I second the info on Hill-Rom -- don't worry about the price fixing stuff -- most all the companies are charging roughly the same amount. Hill-Rom does care about placing the unit in the home first. They just gave us a brand new one last month and they have not billed our insurance yet. They told me that if they have a problem with getting it paid for not to worry -- let them do the fighting of the appeals. He (the sales rep) told me about a person in Oregon who had the vest for 6 years of fighting with the insurance company. After the final denial, Hill-Rom told the patient to just keep the unit, free of charge. Other people have commented about their excellent customer service and how if they ever had any problems Hill-Rom always over nighted a new machine or vest for them, no questions asked.
Having said that... paying out of pocket instead of insurance coverage, check with Hill-Rom and the other companies about their policy for buying last years models, you could easily save $10,000. They take them back and refurbish them, you may even get one for free.
Also check ebay.com they show up on there once in a while for less than $1000. (again usually one model back)
Here are the three websites I know of for three different companies:
<a target=_blank class=ftalternatingbarlinklarge href="http://www.respirtech.com/product.htm
">http://www.respirtech.com/product.htm
</a>
<a target=_blank class=ftalternatingbarlinklarge href="http://www.electromed-usa.com/index.html
">http://www.electromed-usa.com/index.html
</a>
<a target=_blank class=ftalternatingbarlinklarge href="http://www.thevest.com/
">http://www.thevest.com/
</a>
To answer your question about are they worth it -- my daughter really loves hers. The doctor says they cannot really say they work any better than any other method, it's just a matter of compliance -- what will they get done/use more often? They sure are nice to have, I know that!. I cannot say we would go out and buy a new one without insurance coverage, but I was looking into buying a used one for $1000. if they don't cover the new one. If you cannot get a vest you could also look into the hand held vibrators -- we have one of those, I think it's called vibracare. It was $500 new. When we got it we were thrilled because it was easier than manual chest PT -- now we are thrilled with how much easier the vest is than the vibrater