Search found 3 matches

by jonquil
Fri Apr 07, 2006 8:13 pm
Forum: CPAP and Sleep Apnea Message Board
Topic: Insurance denied CPAP coverage -- now what?
Replies: 29
Views: 9001

I got pre-approval from my insurance company for both sleep studies, the original study and the titration. My ENT, who is a Stanford-trained sleep specialist, reviewed the study results and said that I had mild apnea that needed treating because of my daytime symptoms. She wrote a prescription for A...
by jonquil
Fri Apr 07, 2006 3:16 pm
Forum: CPAP and Sleep Apnea Message Board
Topic: Insurance denied CPAP coverage -- now what?
Replies: 29
Views: 9001

I should have been clearer. I did a full all-night apnea study at the Blue Shield-approved sleep center, electrodes everywhere. I was then sent for CPAP titration, and again did that all night. Then my ENT wrote a prescription for CPAP; Blue Shield has refused to authorize it.

by jonquil
Fri Apr 07, 2006 2:54 pm
Forum: CPAP and Sleep Apnea Message Board
Topic: Insurance denied CPAP coverage -- now what?
Replies: 29
Views: 9001

Insurance denied CPAP coverage -- now what?

Even though my ENT thinks the apnea is worth treating because of daytime exhaustion, and even though my blood ox got as low as 75%, Blue Shield of California refuses to cover CPAP for me; I "don't meet the criteria". I'm trying to get further data, and have asked my ENT, a sleep apnea specialist, to...