General Questions

Can I cancel my subscription?

Yes, you can cancel a Remologie subscription at any time during your treatment. You will have to pay a cancellation fee that is equal to whatever is owed up until that point during the 12-month cycle.

Can I change or alter my subscription?

Yes, you can change or alter the subscription at any point during your treatment. The changes you make will be reflected in the next box you are due to receive.

What is a Home Sleep Apnea Test?

A Home Sleep Apnea Test is a diagnostic test for Obstructive Sleep Apnea that is done in your home. To have this test performed, we require a referral from your doctor. We will call you for an appointment in our office and show you how to use the equipment. At home, you will perform the overnight test. This device is returned to our office the next day for downloading. The results are interpreted by a sleep physician and your doctor will receive a copy of the interpretation. Based on the results and interpretation, you may require CPAP.

Can I get a Home Sleep Apnea Test without a doctor referral?

Yes, you can get a Home Sleep Apnea Test without a doctors referral. To do a Private Home Sleep Apnea Test, you will first need to pay the cost of the test. Once it is paid for, arrangements will be made to send the equipment to your home and back to us when it is done. The test results will be forwarded to your family physician with a request for a CPAP prescription if required.

What is CPAP?

CPAP stands for continuous positive airway pressure. CPAP is commonly used to treat sleep disorders, i.e., Obstructive Sleep Apnea (OSA). It is applied by using a mask. The amount of pressure is determined by your sleep study or auto-titrating CPAP trial.

Getting Started With CPAP

When should I start feeling better after beginning to use my CPAP device?

Most patients begin feeling better within two to four weeks, though some people may take a little longer. This relies on many factors, including the usage of the machine.

I have trouble falling asleep on my therapy or I feel uncomfortable when I first apply the air pressure at night.

It is normal to experience some discomfort when you are starting to use CPAP therapy. It will take time for your body to adjust to this new sensation. Most people adjust to CPAP therapy in two-four weeks, although for some it can take longer. Be sure to put your mask on every night. Using your machine is one way to acclimatize yourself, even if it starts with short periods. You can try wearing the mask when you're awake, watching T.V. or reading a book - this can help distract you and allow your body to adapt. Your sleep therapist can help you adjust different features on your machine that help you use CPAP. The ramp is a feature that starts the machine off very low and builds to your prescribed pressure over time or when you fall asleep. Most machines come with a feature that lessens the air pressure slightly when you exhale, making it easier and more natural to breathe with the machine.

I feel gassy and bloated when I wake up in the morning.

This is not an uncommon effect when starting therapy. It means your body is swallowing the air instead of breathing it. Usually, this will go away in a few days to a week. Try our acclimatizing tips mentioned above. Sleeping with your head elevated may help as well. Ask your sleep therapist if you would benefit from a comfort feature that offers pressure relief when exhaling. If the issue persists, your doctor may be able to suggest an alternate solution.

It is hard to breathe out against the constant airflow.

This sensation may improve over time as you adapt to CPAP therapy. Your Sleep Therapist can show you comfort features with your machine that can help your exhalation.

CPAP Masks

My skin seems irritated, even bruised, or I have marks on my face.

If your mask is too tight, you can loosen the straps as long as you are getting a good seal. This may also be a sign that your mask needs replacement. You may require a different size or style of mask, our sleep therapists will find your CPAP mask. Contact us to book an appointment. If you are still experiencing discomfort, you may require a barrier, like the Gecko pad or cotton.

How can I tell when my mask is worn out?

The manufacturers have specific recommendations on mask replacement. They suggest that the cushion is replaced four times a year, the headgear is replaced twice a year, and the whole mask once a year. These guidelines ensure proper therapy, comfort, and cleanliness. Most insurance and third party payers have allowances for this replacement schedule. Our Remologie care representatives will help you with those.

My mask seems to be leaking into my cheeks or eyes.

Your mask has an exhalation port that blows air. This is normal. If a mask leak is occurring around your eyes or mouth, follow these steps to fix it:
  1. Check all the connections for improper assembly and breaks or tears.
  2. If your mask has a forehead arm or adjustment feature, try readjusting that first to correct the leak.
  3. Next, readjust the headgear straps. The mask should be as loose as possible while still creating a seal. A mask that is too tight against the face can cause leaks to occur by creating folds in the material. Remember, you want to do a final strap adjustment when you are lying down, and some machines have a mask fit setting to help.
  4. If you are still not achieving a good seal, contact us to book an appointment. We may be able to help or fit you to a different mask.

Does my mask need cleaning?

