Insurance nightmare

[sweatinitout 0]

OMG i am soo frustrated with my insurance. Priority Health. I have had my doctor submit my claims to them two times and they denied both. My last resort was to find out if I have sleep apnea then they would cover my surgery. I went today to sleep doctor and did find out i have sleep apnea, right away called my doctor who then called my insurance,,, and they still will not cover it unless I am actually hooked up to a pap machine.. Out of ideas.. I cant believe how strict Priority Health is on this issue. Anyone else have any advice on what route to try next..??

I am not afraid of the mexico idea , i am afraid to tell my family, i know they would be scared for me.

UGGGG

[Tiffykins 672]

I'm so very sorry that your insurance is being such a pain in the butt. Can you get a CPAP machine?

Sometimes sharing other people's Mexico experience with family can ease their mind, and fears. I know I have never seen a bad experience posted by any of Dr. Aceves patients, and I've been on the weight loss forums for over 3 years. He would have been my only choice for Mexico surgeons if my insurance would not have covered my revision.

[MINI-Me 196]

Since you have been diagnosed with sleep apnea, it is probably a good idea to get a CPAP machine - I know they've done wonders for my dad and brother. But, look into renting since with weightloss your dependency on it should drop. Best of luck!

[AJW 18]

It sounds like your insurance company will just keep coming up with excuses and reasons NOT to cover the surgery which is typical of insurance companies - or really bad ones, which apparently you have. More Enlightened insurance companies figure you'd be taking preventative action by having the surgery and they'd save money on health care down the road, but as I say, those are the few and far between ones. If all else fails, just bite the financial bullet and go to Dr. Aceves - I did so I know what I'm talking about - and have him do the surgery. Anywhere from $8500 to $10K depending, and you're done. You can pay back the credit card company (or pay cash if you have it) instead of beating your head against the wall over the stupidity of the insurance company. That's my advice for what it's worth.