Medicare approved online cpap suppliers - Easy Breathe is one of the only online CPAP providers able to bill insurance. We work with Anthem Blue Cross and Blue Shield PPO plans nationwide. Easy Breathe works with your Blue Cross PPO plan as an out-of-network provider. This allows us to help CPAP patients with different insurance carriers in all 50 states, instead of being limited to ...

 
Sep 15, 2021 · What you pay for CPAP. Because CPAP is covered as durable medical equipment, the Medicare Part B deductible applies; it’s $203 in 2021. Then you pay 20% of the Medicare-approved amount for the ... . Trihealth corporate offices norwood wall street

Medwiz Solutions Llc Durable Medical Equipment & Medical Supplies Location: 167 Route 304, Bardonia, New York 10954 Phone: (845) 624-8080 A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. If you have additional questions, please call 1-800-Medicare (1-800-633-4227). TTY users can call 1-877-486-2048. Jun 30, 2022 · To obtain coverage, you must rent the machine from a Medicare-approved supplier of durable medical equipment. And, importantly, you must continue to use the CPAP machine without... Fill Out Claim Form. Download it here . Complete the claim form above and submit it along with your CPAP Store USA itemized receipt and prescription to the address listed on the back of your Health Plan ID Card. Please email [email protected] for tax ID. CPAP classes for setup, education and support; Expert advice for choosing the right walkers, commodes and wheelchairs; Breathing relief for all ages. If you have a respiratory issue, our easy-to-use equipment keeps you comfortable at home. We offer breathing aids for both children and adults, including: CPAP, including wireless monitoring Fill Out Claim Form. Download it here . Complete the claim form above and submit it along with your CPAP Store USA itemized receipt and prescription to the address listed on the back of your Health Plan ID Card. Please email [email protected] for tax ID. RespShop.com offers the lowest prices on CPAP machines, masks, and oxygen supplies. Talk to our sleep and respiratory professionals to guarantee your therapy before you buy a CPAP/oxygen concentrator! Aug 17, 2023 · Medicare & Medigap coverage for CPAP devices. Medicare covers the sleep apnea equipment for a specific period of time. If you are diagnosed with sleep apnea and are enrolled in Original Medicare (Parts A and B), the majority of the CPAP machine rental costs will be covered for a 3-month trial period. If your doctor determines that the machine ... Sep 5, 2023 · Your provider participates in the Medicare program. You have met all of the requirements to qualify for CPAP therapy. Your CPAP machine and supplies have been approved for Medicare coverage. You have successfully completed your 90-day CPAP trial. You have met your Medicare Part B deductible of $226 (as of 2023). Sep 15, 2022 · En español | Yes. Medicare Part B covers doctor and outpatient services as well as prescribed equipment and supplies for home use that are deemed medically necessary. It must be considered durable. The federal government calls this category durable medical equipment (DME). This equipment must withstand repeated use and includes blood sugar ... 2. Reach out to your CPAP equipment store – where you picked up your equipment – and ask if they offer a replacement program. The last thing we all need is another to-do, so it’s important to sign up for a replacement program that works best for you and your coverage. 3. If your CPAP equipment supplier doesn’t offer a replacement ... See full list on usinsuranceagents.com Join thousands of patients who enjoy the convenience of Medicare-covered, home-delivered CPAP supplies: Medicare billed directly. Top name brand equipment. Complimentary delivery. straight to your door. Clinical support provided. Supplies are always available. CPAP Home Delivery works with Specialty Medical Equipment, a contracted Medicare ... Medicare covers CPAP machines under the durable medical equipment benefit if you meet certain requirements. Learn more about costs and coverage. NEW CPAP SUPPLIES. Sunset Filter & Check Valve Kit For SoClean 2. $25.50. ResMed Tubing Elbow for AirSense 10 Series CPAP/BiPAP Machines. $7.99. Fisher & Paykel Headgear Clips & Buckle for Vitera Full Face CPAP Masks. $25.00. Luna G3 Intergrated Heated Tubing for Luna G3 Series CPAP & BiPAP Machines. $44.00. Fill Out Claim Form. Download it here . Complete the claim form above and submit it along with your CPAP Store USA itemized receipt and prescription to the address listed on the back of your Health Plan ID Card. Please email [email protected] for tax ID. Medicare. As one of the nation’s largest suppliers of home healthcare products and services, Apria helps thousands of Americans live healthier and feel better every day. Through our trained professionals and clinicians, Apria offers a wide range of clinical services and equipment. Apria is committed to maintaining close ties with the medical ... Medicare Part B (Medical Insurance) covers Type