Masks require proper cleaning and care for your therapy and health. Your mask should be wiped with a damp cloth once a day. The whole mask should be washed in warm soapy water with gentle soap once a week and dried thoroughly before use. Your mask would have come with a manual that includes care instructions specific to your style of mask.

I have a mustache or a beard. Which mask is best to use?

Our trained sleep therapists will be happy to find the mask that works best for you. Yes, facial hair can make a mask seal more difficult, but there is a mask for everyone.

CPAP Therapy Issues

What if I still snore while using the CPAP device?

Snoring while on CPAP may occur. If you are feeling rested, it may be acceptable. If you are having other symptoms of sleep apnea, you may want to consult your doctor for re-assessment.

What if my hose fills up with water at night?

This effect is called rainout. Condensation builds up because the air in the room is cooler than the air in your tube. To prevent the condensation forming, you can insulate your tube with a tubing wrap, or make your own. If the issue persists, you may want to consider a heated tube that has a temperature regulated coil that warms the tubing. Your Remologie care staff will help you find the best option for you.

What if I lose or gain weight or my old symptoms reappear?

Weight gain or loss of 20 pounds, medication or activity changes, and your health status all can affect your obstructive sleep apnea. If you are concerned or have noticed symptoms of sleep apnea, you will want to discuss this with your doctor and consider re-assessment.

It doesn’t seem as though enough air is flowing to me.

Your machine could be malfunctioning. Check the flow from the back of the machine and ensure nothing is blocking the inlet filter. We can test the pressure of your machine if you bring it into one of our offices. With regular use, your machine will feel as though it is not blowing a lot of air. This can be because you are more acclimatized to the pressure. Air hunger can also be a sign that your pressure may need to be reassessed. Talk to your doctor about this after ruling out the above steps.

What if my nose and throat are dry, my nose is congested, or I have nosebleeds?

Try adjusting the temperature setting on your humidifier. Your machine manual will show you how to do this. If that's not clear, the staff at our offices can help. You may require a product that moistens or lubricates your nostrils prior to use. Consult your doctor if symptoms persist.

What if my mouth is dry?

You may be sleeping with your mouth open. If this is the case, you can purchase a chin strap that will remind your mouth to stay closed. If the issue persists, a different mask style may be required. Our sleep therapists can guide you with that. Increasing your humidity will also help.

What if my machine does not seem to be working?

Check the power cord to be sure it is firmly inserted into the back of the machine and the electrical outlet. Remologie has a full repair and service department. We can provide assessments, quotes, and repairs on many CPAP and Oxygen machines. We are also able to facilitate warranty replacement or repair.

Life With CPAP

If I need to be hospitalized for any reason, should I take my device with me and use it at night?

Yes, and the hospital may require it. Also, if you are having surgery, it is important to tell the surgeon and the anesthetist that you are using CPAP at home.

I travel frequently. Should I use my CPAP device when I travel?

It is important that you use your CPAP every night. Purchasing travel accessories can make it more convenient for you to travel. It is recommended you travel with a copy of your prescription for your CPAP machine with you. Remologie can also provide a travel document for your machine. Your CPAP machine should be carry-on, and most airlines require prior notification that a medical device will be coming on board.

As I continue to use my CPAP device regularly, will my medications need to be adjusted?

Any change in prescribed medication is a matter best discussed with your physician. Please contact them to answer this question.

Getting Tested

How to test for sleep apnea?

Most patients will have the option to take an at-home sleep test; this overnight study allows you to get tested from the comfort of your home. Sleep apnea tests can vary depending on what level you are being tested for; generally, a sleep apnea test will entail wearing a monitoring device while you sleep. This device will measure your breathing, movement, and blood pressure.

What should I bring to a sleep test?

When taking your sleep test at a clinic or center, you will also be given a list of things to bring with you. The list will often include:
  1. Two-piece loose fitting clothing. A top, bottoms, and underwear.
  2. Toiletries, such as toothpaste, toothbrush, sanitary garments etc.
  3. Water/beverage/snacks if you would like (Non-caffeinated) and lunch for next day.
  4. Regular medications and a list of these medications.
  5. Partial plates, dentures, night guards or other oral appliances prescribed.
  6. You may also be allowed to bring a book, house coat or slippers if you desire.
  7. For those with diabetes, you may be asked to bring your glucometer, test strips, and a snack or juice.
  8. If you use oxygen you will be asked to bring it with you to ensure you have enough oxygen to travel to and from the facility.
  9. If you are prescribed CPAP/BiPAP you will be asked to bring your machine, mask, and headgear.

What to expect from an at home sleep apnea test?

