Our Philosophy - Keep the focus knowledge about sleep, not the insurance company
SomniHealth is founded with the realization that for any company, the party that pays the invoices is the customer. For a Durable Medical Equipment provider (DME), this inevitably means that insurance companies are their true customers, not the patients. These providers are more concerned with amount of reimbursement, insurance schedules for supplies, and the insurance company’s assessment of the medical necessity for CPAP than they are concerned about the patient’s health. There is a strong economic disincentive for them to provide anything other than the most basic CPAP and BiLevel devices, because their real customers refuse to pay for items such as download capability and auto-adjust. Third party billing to health insurance companies can severely hinder the cash flow to the provider. With rental requirements and delays in processing bills, it can often take more than a year to get paid for equipment that is dispensed. In addition, the DME must either hire specially trained billing personnel or engage a billing service to collect from insurance companies.
While SomniHealth understands Medicare, and assignment from most PPO insurance providers, we always want to put the patient first. If your out of pocket costs are prohibitive, discuss pricing with us. For those without insurance and no means to pay, please talk to us about donated equipment. Some long-term patients have donated old CPAPs specifically to help out others in need. We hate to see anyone go without CPAP treatment merely because of costs.