I, II, III, and IV sleep tests and devices if you have clinical signs and symptoms of sleep apnea. Your costs in Original Medicare You pay 20% of the Medicare-approved amount after you’ve met your Part B deductible. Fill Out Claim Form. Download it here . Complete the claim form above and submit it along with your CPAP Store USA itemized receipt and prescription to the address listed on the back of your Health Plan ID Card. Please email [email protected] for tax ID. The WatchPAT™ One is an FDA and DOT approved portable sleep apnea diagnostic device. Its innovative technology ensures the accurate screening, detection, and follow-up treatment of sleep apnea. Accurately measures for sleep apnea based on up to 7 different factors: PAT signal (peripheral arterial tone), heart rate, oximetry (blood oxygen level). Shopping for CPAP machines online can be cheaper than buying through your insurance. You can find the quietest, most easy to use, and most comfortable machines at CPAP.com. Get a good night's rest and wake up alert to a better you. $590.00 $1199.99 ResMed AirSense 10 AutoSet with Heated Humidifier. Whisper-Quiet Operates at 26.6 Decibels. Easy Breathe is one of the only online CPAP providers able to bill insurance. We work with Anthem Blue Cross and Blue Shield PPO plans nationwide. Easy Breathe works with your Blue Cross PPO plan as an out-of-network provider. This allows us to help CPAP patients with different insurance carriers in all 50 states, instead of being limited to ... While many private insurance providers may reimburse the out-of-pocket costs for CPAP equipment, it’s important to note products sold through ResMed Shop are not eligible for reimbursement. Please contact your insurance provider to determine your benefits. If you do not have a current provider, you can find a provider near you. CPAP Accessories for Your Every Need. We are proud to offer a wide range of CPAP products. For example, our pulse oximeters can monitor your blood’s oxygen saturation and your skin’s blood volume changes. This determines if a specific therapy is right for you. Also, our sleep apnea oral appliances can help you breathe at night if a mask isn ... Founded in 1982 and accredited since 1991 Regional Home Care has become the premier independent sleep, respiratory and oxygen services company in the North Eastern United States. We’re large enough to serve thousands of patients yet we remain small enough to ensure personal care for every one. Feb 24, 2021 · Most private insurance companies– think BlueCross BlueShield or United Healthcare– will cover CPAP machines and supplies. Even better, they’ll likely cover a regular schedule of replacement supplies throughout the year! To qualify, your insurance company will require a prescription as well as a compliance period. Medicare covers CPAP machines under the durable medical equipment benefit if you meet certain requirements. Learn more about costs and coverage. Medicare Part B (Medical Insurance) covers Type I, II, III, and IV sleep tests and devices if you have clinical signs and symptoms of sleep apnea. Your costs in Original Medicare You pay 20% of the Medicare-approved amount after you’ve met your Part B deductible. Feb 24, 2021 · Most private insurance companies– think BlueCross BlueShield or United Healthcare– will cover CPAP machines and supplies. Even better, they’ll likely cover a regular schedule of replacement supplies throughout the year! To qualify, your insurance company will require a prescription as well as a compliance period. Nov 24, 2022 · Because CPAP is covered by insurance as durable medical equipment, the deductible will be $233 ($226) in 2022, and $262 ($226) in 2023. Then, after deducting 20 percent of the Medicare-approved price for rental and ongoing supply purchases, you must pay the remaining 20 percent. The low monthly fee, typically $30-$70, may appear appealing, but ... Medicare has setup a database that lists contact information (by zip code) for approved suppliers & vendors for a variety of medical supplies, mobility devices, and other durable medical equipment. On January 1, 2011, Medicare began transitioning to the new competitive bidding program so different areas of the U.S. may require that you purchase certain Reimbursement resources. Find regularly updated Medicare reimbursement resources and guidelines for ResMed products and services below. For further questions on reimbursement, call our toll-free hotline at 1 (800) 424-0737. A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. If you have additional questions, please call 1-800-Medicare (1-800-633-4227). TTY users can call 1-877-486-2048. Mar 20, 2022 · TRICARE may cover a portable CPAP machine. You must be an active duty service member. You must have a referral. The referral must note: Also, the device must have humidification and battery capability. If you have a standard CPAP machine, you can get a portable machine as long as you meet the above conditions. Fill Out Claim Form. Download it here . Complete the claim form above and submit it along with your CPAP Store