Jump to content
×
Are you looking for the BariatricPal Store? Go now!

sleep apnea diagnosed after denial



Recommended Posts

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!

Share this post


Link to post
Share on other sites

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!

Sent from my iPhone using the BariatricPal App

Share this post


Link to post
Share on other sites

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!

Sent from my iPhone using the BariatricPal App

Share this post


Link to post
Share on other sites

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....

Sent from my iPhone using the BariatricPal App

Share this post


Link to post
Share on other sites

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.

Sent from my iPhone using the BariatricPal App

Share this post


Link to post
Share on other sites

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

Sent from my iPhone using the BariatricPal App

Share this post


Link to post
Share on other sites

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

Sent from my iPhone using the BariatricPal App

Share this post


Link to post
Share on other sites

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

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • Mr.Kantos

      Just signed up. Feeling optimistic.
      · 0 replies
      1. This update has no replies.
    • Frugal

      Welcome to Frugal Testing, where we are committed to revolutionizing the software testing landscape with our efficient and affordable solutions. As a pioneering company in this field, we understand the challenges faced by startups, small to medium-sized businesses and any organization working without budget constraints. Our mission is to deliver top-notch testing services that ensure the highest quality of software, all while keeping your costs in check.
      Frugal Testing offers a comprehensive suite of testing services tailored to meet diverse needs. Specializing in different types of testing including functional testing, automation testing, metaverse testing and D365 testing, we cover all bases to guarantee thorough software quality assurance. Our approach is not just about identifying bugs; it's about ensuring a seamless and superior user experience.
      Innovation is at the heart of what we do. By integrating the latest tools and technologies, many of which are cutting-edge open source solutions, we stay ahead in delivering efficient and effective testing services. This approach allows us to provide exceptional quality testing without the high costs typically associated with advanced testing methodologies.
      Understanding each client's unique needs is fundamental to our service delivery. At Frugal Testing, the focus is on creating customized testing strategies that align with specific business goals and budget requirements. This client-centric approach ensures that every testing solution is not only effective but also fully aligned with the client's objectives.
      Our team is our greatest asset. Composed of skilled professionals who are experts in the latest testing techniques and technologies, they bring dedication, expertise and a commitment to excellence in every project. This expertise ensures that our client’s software not only meets but often exceeds the highest standards of quality and performance.
      Frugal Testing is more than just a service provider; we are a partner in your success. With a blend of quality, innovation and cost-effectiveness, we are here to help you navigate the complexities of software testing, ensuring your product stands out in today's competitive market. 
      · 0 replies
      1. This update has no replies.
    • ChunkCat

      I have no clue where to upload this, so I'll put it here. This is pre-op vs the morning of my 6 month appointment! In office I weight 232, that's 88 lbs down since my highest weight, 75 lbs since my surgery weight! I can't believe this jacket fit... I am smaller now than the last time I was this size which the surgeon found really amusing. He's happy with where I am in my weight loss and estimates I'll be around 200 lbs by my 1 year anniversary! My lowest weight as an adult is 195, so that's pretty damn exciting to think I'll be near that at a year. Everything from there will be unknown territory!!

      · 3 replies
      1. AmberFL

        You look amazing!!! 😻 you have been killing it!

      2. NickelChip

        Congratulations! You're making excellent progress and looking amazing!

      3. BabySpoons

        So proud of you Cat. Getting into those smaller size clothes is half the fun isn't it?. Keep up the good work!!!!

    • BeanitoDiego

      I changed my profile image to a molecule of protein. Why? Because I am certain that it saved my life.
      · 1 reply
      1. BabySpoons

        That's brilliant! You've done amazing!! I should probably think about changing my profile picture at some point. Mine is the doll from Squid Games. Ironically the whole premise of the show is about dodging death. We've both done that...

    • eclarke

      Two years out. Lost 120 , regained 5 lbs. Recently has a bout of Norovirus, lost 7 pounds in two days. Now my stomach feels like it did right after my surgery. Sore, sensitive to even water.  Anyone out there have a similar experience?
      · 0 replies
      1. This update has no replies.
  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    ×