sleep apnea diagnosed after denial

[vandernoordh 63]

My sleep apnea was diagnosed after I was denied the first time for not having a comorbidity. We resubmitted this past Wednesday. (crossing fingers) I am just wondering if they will count my 6 months of weight loss because now it is older than two years. Do they go back to the initial date you filed, or use the date you filed appealed as the two year mark? If nothing else in 2 months I will have another 6 months of physician monitored dieting under my belt, just hoping it will work for the initial date filled. Thanks for any input!

[Mysticpink74 50]

My sleep apnea was diagnosed after I was denied the first time for not having a comorbidity. We resubmitted this past Wednesday. (crossing fingers) I am just wondering if they will count my 6 months of weight loss because now it is older than two years. Do they go back to the initial date you filed, or use the date you filed appealed as the two year mark? If nothing else in 2 months I will have another 6 months of physician monitored dieting under my belt, just hoping it will work for the initial date filled. Thanks for any input!

I'm pretty sure it's 3years? Cld be wrong but I think it's within 3 years for dieting??? Good luck & let us know!

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[vandernoordh 63]

My insurance plan states two, but I just hope bc it's an appeal that they are able to the 6months of dieting. If it were a whole new preauth for surgery I would understand if they didn't, but it's just an appeal. Hoping it counts!

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[Mysticpink74 50]

But as you sd...2 more mo & you'll have that 6mo in...right?! That's what I understood anyway...

I was thoroughly disappointed when I thought my 6mo was in & found out a snag & had to put 3 extra mo in....but had my last visit on Friday....everything gets submitted this week & it flew by,,,BUT...they can't give me a surgery date soon enough!!! Lol! That's what I can't wait for! Just a date! & I'll be happy to do countdown....

but glad to know you didn't give up!! Some peeps would have by now....

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[vandernoordh 63]

Yes, if it doesn't count 2 more months and it'll be 6 months that I've been on a supervised diet.

Good luck! Mine was submitted this past Thursday and same for me...no date till approved.

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[MemphisWLS 58]

I have Aetna and its within 2 years!!! Good luck.

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[achappex3 346]

Have you tried calling them and asking? I also have UHC and was told to call and they'll make it priority

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[vandernoordh 63]

I'm calling today to ask. I'm scared lol I don't want it to be denied again.

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[vandernoordh 63]

It was approved! I wanted to cry when she told me.

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[achappex3 346]

Yay!! Congrats!! 3 more months and I'll be right there with you!

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[vandernoordh 63]

Yay! I've been waiting 3 months for this crazy approval!

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It'll fly by

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[Marissa.Ann.C 21]

as sad as i am to say this it seems like they would deny because of the time frame of the supervised diet. id just wait and resubmit again after you finish the new diet in 2 months