USA itemized receipt and prescription to the address listed on the back of your Health Plan ID Card. Please email [email protected] for tax ID. Dec 10, 2017 · In most cases, Medicare does not cover medical supplies, like catheters, that are generally used and thrown away. However, Medicare will cover certain medical supplies, like lancets and test strips for diabetes. Some diabetes supplies are also covered under Medicare Part D. Furthermore, if you qualify for Medicare home health care, Medicare may ... of Medicare-covered, home-delivered CPAP supplies: Medicare billed directly. Top name brand equipment. Complimentary delivery straight to your door. Clinical support provided. Supplies are always available. Do You Qualify for CPAP Supplies? Fill out this form to be contacted by a CPAP Specialist. Medicare-Approved Amount for the machine rental and purchase of related supplies (like masks and tubing). Medicare pays the supplier to rent a CPAP machine for 13 months if you’ve been using it without interruption. After Medicare makes rental payments for 13 continuous months, you’ll own the machine. Jun 30, 2022 · To obtain coverage, you must rent the machine from a Medicare-approved supplier of durable medical equipment. And, importantly, you must continue to use the CPAP machine without... of Medicare-covered, home-delivered CPAP supplies: Medicare billed directly. Top name brand equipment. Complimentary delivery straight to your door. Clinical support provided. Supplies are always available. Do You Qualify for CPAP Supplies? Fill out this form to be contacted by a CPAP Specialist. This law directly affects Durable Medical Equipment providers, like Verus Healthcare, and some Medicare orders for our patients that were provided with service dates between July 1, 2016 and December 31, 2016. Orders from this time period are to be retroactively corrected by Medicare for short-paid amounts. If you have orders that are impacted ... CPAPs & BiPAPs. Texas Home Medical, Inc. stocks many types and brands of CPAPs and BiPAPs. As patients' needs vary so greatly, only a partial list is included below. Please take a moment to contact us for more information. Bi-Levels. CPAPs. Fill Out Claim Form. Download it here . Complete the claim form above and submit it along with your CPAP Store USA itemized receipt and prescription to the address listed on the back of your Health Plan ID Card. Please email [email protected] for tax ID. Nov 24, 2022 · Because CPAP is covered by insurance as durable medical equipment, the deductible will be $233 ($226) in 2022, and $262 ($226) in 2023. Then, after deducting 20 percent of the Medicare-approved price for rental and ongoing supply purchases, you must pay the remaining 20 percent. The low monthly fee, typically $30-$70, may appear appealing, but ... RespShop.com offers the lowest prices on CPAP machines, masks, and oxygen supplies. Talk to our sleep and respiratory professionals to guarantee your therapy before you buy a CPAP/oxygen concentrator! Aug 17, 2023 · Medicare & Medigap coverage for CPAP devices. Medicare covers the sleep apnea equipment for a specific period of time. If you are diagnosed with sleep apnea and are enrolled in Original Medicare (Parts A and B), the majority of the CPAP machine rental costs will be covered for a 3-month trial period. If your doctor determines that the machine ... CPAP classes for setup, education and support; Expert advice for choosing the right walkers, commodes and wheelchairs; Breathing relief for all ages. If you have a respiratory issue, our easy-to-use equipment keeps you comfortable at home. We offer breathing aids for both children and adults, including: CPAP, including wireless monitoring Medicare has setup a database that lists contact information (by zip code) for approved suppliers & vendors for a variety of medical supplies, mobility devices, and other durable medical equipment. On January 1, 2011, Medicare began transitioning to the new competitive bidding program so different areas of the U.S. may require that you purchase certain Jul 15, 2013 · With diabetic supplies, one has the option of dealing through the primary channel, mail order, and local suppliers - all they need do is accept the payment schedule and process the needed paperwork. On the other hand, with xPAP equipment and supplies, I have yet to find an online or mail order supplier that will (or can) participate. You can ... Join thousands of patients who enjoy the convenience of Medicare-covered, home-delivered CPAP supplies: Medicare billed directly. Top name brand equipment. Complimentary delivery. straight to your door. Clinical support provided. Supplies are always available. CPAP Home Delivery works with Specialty Medical Equipment, a contracted Medicare ... Join thousands of patients who enjoy the convenience of Medicare-covered, home-delivered CPAP supplies: Medicare billed directly. Top name brand equipment. Complimentary delivery. straight to your door. Clinical support provided. Supplies are always available. CPAP Home Delivery works with Specialty Medical