Independent Insurance Co.
3 Main Street
Anywhere, NJ 08000

Dear Sir,

We are in receipt of your request for the purchase price of equipment in use by your insured. The procedure codes referenced are for a range of services that we do not provide on a basis other than rental.

Our firm provides respiratory care, not medical equipment for do-it-yourself oxygen therapy. As a result, we provide oxygen equipment under the following guidelines:

1. Oxygen concentrators and/or portable oxygen units are categorized as “frequently serviced equipment” by the Health Care Financing and Social Security Administrations. Any program utilizing the Medical Policies of these Federal agencies provides for continuous rental of equipment without provision of purchase.
2. Under our rental contract we provide USP grade oxygen delivered to your insured with the necessary accuracy to meet the requirements of the physician’s prescription for this patient.
3. Under a rental contract we provide oxygen for the duration of daily use as prescribed by the physician.
4. Under a rental contract we provide monitoring of the patient’s medical status, as is expected by the physician.

Therefore, without a change in the care plan that was referred to us for this patient by the physician or evidence of the physician’s desire to reduce the level of care being received by this patient, we are not at liberty to adjust our care, briefly outlined above, as can be provided only through our rental arrangement with you.

I hope this clarifies our reason for declining your request. If you have any questions, please contact me.

Very truly yours,
Dana S. Green, President