FAQ1.      Does Medicare cover the cost of SCOOP catheters and supplies?     Yes!  Medicare has determined that SCOOP catheters and hoses are covered oxygen supplies.  This means that if the home oxygen company accepts Medicare assignment, they are paid directly by Medicare, or a contracted Medicare intermediary such as Blue Cross/Blue Shield, for all oxygen supplies.  There is no additional cost to patients for these supplies. Private insurance companies have the same policies as Medicare.


FAQ2.      How often should SCOOP supplies be discarded and replaced with new product?    Two SCOOP catheters and one SCOOP hose should be replaced every 90 days.  This replacement cycle is listed with the FDA for safe and effective use of the product.  The product is intended to last three months however, earlier replacement many be needed on an individual case basis.


FAQ3.      What should I do if my home care provider doesn't provide replacement SCOOP catheters every three months?     
Contact Customer Service at (303) 790-4766.  Be prepared to provide your name, address, date of birth, doctor's name and the home oxygen provider.  
We will work with your home oxygen provider and directly with Medicare to ensure your SCOOP products are delivered as prescribed by your doctor and in compliance with the FDA.


FAQ4.      How do I find a doctor to perform the procedure?     Start by asking your primary health care provider. If your doctor isn’t able to advise you about your transtracheal oxygen therapy option, call Customer Service at (303) 790-4766. Medicare and private insurance usually cover the cost of the procedure.


FAQ5.      When should I consider giving up my nasal cannula and going on to transtracheal oxygen?     Discuss this issue with your doctor, and either of you may call Customer Service at (303) 790-4766 for literature, videos and other information. If you need supplemental oxygen, ensuring adequate oxygen levels 24-hours per day will enhance your health, reduce the chances of being hospitalized and prolong your life. Transtracheal oxygen patients commonly wish that they had made the change earlier since improved oxygenation has the benefit of maintaining your health better and reducing the risk of complications. The sooner you start, the sooner you can expect to enjoy the benefits of transtracheal oxygen.


FAQ6.      Am I a good candidate for transtracheal oxygen?     The very best candidate for transtracheal oxygen is still active and relatively early in the progression of his or her lung disease. In general, if you have used oxygen for six months or more, you may consider transtracheal oxygen.  During this time you get to know what it is like to use oxygen through your nose and work with your health providers to stabilize lung and other medical conditions.  Few are able to use nasal oxygen 24-hours per day and are at risk of the health consequences of low oxygen levels. Waiting until you get sicker or to lower nasal flow rates approaching the upper limits of nasal prongs usually means that you will not enjoy the health benefits of transtracheal oxygen with true 24-hour per day compliance.   


FAQ7.      What if my health improves and I don't need supplemental oxygen any longer?     Some patients have hopes that someday they will be able to get off nasal prongs, and they delay making a commitment to go on transtracheal oxygen. Remember, transtracheal oxygen is easily reversible so don’t miss out on near-term and long-term benefits of better oxygenation.


FAQ8.      I have been told I have obstructive sleep apnea (OSA) along with my COPD.  How does a transtracheal oxygen catheter function with both problems?     This condition is termed "Overlap Syndrome".  Both OSA and COPD can contribute to significant health problems, but when combined, their negative effects are compounded.  Transtracheal oxygen therapy has special opportunities for patients with overlap syndrome. Not only is it better at providing oxygenation 24-hours a day for COPD, it can help the sleep apnea component in two ways. First, the oxygen is delivered below the obstruction in the throat, so oxygen levels are better. Second, the flow of oxygen creates pressure below the blockage and can help open it. Some transtracheal patients with overlap syndrome are able to discontinue using nasal CPAP. 


FAQ9.      Does transtracheal work with pulsed demand oxygen delivery devices?     The pressure signal in the trachea where the transtracheal catheter sits is stronger than the signal at the nostrils, so pulse demand systems work better with transtracheal oxygen. On an average, transtracheal patients use about half the flow rate that they used when on nasal prongs. Further reductions can be expected with pulse transtracheal delivery. This allows portable oxygen sources to last longer and/or be lighter.


FAQ10.     Can I expect to be healthier just because of transtracheal oxygen?     Every patient is different, but when looking at groups of patients who have COPD on long-term oxygen, a powerful story can be told.  Transtracheal oxygen users, compared to their matched patients using nasal oxygen, are healthier and live longer.  They are hospitalized less frequently than nasal oxygen users and their cost per month of survival is also less.  Why?  Oxygen is a vital substance needed by every living cell in your body.  Without adequate oxygen in the blood, even for short periods of time, cells get sick and may even die.  Every organ can be negatively affected by chronic or even intermittent low oxygen levels common with nasal cannula delivery.  Transtracheal oxygen users have the best opportunity to keep oxygen levels as normal as possible and without interruption.  Oxygen is good.