Equipment, a contracted Medicare ... Sep 16, 2022 · After this three-month trial, you will owe 20 percent of the Medicare-approved cost to rent the machine as durable medical equipment. The equipment supplier will provide you with instructions on how to use the CPAP machine. Medicare pays its share to the supplier to rent the machine for 13 months. The WatchPAT™ One is an FDA and DOT approved portable sleep apnea diagnostic device. Its innovative technology ensures the accurate screening, detection, and follow-up treatment of sleep apnea. Accurately measures for sleep apnea based on up to 7 different factors: PAT signal (peripheral arterial tone), heart rate, oximetry (blood oxygen level). A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. If you have additional questions, please call 1-800-Medicare (1-800-633-4227). TTY users can call 1-877-486-2048. Aug 13, 2021 · Once your deductible is met, and your compliance period is successful, Medicare will require a 13-month machine rental. During this rental period Medicare will pay for 80% of the cost of your CPAP machine and supplies. After 13 months, you’ll own your CPAP machine completely. Your cost during the rental period will be your normal 20% coinsurance. Medicare. As one of the nation’s largest suppliers of home healthcare products and services, Apria helps thousands of Americans live healthier and feel better every day. Through our trained professionals and clinicians, Apria offers a wide range of clinical services and equipment. Apria is committed to maintaining close ties with the medical ... Medicare has setup a database that lists contact information (by zip code) for approved suppliers & vendors for a variety of medical supplies, mobility devices, and other durable medical equipment. On January 1, 2011, Medicare began transitioning to the new competitive bidding program so different areas of the U.S. may require that you purchase certain Buy CPAP supplies online - ResMed Shop for CPAP supplies in the U.S. Find a specific product in the search box below to search a CPAP product online in the United States. Canada visitors click here. Can’t find what you’re looking for? Our ResMed team is here to help. Contact us I’m a healthcare professional A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. If you have additional questions, please call 1-800-Medicare (1-800-633-4227). TTY users can call 1-877-486-2048. Medicare. As one of the nation’s largest suppliers of home healthcare products and services, Apria helps thousands of Americans live healthier and feel better every day. Through our trained professionals and clinicians, Apria offers a wide range of clinical services and equipment. Apria is committed to maintaining close ties with the medical ... RespShop.com offers the lowest prices on CPAP machines, masks, and oxygen supplies. Talk to our sleep and respiratory professionals to guarantee your therapy before you buy a CPAP/oxygen concentrator! RespShop.com offers the lowest prices on CPAP machines, masks, and oxygen supplies. Talk to our sleep and respiratory professionals to guarantee your therapy before you buy a CPAP/oxygen concentrator! Oxygen concentrators, CPAP/supplies, BIPAP/supplies, ambulatory aids, hospital beds, ultraviolet light therapy : No : Sunmed 800-714-7434 : www.sunmedmedical.com : Compression stockings/burn garments, wound vac/supplies, phototherapy, bone anchoring hearing systems processors : Breast Pumps/Supplies : No : Tobii Assistive Technology 866-396-2869 Mar 31, 2023 · The average cost of a CPAP machine without Medicare can be around $850. If it qualifies as Medicare-approved durable medical equipment, Medicare can potentially cover 80 percent of the cost, provided you meet your Part B deductible and pay any remaining costs for tubes and other accessories. These are the official datasets used on Medicare.gov provided by the Centers for Medicare & Medicaid Services. These datasets allow you to compare the quality of care provided by Medicare-certified suppliers nationwide. Download all datasets. zip • 6 MB. Supplier_Directory_Data_Dictionary. pdf • 57 KB • Data dictionary. Learn about using ... Nov 3, 2022 · CPAP therapy requires periodic purchase of replacement supplies, including masks, filters, headgear, the water reservoir in the humidifier and the tubing that connects the CPAP machine with your face mask. Medicare has an approved schedule for replacing supplies and covers them on varying schedules. On March 11, 2021, CMS released the 2021 April Medicare Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) fee schedule amounts. The DMEPOS public use file contains fee schedules for certain items that were adjusted based on information from the DMEPOS Competitive Bidding Program in accordance with Section 1834 (a) (1) (F ... Founded in 1982 and accredited since 1991 Regional Home Care has become the premier independent sleep, respiratory and oxygen services company in the North Eastern United States. We’re large enough to serve thousands of patients yet we remain small enough to ensure personal care for every