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

    • LeighaTR

      I am new here today... and only two weeks out from my sleeve surgery on the 23rd. I am amazed I have kept my calories down to 467 today so far... that leaves me almost 750 left for dinner and maybe a snack. This is going to be tough for two weeks... but I have to believe I can do it!
      · 0 replies
      1. This update has no replies.
    • Doughgurl

      Hey everyone. I'm new here so I thought I should introduce myself. I am 53y/o and am scheduled for Gastric Bypass on June 25th, 2025. I'm located in San Antonio, Texas. I will be having my surgery in Tiajuana Mexico. I've wanted this for years, but I always had insurance where bariatric procedures were excluded. Finally I am able to afford to pay out of pocket.  I can't wait to get started, and I hope I'm prepared for the initial period of "hell". I know what I have signed up for, but I'm sure the good to come will out way the temporary period of discomfort and feelings of regret. I'd love to find people to talk to who have been through the same procedure or experience before. So I look forward to meeting you all. Hope you have a great week!
      · 0 replies
      1. This update has no replies.
    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. LeighaTR

        I hope your surgery on Wednesday goes well. You will be able to do all sorts of new things as you find your new normal after surgery. I don't know this from experience yet, but I am seeing a lot of positive things from people who have had it done. Best of luck!

    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. summerseeker

        Life as a big person had limited my life to what I knew I could manage to do each day. That was eat. I hadn't anything else to look forward to. So my eating choices were the best I could dream up. I planned the cooking in managable lots in my head and filled my day with and around it.

        Now I have a whole new big, bigger, biggest, best days ever. I am out there with those skinny people doing stuff i could never have dreamt of. Food is now an after thought. It doesn't consume my day. I still enjoy the good home cooked food but I eat smaller portions. I leave food on my plate when I am full. I can no longer hear my mother's voice saying eat it all up, ther are starving children in Africa who would want that!

        I still cook for family feasts, I love cooking. I still do holidays but I have changed from the All inclusive drinking and eating everything everyday kind to Self catering accommodation. This gives me the choice of cooking or eating out as I choose. I rarely drink anymore as I usually travel alone now and I feel I need to keep aware of my surroundings.

        I don't know at what point my life expanded, was it when I lost 100 pounds? Was it when I left my walking stick at home ? Was it when I said yes to an outing instead of finding an excuse to stay home ? i look back at my last five years and wonder how loosing weight has made such a difference. Be ready to amaze yourself.

        BTW, the liquid diet sucks, one more day and you are over the worst. You can do it.

    • CaseyP1011

      Officially here for a long time, not just a good time💪
      · 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

    ×