Has anyone had Medicare cover Rove6 ? Want to use for off-grid camping
Read some comments earlier that gave me confidence Medicare will cover a Rove 6 which I’ve been set to pay for on my own. I’m recovering from left diaphragm plication which will increase my left lung capacity (the diaphragm had been paralyzed). I use 1 L at night with a home concentrator.
It’s possible as I recover from this surgery I may not need the O2, though my sleep study shows mild hypopnea. Better safe than sorry and always have the Rove 6 when off grid camping.
How do I approach Medicare to make sure they will cover and commit to it?
Is a phone call enough?
Bill, 77, Cave Creek
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@bgilchr
Bill
Though not familiar with Rove6, I did some research on Medicare coverage.
Inogen, maker of Rove6 has a web page about Medicare and coverage. It appears you may need to rent instead of buy.
The information is very thorough, including what you need to provide from your provider.
https://www.inogen.com/oxygen-therapy/medicare-for-portable-oxygen-concentrators/
It also references Medicare oxygen supplies information:
https://www.medicare.gov/coverage/oxygen-equipment-accessories
On that page, it also mentions supplier of Durable Medical Equipment (DME) participate in Medicare.
Most of the references apply to Original Medicare (Part A & B). If you have a Medicare Advantage plan, you should contact the insurance company about any questions.
For original Medicare, the contact info is on this page:
https://www.medicare.gov/talk-to-someone
Have you talked to your provider about prescribing a Rove6 and the required documentation?
@roch thanks. my steps are going to lead me through my contact with Main Medical in Rochester, Medicare on the phone (we have traditional plus American Continental Supplemental). My sleep doctor has thought Medicare would not cover a Rove 6. And not cover a second sleep study after the surgery, but when I called Medicare on this they said they would.
Thanks for helping.
I have direct experience.
I have traditional/original Medicare (not Advantage!) with a Medigap policy.
I have lung cancer and pulmonary fibrosis.
My pulmonologist tested me and then wrote my oxygen prescription for 2L continuous flow for EXERTION and SLEEP. My O2 is normal when sitting.
The prescription went to an oxygen provider (who accepts Medicare and bills Medicare directly), and they delivered to me 1) a stable oxygen concentrator (for night) 2) an Inogen One G5 portable with bag, charger and ONE standard battery.
After two years I noticed Sieves needed changing so I called my oxygen provider. They came out and brought an Inogen Rov 6 and took the other POC away.
So if you have a valid prescription for portable O2 and you work with a provider who accepts Medicare, then you are only dependent on WHAT THE PROVIDER WILL HAVE IN STOCK AND GIVE YOU. At least that was my case.
I also have them come out twice a year to check my stable concentrator to be sure it is working properly.
Another issue is how long do those batteries last!!! Portables like Inogen are pulse rate not continuous flow. I have to set mine at 4-6 when I go out. Medicare only gives you one battery so to travel, also have backup, one has to buy at least one more battery and the standard is about $400
P.S.
You mention Main Medical Rochester. Mayo sent me home with Oxygen from Lincare after my surgeries, so I used them for portable also. They have offices in many places in the US
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3 Reactions@vic83 This is excellent news. I guess the best thing that could happen for me would be that this plication would make O2 unnecessary. Longer recovery than necessary, though, and we want to be in CO (from AZ desert) in September.
The very best wishes to you!
@bgilchr7 Best wishes to you too. If you are going to be in Colorado, consider the impact on your oxygen saturation level. It goes down with higher altitude. Last year I flew to Florida with my portable Inogen Rov6. I have multiple oximeters to watch my oxygen levels. I had tested and they said I didn't need oxygen on the plane. But my oximeters said differently. My O2 dropped when plane reached flying altitude and I had to use my Inogen to keep my O2 in safe zone. You need to check with airlines about what you can bring with you on airplane = they do allow portables and our batteries but you need to have enough for more than the time of the flight.
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3 Reactions@vic83 We‘ll be driving, taking ca. 5 days to get there, even might stop to see friends in NM, and ending up camping around 10,000‘ which I understand is the Rove 6‘s max. I think we‘ll be ready with any necessary adjustments, and can choose to camp at 8,000‘ if needed.
Thanks though!
@bgilchr7 Have a good time. However, be aware that the Rov 6 set at 6 pulse flow is not the same as 6 L continuous flow. I consider it more like 2l continuous flow. And set at maximum the battery does not last long.
This thread’s got me concerned and more and more informed, even to the point if recruiting AI, which with friends’ encouragement (if not insistence) I’m trying to stop using.
Too many variables in our off grid outdoor life. Too many batteries, not enough solar, makes me think about sites where we can plug in and even taking this weighty continuous stream concentrator off to the right of me.
But this surgery might work. I’m only mild hypoxia. Sleep study. first week of August. Look at that paralyzed diaphragm piece I posted. Almost like I’d have to be really well acquainted with an Inogen 6 if I was going to need one. I’ve already planned friend stops with AC where we could make our way to Meeker.
Thank goodness for all of you, and for this forum.
Bill