Many patients will have the option to get tested for sleep apnea from the comfort of their homes. If you purchase an at-home sleep test through Remologie, you will be sent an ApneaLink Air Home Sleep Testing Device, which monitors a patient’s sleep and records the information for a doctor to analyze. This package will include:
  • Step-By-Step Instructions
  • ApneaLink Air Testing Device
  • Nasal Sensor Belt
  • Nasal Cannula
  • Pulse Oximeter
  • Hypo-Allergenic Adhesive Tape
  • AAA Batteries
To complete the test, you will follow our step-by-step instructions to set up the device, then you will wear it to sleep, and then send the device back to us. We will send these results to our Remologie physician or your family physician, who will review and analyze them to determine your treatment plan. Once a prescription has been placed, Remologie will get you set up with all the equipment you need to begin your CPAP journey. Want to watch an instructional video about the ApneaLink Air Testing Device? Click here.

What happens after a sleep study?

Following a sleep study, you will have the option to either send your results to our Remologie physician or your family physician. They will review and analyze your results to determine the best treatment plan. Once a physician builds your prescription, it will be sent directly to a Remologie Client Care Representative, who will help you get set up with your equipment.

What is the minimum amount of sleep required to get test results?

To get conclusive results from a sleep test, you must sleep for at least 4 hours.

For the best results, how long should a sleep apnea test take?

Generally, a sleep apnea test will take all night. In order to get the most accurate results, you should follow your usual nightly routine and wear the device to bed as if you were going to sleep normally.

What should you not do before a sleep study?

The day of your sleep test you will most likely be instructed to do the following:
  1. Eat a normal dinner before your study, before 7:00 pm if possible.
  2. Do not drink/eat caffeine after 7:00 pm.
  3. Do not drink alcohol the day of the test.
  4. Refrain from napping the day of testing.
  5. Shower the day of your test, but ensure you allow for your hair to dry.
  6. Facial stubble may interfere with the setup; therefore, you must be clean shaven. Longer beards and mustaches should be fine.
  7. Do not use any face or body creams, hair gels, oils, sprays, lotions, etc. They may interfere with the equipment.

Insurance

Is Remologie Covered By Insurance?

Most insurance providers will cover treatment plans as long as an itemized receipt is given for the items that have been purchased. Remologie gives an itemized receipt at the end of the 12-month period, or when a plan is cancelled. You should talk to your insurance provider to make sure that they cover CPAP treatment, not all insurance providers do.

Cancellation

Can I Cancel My Plan?

Yes, you can cancel your plan at any time during the course of your 12-month subscription. You will be assessed a cancellation fee that is equal to three monthly payments, plus a 20% fee - so, if you pay $45 a month, you would owe $162 to cancel. This fee changes as you hit your 11th month of subscription as you will have covered all that is owed, based on what you have received, except for your last months’ subscription fee – so all that you have to pay is one months’ subscription fee to cancel in the 11th month. There is no charge to cancel in the 12th month of subscription.

How Does Cancellation Work?

If you decide to cancel your subscription, you will be given until the end of the pay period to change your mind. If you decide to reverse your cancellation prior to the end of your pay period, you will not be charged a cancellation fee. Once the pay period ends, and you have not changed your mind, you will be charged the cancellation fee.

How Do I Cancel My Subscription?

Go to the Remologie store and click on the portrait of the person in the top right corner. Then, click on the “Subscriptions” button. You will then click on the "Cancel Subscription" button on the right side of the screen. You will have to click through several pop-up messages that will inform you of the cancellation fee. If you decide to change your mind and want to renew the subscription, all you have to do is click on the “Renew Subscription” button on the Subscriptions page. This will remove the cancellation fee.

Plans

What Determines The Cost Of My Plan?

Each item in the subscription has a unique price that is based on the list price of the item were it in our e-commerce store, except it has a 7% discount applied to it. Most likely, the plan you choose will have a different price than the next person, this is because if you choose the ResMed Airsense 10 as your machine and a ResMed F20 Full Face Mask, your plan will have a different price than if you chose a Dreamstation machine and a P10 Nasal Mask.

Can I Change My Plan?

Yes, if you would like to change your plan, email support@remologie.com with your request and the change will be made in the next pay period.

Can I Have More Than One Plan On One Account?

Yes, you can have as many plans as you want on your account.

Shipping

How Does Remologie Ship Packages?

Remologie, currently, does not have an expedited shipping option. We use Purolator to ship packages, shipping costs $13 for under a pound, $18 over a pound. We spread out the cost of shipping over the course of your 12-month subscription.

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