Physical Required Sleep Study. Now What?

Topic 18390 | Page 1

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Jason C.'s Comment
member avatar

So I am a new potential driver. I was accepted to Roehl's training program. I went to the physical and the doctor only gave me a 90 day card and said I needed to have a sleep study. The sleep study is very expensive and even more so if I have to get the cpap machine. I have no insurance and cannot afford this out of pocket. So what I am wanting to know is if there are any companies that would help with the expense of this for a new driver? I would be willing to commit to a company that would help with this and my cdl training. I already have my cdl permit and passed all other aspects of my physical and drug test. Thanks for any suggestions.

CDL:

Commercial Driver's License (CDL)

A CDL is required to drive any of the following vehicles:

  • Any combination of vehicles with a gross combined weight rating (GCWR) of 26,001 or more pounds, providing the gross vehicle weight rating (GVWR) of the vehicle being towed is in excess of 10,000 pounds.
  • Any single vehicle with a GVWR of 26,001 or more pounds, or any such vehicle towing another not in excess of 10,000 pounds.
  • Any vehicle, regardless of size, designed to transport 16 or more persons, including the driver.
  • Any vehicle required by federal regulations to be placarded while transporting hazardous materials.

CPAP:

Constant Positive Airway Pressure

CPAP is a breathing assist device which is worn over the mouth or nose. It provides nighttime relief for individuals who suffer from Sleep Apnea.

Miss Miyoshi's Comment
member avatar

Prime pays for the study, and if you have to get the machine they can do a payroll deduction over time for you to pay for it.

Brett Aquila's Comment
member avatar

If you keep the 90 day card and go to work for Roehl will you have insurance through the company at that point to cover a study? Ask Roehl about that if you haven't already.

And I'm assuming you have to take the study because of your size. In 90 days you can lose an awful lot of weight. By that time you might not even need the study.

Rick S.'s Comment
member avatar

If you keep the 90 day card and go to work for Roehl will you have insurance through the company at that point to cover a study? Ask Roehl about that if you haven't already.

And I'm assuming you have to take the study because of your size. In 90 days you can lose an awful lot of weight. By that time you might not even need the study.

If an M.E. flagged him for the study - while it might have been for weight/bmi/neck circumference, those aren't mandatory guidelines yet, it is still discretionary (strange how we've been talking about FMCSA OSA Regs for a decade, and they still haven't been able to push an ACTUAL REGULATION on the industry).

I'm not sure that simply losing weight in 90 days and going back to the M.E., is going to relieve him of the obligation to get the sleep study. And if his weight loss still doesn't get him into the (arbitrary) guidelines and he HASN'T gotten a sleep study - he will not be issued another Med Card. That's a roll of the dice that is going to completely DQ his med card. Once he's flagged with a 90 day card - the condition that a "special diagnosis" has been requested for, has to be diagnosed and proven/disproven.

As Miss M elaborated - companies (or at least Prime) will typically pay for the sleep study and the CPAP for you - and do a payroll deduction. If Roehl doesn't do this - then your larger problem becomes that you now only have 90 days to get into compliance, after which your Med Cert lapses and you are DQ to drive. If you already have a CDL , your State DMV is obligated to downgrade it, until you can show them a valid Med Cert.

There's the temptation to"Doctor Shop" this problem away - but M.E.'s are "supposed to" upload Driver Med Certs into a central database at FMCSA to prevent this from happening. Which could jam you up even worse down the road.

Rick

CDL:

Commercial Driver's License (CDL)

A CDL is required to drive any of the following vehicles:

  • Any combination of vehicles with a gross combined weight rating (GCWR) of 26,001 or more pounds, providing the gross vehicle weight rating (GVWR) of the vehicle being towed is in excess of 10,000 pounds.
  • Any single vehicle with a GVWR of 26,001 or more pounds, or any such vehicle towing another not in excess of 10,000 pounds.
  • Any vehicle, regardless of size, designed to transport 16 or more persons, including the driver.
  • Any vehicle required by federal regulations to be placarded while transporting hazardous materials.

CSA:

Compliance, Safety, Accountability (CSA)

The CSA is a Federal Motor Carrier Safety Administration (FMCSA) initiative to improve large truck and bus safety and ultimately reduce crashes, injuries, and fatalities that are related to commercial motor vehicle

FMCSA:

Federal Motor Carrier Safety Administration

The FMCSA was established within the Department of Transportation on January 1, 2000. Their primary mission is to prevent commercial motor vehicle-related fatalities and injuries.

What Does The FMCSA Do?

  • Commercial Drivers' Licenses
  • Data and Analysis
  • Regulatory Compliance and Enforcement
  • Research and Technology
  • Safety Assistance
  • Support and Information Sharing

BMI:

Body mass index (BMI)

BMI is a formula that uses weight and height to estimate body fat. For most people, BMI provides a reasonable estimate of body fat. The BMI's biggest weakness is that it doesn't consider individual factors such as bone or muscle mass. BMI may:

  • Underestimate body fat for older adults or other people with low muscle mass
  • Overestimate body fat for people who are very muscular and physically fit

It's quite common, especially for men, to fall into the "overweight" category if you happen to be stronger than average. If you're pretty strong but in good shape then pay no attention.

CPAP:

Constant Positive Airway Pressure

CPAP is a breathing assist device which is worn over the mouth or nose. It provides nighttime relief for individuals who suffer from Sleep Apnea.

Dm:

Dispatcher, Fleet Manager, Driver Manager

The primary person a driver communicates with at his/her company. A dispatcher can play many roles, depending on the company's structure. Dispatchers may assign freight, file requests for home time, relay messages between the driver and management, inform customer service of any delays, change appointment times, and report information to the load planners.

Fm:

Dispatcher, Fleet Manager, Driver Manager

The primary person a driver communicates with at his/her company. A dispatcher can play many roles, depending on the company's structure. Dispatchers may assign freight, file requests for home time, relay messages between the driver and management, inform customer service of any delays, change appointment times, and report information to the load planners.

DMV:

Department of Motor Vehicles, Bureau of Motor Vehicles

The state agency that handles everything related to your driver's licences, including testing, issuance, transfers, and revocation.

HOS:

Hours Of Service

HOS refers to the logbook hours of service regulations.
Lunchbox's Comment
member avatar
If you keep the 90 day card and go to work for Roehl will you have insurance through the company at that point to cover a study? Ask Roehl about that if you haven't already.

Roehl will not accept a 90 day card for training... you must have a 1 year card at least to enter their training program. This is the current pickle I am in as they want to make sure you are certified as able to drive for the duration of the contract to cover training costs. I have to go back after I accrue 30 days of CPAP compliance as I was only issued a 90 day card. I would suggest looking into Stevens or Prime as they will help you defer the costs of the sleep tests and CPAP machines if they are deemed necessary. Roehl will help with CPAP costs in their program, but that is only after you qualify for their benefits (60 days) and have already obtained a 1 year card to start.

CPAP:

Constant Positive Airway Pressure

CPAP is a breathing assist device which is worn over the mouth or nose. It provides nighttime relief for individuals who suffer from Sleep Apnea.

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