one. Jul 21, 2023 · You should always start by asking your current provider for the solution you want - in this example we are discussing, a portable oxygen concentrator. If any Medicare provider is going to help you, they will most likely provide you oxygen tanks unless you ask for a concentrator before signing any contracts. Once your own provider has told you ... Mar 4, 2023 · Best for Low Cost: Save Rite Medical. Best for No Insurance: Discount Medical Supplies. Best for Disposable Medical Supplies: The Betty Mills Company. Best for Insurance/Medicare: Home Care Delivered. Best for Surgical Supplies: Cascade Healthcare Solutions. Best for Orthopedic Supplies: Allegro Medical. While many private insurance providers may reimburse the out-of-pocket costs for CPAP equipment, it’s important to note products sold through ResMed Shop are not eligible for reimbursement. Please contact your insurance provider to determine your benefits. If you do not have a current provider, you can find a provider near you. 1.1.2 Medical Supplies Medical Supplies are health care related items that are consumable or disposable, or cannot withstand repeated use by more than one individual, that are required to address an individual medical disability, illness or injury. 1.2 Categories of Durable Medical Equipment and Medical Supplies Join thousands of patients who enjoy the convenience of Medicare-covered, home-delivered CPAP supplies: Medicare billed directly. Top name brand equipment. Complimentary delivery. straight to your door. Clinical support provided. Supplies are always available. CPAP Home Delivery works with Specialty Medical Equipment, a contracted Medicare ... Nov 24, 2022 · Because CPAP is covered by insurance as durable medical equipment, the deductible will be $233 ($226) in 2022, and $262 ($226) in 2023. Then, after deducting 20 percent of the Medicare-approved price for rental and ongoing supply purchases, you must pay the remaining 20 percent. The low monthly fee, typically $30-$70, may appear appealing, but ... Below you will find our Recommended Replacement Schedule for CPAP and BiPAP Supplies, based on information from Medicare and private insurance companies. Visit our CPAP Accessories Section to purchase your replacement supplies today! Item (number) HCPCS Code. Replacement Frequency. CPAP Mask. Jul 28, 2019 · Medicare also covers certain types of oral appliance therapy with sleep apnea devices, as long as the supplier is approved with Medicare. If you need other types of sleep apnea treatment such as surgery to remove obstructing tissue, Part A and Part B typically cover allowable charges for medically necessary care. Supplies. Medicare Part B (Medical Insurance) usually doesn’t cover common medical supplies that you typically use at home, like bandages and gauze. Medicare covers some supplies as durable medical equipment. This law directly affects Durable Medical Equipment providers, like Verus Healthcare, and some Medicare orders for our patients that were provided with service dates between July 1, 2016 and December 31, 2016. Orders from this time period are to be retroactively corrected by Medicare for short-paid amounts. If you have orders that are impacted ... Jul 15, 2013 · With diabetic supplies, one has the option of dealing through the primary channel, mail order, and local suppliers - all they need do is accept the payment schedule and process the needed paperwork. On the other hand, with xPAP equipment and supplies, I have yet to find an online or mail order supplier that will (or can) participate. You can ... Medicare covers CPAP machines under the durable medical equipment benefit if you meet certain requirements. Learn more about costs and coverage. UniversalMed Supply has excellent representatives who are well-versed in CPAP supplies, and will make find the right supplies and equipment for you. UniversalMed Supply is Medicare contracted and also accepts most commercial and private insurances. We do follow Medicare/commercial insurance guidelines and the sleep supplies needs to be deemed ... If you have Original Medicare, you should get your DME from a Medicare-approved supplier that takes assignment. If you have a Medicare Advantage Plan, you must follow the plan’s rules for getting DME. Your plan may require that you: Receive approval from the plan before getting your DME. Use a supplier in the plan’s network of suppliers. Feb 24, 2021 · Most private insurance companies– think BlueCross BlueShield or United Healthcare– will cover CPAP machines and supplies. Even better, they’ll likely cover a regular schedule of replacement supplies throughout the year! To qualify, your insurance company will require a prescription as well as a compliance period. If you have Original Medicare, you should get your DME from a Medicare-approved supplier that takes assignment. If you have a Medicare Advantage Plan, you must follow the plan’s rules for getting DME. Your plan may require that you: Receive approval from the plan before getting your DME. Use a supplier in the plan’s network of suppliers.

