UHC Denied, but have sleep apnea test tonight

[hersheymalone 0]

UHC denied me with my BMI @ 38.7.... I recently have been put on medicine for a weak bladder and have pitting edema. Tonight I am having a sleep apnea test. I'm still hoping there is a chance that I will be approved for the lap band. Any suggesions out there on what I should do or on the sleep apnea test? Thanks!!

[dmwedding 3]

keep going!!!!!!

[hersheymalone 0]

so the sleep apnea test went well... I get the "official" results from the doctor tomorrow. They did tell me that I don't quit breathing but that I toss and turn and move all night long to include coughing. I knew I was tired all the time but they said that I would always wake up before the 4th stage of sleep which is the most important. They said they were "tired" watching me all night b/c I moved so much. Do yall think they will put me on one of these machines or classify this as sleep apnea? I'm wondering what they will do and if insurance can use this as a comorbidity.... Any thoughts?

[Melisa1 0]

Hi guys...i dont know if im in the right place to ask this question but...I have UHC ppo. They cover 90% for bariatric surgery. Ive done all my testing. sleep study, ekg, blood, urin, chest xray and endoscopy. Then "today" my surgeons office tells me that i have to have a five year history of having a bmi over 40 or two co morbidities. First of all...why didnt they tell me this at the beginning? and second is this stated in my policy? they flat out told me all of a sudden that it wont be approved by my insurance? This is such a slap in the face. Ive been over weight all my life, my bmi is 40 and i weigh 230 lbs. 5'3". Yes my weight has dropped 5-10 lbs up and down forever but COME ON. thats rediculous! Does anyone have any recommendations or ideas, answers, hope??

[hersheymalone 0]

my insurance states a 35 bmi with comorbidities or 40 bmi. I would still submit your stuff. You never know. I just sent in ap appeal in hopes of having my overturned.

[Melisa1 0]

thank you!!! I will try. I cant even believe the office didnt even encourage me to try anyways?? especially after all ive been through! I just left a message for them to call me back.

[ssflbelle 829]

Sorry you got denied I know how that feels as I just got denied today by MEDICARE ADVANTAGE PLAN through SECURE HORIZONS through UNITED HEALTH CARE. MEDICARE approves lapband but an MEDICARE AVANTAGE PLAN doesn't this made no sense to me and I have been on the phone almost all day long with the various Insurances and the Drs. I still haven't heard back a thing. I have a BMI of over 50 with HBP, spinal stenosis, 2 bulging disc, 1 herniated disc and half of a right hip bone, can't walk without canes, must use a scooter for shopping and I get denied. I am so pissed!!!!!!!!!!!!!! They will NOT win I WILL!!!!!!!!!!!!!!!!!!!!

[Melisa1 0]

NO WAY!!! NOW that is INSANE! Dont give up!! Best wishes to you!!