. Awaiting the results now. So for best results as a first time user is to go through a dealer that way I can get the proper fitting then.
Once the results are interpreted and a machine is prescribed, you can rent the machine and try as many masks as possible during this trial. Here in Alberta, this would have cost me $200 for a 3 week trial. If you are fully covered by insurance (small or no deductible), you could put the $200 fee towards the purchase of a CPAP/APAP unit with humidifier, heated tubing and a mask at a typical inflated price.

The other option once you know your prescribed machine (ask for and buy an auto unit...Resmed or Philips Respironics are the best top tier level brands) and a mask you are comfortable with, you can buy everything online (most require a prescription for a machine except cpapmachines.ca ). A standard APAP package with unit, tubing and mask is usually around $900+ online.

If you need to deal with central apneas, your machine is typically more complex and expensive ....these are bipap, asv etc. This is more complex..see cpap talk forum for better advice. My knowledge ends with OSA, not central or other more complicated sleep disorders.

Dave
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Apr 17, 2005
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I bought mine from MRC Sleep & Snore (Richmond Hill -Hwy7 & Leslie), and their service is top notch. They also price match their competitors.

I got mine from them.....I probably went back and forth to their offices weekly (for a month) in order for them to review the usage and tweek the machine until they got it right. Furthermore (completely your preference [due to possible privacy issues]), they can also install a Cellular based card onto your unit so that they have/can generate very detailed reports regarding your sleep. Much more detailed than the DreamMapper app. This is very useful info if you need to provide it to your dr or to ensure that everything is functioning properly. Also, the benefit with the card is that he can push setting changes (pressure, CPAP vs AutoPAP) from Philip's servers to the machine, without the need for you to bring the machine to them, if changes/tweeks are needed in the future)

They basically give you a loner unit to try out, and once they have the settings and headgear perfect for your personal use, then they will sell/break out a brand new unit for you.
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Mar 12, 2013
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EDMONTON
Phlav wrote:
Jul 7th, 2018 2:17 pm
What do you guys recommend for a first time cpap user. Buying everything online or going to a dealer? If online, how do I figure out what products I need and should buy including masks and fittings?

Pay the $150 or find a clinic doing free level 3 studies and get your prescription. Then take your prescription and buy a machine yourself if you need to save money. If your insurance covers it then go through a dealer for sure, much easier to try out masks/machines. My personal favorite is the fisher paykel machines. They are the brand that we use to humidify ventilators in the whole region because their temperature control is top notch and good temperature control with a proper heater wire impregnated breathing tube is necessary for comfortable sleep. I use a F&P machine myself and love it. The F&P machines are easy to program yourself as well, no software needed you do it right on the control unit with easy to follow instructions.
DavidY wrote:
Jul 7th, 2018 3:11 pm
Once the results are interpreted and a machine is prescribed, you can rent the machine and try as many masks as possible during this trial. Here in Alberta, this would have cost me $200 for a 3 week trial. If you are fully covered by insurance (small or no deductible), you could put the $200 fee towards the purchase of a CPAP/APAP unit with humidifier, heated tubing and a mask at a typical inflated price.

The other option once you know your prescribed machine (ask for and buy an auto unit...Resmed or Philips Respironics are the best top tier level brands) and a mask you are comfortable with, you can buy everything online (most require a prescription for a machine except cpapmachines.ca ). A standard APAP package with unit, tubing and mask is usually around $900+ online.

If you need to deal with central apneas, your machine is typically more complex and expensive ....these are bipap, asv etc. This is more complex..see cpap talk forum for better advice. My knowledge ends with OSA, not central or other more complicated sleep disorders.

Dave
Central apneas need a stage 1 sleep test with EEG monitoring and full cardiorespiratory monitoring along with TcCO2 readouts. In ICU we do a fast track bipap titration but that requires an arterial blood gas line and ABGs every 2-5 minutes depending on the PCO2 and Spo2. We then have to decide a RR on the fly along with pressures to try figure out settings to set people up on to last them until they can get in for a level 1 sleep study which currently is 12-18 months wait depending on your condition and the pull of the prescribing doctor. Its quite the hassle. Or you can pay $900 out of pocket and get it done at a private clinic but AFAIK no insurance cover those.
Sr. Member
Sep 9, 2015
508 posts
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Nanaimo
if you have insurance then just get a doctor referral to a sleep clinic, no need to worry about cost. for $2500 i got a machine+accessories+5 year warranty. If it stops working i go to the clinic and they give me a new machine, no waiting around without a machine trying to go through the manufacturer.
Sr. Member
May 28, 2007
597 posts
29 upvotes
GTA
I shopped a few places, got one has reasonable price in downtown Toronto for purchasing accessaories. As for the machine, due to OHIP, the price is set in Ontario, shouldn't be any difference anywhere in Ontario.
*** I am a Fido & Tangerine customer. ***
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Any good CPAP/APAP machines need to be SleepyHead software compatible. With this software, one can check how well your machine is working...this software helps one with assistance by others to make any adjustments to optimize CPAP therapy...treat your sleep apnea while giving you better, more rested sleep.

F+P Icon and Icon+ auto machines appear to be SleepyHead compatible...not sure if the Sleepstyle from 2017 is yet... depends on the software developer (Note: this model is different from the older Sleepstyle models). Second must have is it is an auto adjusting unit.

Apnea forum typically recommends the following APAP brands and models:

Resmed Airsense 10 Autoset for Her (white colour with leaves) has an additional mode over regular model this is top rated.
Resmed Airsense 10 Autoset
Resmed S9 Autoset (not Escape Auto) predecessor to Airsense
Resmed S9 Autoset for Her pink colour) predecessor to Airsense
Philips Respironics Dreamstation Auto
Philips Respironics System One Auto predecessor to Dreamstation

Dave
Last edited by DavidY on Jul 10th, 2018 8:18 pm, edited 1 time in total.
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Jun 7, 2001
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S0lidus wrote:
Jul 8th, 2018 10:07 pm
if you have insurance then just get a doctor referral to a sleep clinic, no need to worry about cost. for $2500 i got a machine+accessories+5 year warranty. If it stops working i go to the clinic and they give me a new machine, no waiting around without a machine trying to go through the manufacturer.
I did the same, but I have taken a proactive approach in making my own adjustments...optimizing my sleep apnea therapy down to an average AHI just over 1. Now I am getting more restful sleep....after 3 months of tweaking (started my trial in Feb 2018). Even bought a new backup unit in May. Cannot get good sleep without a APAP now.

Dave
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Apr 8, 2002
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Toronto
I could never get used to wearing the mask, would end up ripping it off in the middle of the night. Ended up getting a UPPP done (https://www.verywellhealth.com/what-is- ... ty-1192060) and now I'm pretty much cured. Its only effective in certain circumstances. (80% chance it would work for me) You'll need to consult a specialist.
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