Aug 13, 2021 · Once your deductible is met, and your compliance period is successful, Medicare will require a 13-month machine rental. During this rental period Medicare will pay for 80% of the cost of your CPAP machine and supplies. After 13 months, you’ll own your CPAP machine completely. Your cost during the rental period will be your normal 20% coinsurance. . Casting woodman

medicare approved online cpap suppliers

Medwiz Solutions Llc Durable Medical Equipment & Medical Supplies Location: 167 Route 304, Bardonia, New York 10954 Phone: (845) 624-8080 A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. If you have additional questions, please call 1-800-Medicare (1-800-633-4227). TTY users can call 1-877-486-2048. On March 11, 2021, CMS released the 2021 April Medicare Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) fee schedule amounts. The DMEPOS public use file contains fee schedules for certain items that were adjusted based on information from the DMEPOS Competitive Bidding Program in accordance with Section 1834 (a) (1) (F ... Jul 15, 2013 · With diabetic supplies, one has the option of dealing through the primary channel, mail order, and local suppliers - all they need do is accept the payment schedule and process the needed paperwork. On the other hand, with xPAP equipment and supplies, I have yet to find an online or mail order supplier that will (or can) participate. You can ... CPAPs & BiPAPs. Texas Home Medical, Inc. stocks many types and brands of CPAPs and BiPAPs. As patients' needs vary so greatly, only a partial list is included below. Please take a moment to contact us for more information. Bi-Levels. CPAPs. Jun 30, 2023 · Short length may require sleepers to reposition their bed. Bottom Line. The ResMed ClimateLineAir 11 is one of the most advanced CPAP tubes on the market today. The automatic temperature adjustments should appeal to AirSense 11 owners who want tubing that adapts to their heat and humidity levels. Mar 4, 2023 · Best for Low Cost: Save Rite Medical. Best for No Insurance: Discount Medical Supplies. Best for Disposable Medical Supplies: The Betty Mills Company. Best for Insurance/Medicare: Home Care Delivered. Best for Surgical Supplies: Cascade Healthcare Solutions. Best for Orthopedic Supplies: Allegro Medical. Sep 16, 2022 · After this three-month trial, you will owe 20 percent of the Medicare-approved cost to rent the machine as durable medical equipment. The equipment supplier will provide you with instructions on how to use the CPAP machine. Medicare pays its share to the supplier to rent the machine for 13 months. Supplies. Medicare Part B (Medical Insurance) usually doesn’t cover common medical supplies that you typically use at home, like bandages and gauze. Medicare covers some supplies as durable medical equipment. 2. Reach out to your CPAP equipment store – where you picked up your equipment – and ask if they offer a replacement program. The last thing we all need is another to-do, so it’s important to sign up for a replacement program that works best for you and your coverage. 3. If your CPAP equipment supplier doesn’t offer a replacement ... Easy Breathe is one of the only online CPAP providers able to bill insurance. We work with Anthem Blue Cross and Blue Shield PPO plans nationwide. Easy Breathe works with your Blue Cross PPO plan as an out-of-network provider. This allows us to help CPAP patients with different insurance carriers in all 50 states, instead of being limited to ... .

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