Patient Resources

Clinicals

Office notes dated within the last six months that state a qualifying diagnosis for the equipment being requested.​

**Different insurances allow different diagnoses depending on the equipment being requested and will need to be reviewed upon receipt to see if the diagnoses meet the insurance guidelines.**

Demographics

This is the patient's personal information- the following information is needed:

• Name
• Billing Address
• Phone Number(s)
• Date of Birth
• Height and Weight
• Emergency Contact Info
• Insurance Name and Policy Number (Preferably a copy of the actual insurance card, front and back.)
• Secondary or Tertiary Insurance Information

Order

The order must state specifically what type of equipment is being ordered. It also must be signed and dated by the ordering physician. For Medicare patients, please ensure the order is in detailed written order "DWO" format.

For example, if you're needing a drop-arm bedside commode, your order can't state bedside commode.

Items like trach supplies need to include the specific size.

Clinicals

Office notes dated within the last six months (30 days for Medicare) that state a qualifying diagnosis for the equipment being requested.

**Different insurances allow different diagnoses depending on the equipment being requested and will need to be reviewed upon receipt to see if the diagnoses meet the insurance guidelines.**​

Demographics

This is the patient's personal information- the following information is needed:

• Name
• Billing Address
• Phone Number(s)
• Date of Birth
• Height and Weight
• Emergency Contact Info
• Insurance Name and Policy Number (Preferably a copy of the actual insurance card, front and back.)
• Secondary or Tertiary Insurance Information

Order

The order must state specifically what type of equipment is being ordered. It also must be signed and dated by the ordering physician. For Medicare patients, please ensure the order is in detailed written order "DWO" format. The order must state the following:

• Must state oxygen at a liter flow.
• Must state if the oxygen is continuous, on exertion, or at night.
• Must state by what means the patient will receive the oxygen. (Nasal cannula, trach, CPAP, etc.)

Examples:

• Continuous O2 at 2L via nasal cannula
• O2 at 3L on exertion via trach
• Bleed in O2 at 2L into CPAP

Testing

All oxygen qualification testing must be performed in-person by a physician or other medical professional qualified to conduct oximetry testing. With the exception of overnight oximetry, unsupervised or remotely supervised home testing does not qualify as a valid test for Medicare purposes.

• Overnight Oximetry Testing (For Nighttime Oxygen ONLY) - This must be a full night study, not just a spot check and the patient's saturations have to be at or below 88% for 5 minutes or more. The 5 minutes doesn't have to be continuous.

**Medicare patients with a history of sleep apnea must go to a sleep lab to be titrated on prescribed PAP pressures prior to being being qualified for home oxygen during the titration.**

• Room Air at Rest Test - One saturation, while the patient is resting without oxygen. The saturation must be at 88% or below to qualify and will qualify a patient for a concentrator and portable oxygen.
• Exertion Testing - Three saturations consisting of: room air at rest, room air while ambulating, and ambulating with O2 applied. The patient’s room air on exertion saturation must be at 88% or below to qualify and will qualify a patient for a concentrator and portable oxygen. The verbiage of the testing is must be exact.
• Arterial Blood Gas - Arterial PO2 at or below 55mm Hg, or arterial saturation at or below 88%.

Clinicals

For new to pap patients: Office notes dated within the last six months (and prior to the sleep study) that state patient's symptoms of sleep disordered breathing. Examples include snoring, excessive daytime sleepiness, witnessed apneas.

For existing pap patients: Office notes dated within the last six months that state patient has sleep apnea, and that the patient uses and benefit from the pap use.

For previously non-compliant pap patients: Office notes dated within the last six months that state why patient was non-compliant in the past, and that patient is willing to try pap therapy again.

**Different insurances allow different diagnoses depending on the equipment being requested and will need to be reviewed upon receipt to see if the diagnoses meet the insurance guidelines.**

Demographics

This is the patient's personal information- the following information is needed:

• Name
• Billing Address
• Phone Number(s)
• Date of Birth
• Height and Weight
• Emergency Contact Info
• Insurance Name and Policy Number (Preferably a copy of the actual insurance card, front and back.)
• Secondary or Tertiary Insurance Information

Order

The order must state specifically what PAP machine is being ordered and INCLUDE A PRESSURE SETTING. It also must be signed and dated by the ordering physician. For Medicare patients, please ensure the order is in detailed written order "DWO" format.

Testing

A sleep study must be performed that shows an AHI/RDI of at least 5. This testing must be done without a PAP machine. The titration is needed if the patient needs any type of BiPAP.

Please check our list of accepted insurances below. We are in network with most plans through these insurances, but please contact us at Call407-830-1938 if you have additional insurance questions related to getting equipment through us.

Primary Insurances

**No HMOs accepted unless otherwise stated below.**

AARP (HMOs Accepted)

Adventist Health

Aetna (HMOs Accepted)

All Savers (Not all plans)

Ameriben

Assurant Health

AvMed

Beech Street (Not all plans)

Blue Cross Blue Shield (No QHP or Empire)

ChampVA

Cigna/CareCentrix (HMO's Accepted)

Complete Care Network

Complete Health

Conseco (Not all plans)

CoreSource (Not all plans)

Coventry

Evercare (Not all plans)

First Health (Not all plans)

Florida Hospital Care Advantage "FHCA" (HMOs Accepted)

Florida Hospital Heathcare System "FHHS" (HMOs Accepted)

GEHA (Not all plans)

GHI (Not all plans)

Golden Rule (Not all plans)

Great West

Health First

HealthScope Benefits (Not all plans)

Homelink

Kaiser Permanente (Not all plans)

Magellan

Medicaid (No HMOs)

Medicare (No HMOs) Due to current competitive bidding, we're only able to process orders for beds, nebulizers, oxygen, PAP devices and any non-competitive bid items like canes, crutches, etc.**

MedSave USA

Meritain

Principle Life (Not all plans)

Private HealthCare Systems "PHCS"

Tricare (Not all plans)

UMR (Not all plans)

United Healthcare (No HMOs, except Compass)

USAA Life Insurance (Not all plans)

Worker's Compensation/Auto Plans

Payments can be made over the phone by calling: Call407-830-1938. You can also make a payment online by logging onto ahre.hmebillpay.com and follow the prompts to create a new login and submit payment.

You should request humidification if your nose is drying out or bleeding.

No, insurance will only pay for one method of portability.

If have the following insurance, you are eligible for a 3 month supply order:

UHC, Aetna, AvMed, AARP, UMR, FHCA

There are three convenient ways to order.

1. Auto Ship: Fill out and submit the auto shipment form for eligible supplies to be sent monthly (found on the Forms page)

2. Email: Send an email to [email protected]

3. Phone: Call Call407-830-1938

If the weather changes or if you have your air conditioner on a high setting, condensation will begin to form in your tubing. If this is the case disconnect your tubing from the humidifier bottle and re-connect your tubing directly to the machine for about 40 seconds to remove the excess water. If the water is still present change out your tubing. Should you continue to have issues call AdventHealth Respiratory and Equipment. You should have a water trap in between your cannula and tubing, if you do not water will seep through. Call AdventHealth Respiratory and Equipment if you are missing a water trap and we will have one added.

At AdventHealth Respiratory and Equipment we always do everything possible to make sure that our patients are satisfied with their purchases. If you have any questions about your order, please contact us and we'll work with you until you're completely satisfied.

​No returns or exchanges will be accepted due to the nature of the products sold on this website. All sales are final.

​For further questions about this policy, please call

Call 407-830-1938 or email us at [email protected].

All services provided, including advertisement, ordering, sales, delivery, instruction, and the set up of any equipment, are performed solely by AdventHealth Respiratory and Equipment and independently of the manufacturer.​

All new products purchased come with a standard manufacturer's warranty.

​All ResMed products are for sale only to patients within the United States and not to other third parties or businesses.